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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RICHARD VINCENT PAUL MD
NPI 1174524920
Specialist in Hickory, NC

Active since August 02, 2005PECOS Enrolled
39.02/100
CMS Quality Rating
1899 TATE BLVD SE, SUITE 2101, HICKORY, NC 28602(828) 327-7788(828) 327-0112 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Richard Vincent Paul Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICHARD VINCENT PAUL MD (NPI 1174524920) is an individual specialist in Hickory, North Carolina and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Caldwell Memorial Hospital, and is a graduate of University Of Massachusetts Medical School (1981).

NPPES Registry Identity

NPI1174524920
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameRICHARD VINCENT PAULCredential: MD
Location Address1899 TATE BLVD SE, SUITE 2101Hickory, NC 28602-4200
Mailing Address1899 Tate Blvd Se, Suite 2101Hickory, NC 28602-4200 · (828) 327-7788 · Fax (828) 327-0112
Phone(828) 327-7788
Fax(828) 327-0112
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 1981
Enumeration DateAugust 2, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1174524920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1899 TATE BLVD SE, Hickory, NC 28602
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Other Identifiers 1

Medicaid89130JCNC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Richard Vincent Paul Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395824031
PECOS Enrollment IDI20100813000165
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
222 services61 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
134 services59 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
119 services76 patients
Home dialysis services per month (20 years or older) 90966
Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.
79 services11 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
73 services41 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
52 services31 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Caldwell Memorial Hospital

Acute Care Hospitals · Lenoir, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340041
Location321 Mulberry St SWLenoir, NC 28645 · Caldwell County
Emergency services

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

Blue Ridge Healthcare Hospitals, Inc

Acute Care Hospitals · Morganton, NC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number340075
Location2201 S Sterling StMorganton, NC 28655 · Burke County
Emergency services Birthing friendly

Frye Regional Medical Center

Acute Care Hospitals · Hickory, NC
1/5 CMS rating
OwnershipProprietary
CMS Certification Number340116
Location420 N Center StHickory, NC 28601 · Catawba County
Emergency services Birthing friendly

Catawba Valley Medical Center

Acute Care Hospitals · Hickory, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340143
Location810 Fairgrove Church RdHickory, NC 28602 · Catawba County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

39.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality60.93
Improvement Activities0

Reported Quality Measures

Controlling High Blood Pressure
63%79 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
66%133 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%712 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%231 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
18%399 patients1/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 89% · 196 patients
Patients screened: 99% · 196 patients
14%22 patients1/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 242 patients
Patients totalRate: 0% · 242 patients
0%242 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers70 claims8,175 services$0.29 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier78 claims12,300 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers22 claims3,000 services$0.20 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier77 claims11,100 services$0.99 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers98 claims98 services$18.56 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers129 claims135 services$12.25 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROLINA EMG SPECIALISTS
Physical Therapist
1899 TATE BLVD SE, SUITE 2108
HICKORY, NC 28602
Catawba County (704) 607-3483
LIDIA SALINAS
Behavior Technician
1899 TATE BLVD SE
HICKORY, NC 28602
Catawba County (828) 358-0976
PEDIATRIC HOUSECALL SERVICES PLLC
Pediatrics
1899 TATE BLVD SE, SUITE 2108
HICKORY, NC 28602
Catawba County (828) 327-6500
DR. DAVID MARSHALL JONES MD
Neurological Surgery
1899 TATE BLVD SE, SUITE 2108
HICKORY, NC 28602
Catawba County (828) 327-6500
DR. KERRY DANIEL PAYNE M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1899 TATE BLVD SE, STE 1105
HICKORY, NC 28602
Catawba County (828) 322-3821
PIEDMONT PATHOLOGY ASSOCIATES INC
Pathology (Anatomic Pathology & Clinical Pathology)
1899 TATE BLVD SE, SUITE 1105
HICKORY, NC 28602
Catawba County (828) 322-3821
MRS. KRISTINE R BAKER N.P.
Nurse Practitioner
1899 TATE BLVD SE, STE 2101
HICKORY, NC 28602
Catawba County (828) 327-7788
CORA PARKS
Behavior Technician
1899 TATE BLVD SE
HICKORY, NC 28602
Catawba County (828) 201-6609

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Paul's NPI number?

The NPI number for Richard Paul is 1174524920. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Richard Paul located?

Richard Paul practices at 1899 Tate Blvd SE Suite 2101, Hickory, NC 28602. The listed phone number is (828) 327-7788.

What is Richard Paul's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Richard Paul enrolled in Medicare?

Yes. Richard Paul is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Richard Paul accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 1 other insurer list Richard Paul as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Richard Paul affiliated with any hospitals?

According to CMS data, Richard Paul is affiliated with Caldwell Memorial Hospital, North Carolina Baptist Hospital, Blue Ridge Healthcare Hospitals, Inc, Frye Regional Medical Center and Catawba Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Richard Paul was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.