PAUL J HOULE MD
NPI 1184624330
Neurological Surgery in Hyannis, MA

Q: What is Paul Houle's NPI number?

The NPI number for Paul Houle is 1184624330. It was assigned to this individual provider in the NPPES registry on July 29, 2005.

Q: What is Paul Houle's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Houle was last updated on November 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.

Active since July 29, 2005PECOS EnrolledAccepts Medicare Assignment

79.84/100

CMS Quality Rating

46 NORTH ST, HYANNIS, MA 02601(508) 771-0006(508) 790-8337 Get Directions Write a Review

NPPES record last updated: November 18, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Paul J Houle Md NPPES

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

PAUL J HOULE MD (NPI 1184624330) is an individual neurological surgery provider in Hyannis, Massachusetts, licensed in Massachusetts (213671) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Cape Cod Hospital, and is a graduate of Boston University School Of Medicine (1996).

NPPES Registry Identity

NPI1184624330

Entity TypeIndividualMale

Primary Taxonomy207T00000X

Provider Legal NamePAUL J HOULECredential: MD

Location Address46 NORTH STHyannis, MA 02601-3845

Mailing Address46 North StHyannis, MA 02601-3845 · (508) 771-0006 · Fax (508) 790-8337

Phone(508) 771-0006

Fax(508) 790-8337

Sole ProprietorNo

Medical School CMSBoston University School Of MedicineGraduated 1996

Enumeration DateJuly 29, 2005

Last NPPES UpdateNovember 18, 2011

✔ NPI 1184624330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207T00000X

License✔ Licensed in MA · 213671

Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

46 NORTH ST, Hyannis, MA 02601

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Other Identifiers 3

Medicaid0199133MA

Medicare UPINB60898

Medicare ID-Type UnspecifiedA33943MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Paul J Houle 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 ID42383408

PECOS Enrollment IDI20081202000252

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 18

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

194 services158 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.

161 services134 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

91 services88 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

77 services53 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

42 services42 patients

Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back 63052

This procedure involves the partial removal of a bone segment in your lower back to relieve pressure on your spinal cord or nerves. It's usually done during a spinal fusion in the lower back, which helps to stabilize your spine by joining two or more vertebrae together.

42 services41 patients

Placement of stabilizing device to back, 3-6 spine bone segments 22842

This procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.

35 services35 patients

Fusion of spine in lower back with partial removal of spine bone and disc 22633

This procedure, called lumbar spinal fusion, involves joining two or more vertebrae in your lower back. It includes a partial removal of a spine bone and disc to alleviate pain and improve stability. The goal is to reduce motion between vertebrae and prevent nerve irritation.

32 services32 patients

Placement of stabilizing device to back of 1 spine bone in neck 22840

This procedure involves positioning a stabilizing device onto a single spinal bone in the neck. The goal is to provide support and prevent movement that could cause discomfort or further injury. It's performed by trained specialists under anesthesia.

32 services31 patients

Fusion of additional segment of spine 22614

Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.

27 services20 patients

Computer-assisted spinal procedure 61783

A computer-assisted spinal procedure is a surgical technique that uses computer technology for improved precision. It involves creating a 3D image of your spine to guide the surgeon during the operation. This method enhances accuracy, reduces risk, and promotes quicker recovery.

26 services25 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

21 services21 patients

Partial removal of bone of additional segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back 63053

This procedure involves partially removing a bone section in the lower back to relieve pressure on the spinal cord or nerves. It's performed during a spinal fusion, where bones in the lower back are joined to improve stability and reduce pain.

16 services16 patients

Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048

This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.

14 services14 patients

Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc 22630

This procedure involves the fusion of a lower spine bone and the partial removal of a spine bone or disc from the back. It's done to relieve pain or correct a deformity. One disc is involved in this procedure. Recovery time varies based on individual health.

13 services13 patients

Release of lower spinal cord and/or nerve root using endoscope 62380

This procedure involves using a small camera, called an endoscope, to view and treat issues in your lower spine. It can help to alleviate pressure on the spinal cord or nerve roots, reducing pain and improving function.

12 services12 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

12 services12 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Cape Cod Hospital

Acute Care Hospitals · Hyannis, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220012

Location27 Park StreetHyannis, MA 02601 · Barnstable County

Emergency services Birthing friendly

Falmouth Hospital

Acute Care Hospitals · Falmouth, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220135

Location67 & 100 Ter Heun DriveFalmouth, MA 02540 · Barnstable County

Emergency services

Martha's Vineyard Hospital Inc

Critical Access Hospitals · Oak Bluffs, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number221300

LocationOne Hospital Road, First Fl, Wing 5, PO Box 1477Oak Bluffs, MA 02557 · Dukes County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.47 typical visit price

range $58.86 – $177.36

Typical copayment $33.61 (range $14.71 – $44.34)

Most-billed visit code 99204

Established Patient

$73.22 typical visit price

range $19.11 – $144.84

Typical copayment $18.30 (range $4.77 – $36.21)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

79.84/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

63.36

Promoting Interoperability

100

Improvement Activities

Leave this field empty

Other Providers at the Same Location NPPES 16

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

ACHILLES K PAPAVASILIOU MD

Neurological Surgery

46 NORTH ST
HYANNIS, MA 02601

Barnstable County (508) 771-0007

STEPHANIE ELLIS

Nurse Practitioner (Family)

46 NORTH ST
HYANNIS, MA 02601

Barnstable County (508) 771-0006

KEVIN T KELLY MD

Anesthesiology (Pain Medicine)

46 NORTH ST
HYANNIS, MA 02601

Barnstable County (508) 862-5680

DR. LURA WENDY MARKS ANP-BC

Nurse Practitioner (Adult Health)

46 NORTH ST
HYANNIS, MA 02601

Barnstable County (508) 862-5680

CLAIRE-MARIE STRAUSS PA-C

Physician Assistant (Surgical)

46 NORTH ST, #4
HYANNIS, MA 02601

Barnstable County (508) 771-0006

PATRICK J MURRAY MD

Neurological Surgery

46 NORTH ST
HYANNIS, MA 02601

Barnstable County (508) 771-0006

HATFIELD CARDIOLOGY LLC

Internal Medicine (Cardiovascular Disease)

46 NORTH ST
HYANNIS, MA 02601

Barnstable County (508) 778-2860

DR. JOHN MORRIS BETE JR. D.O.

Physical Medicine & Rehabilitation

46 NORTH ST, NEUROSURGEONS OF CAPE COD
HYANNIS, MA 02601

Barnstable County (508) 771-0006

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 Paul Houle's NPI number?

The NPI number for Paul Houle is 1184624330. It was assigned to this individual provider in the NPPES registry on July 29, 2005.

Where is Paul Houle located?

Paul Houle practices at 46 North St, Hyannis, MA 02601. The listed phone number is (508) 771-0006.

What is Paul Houle's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Paul Houle enrolled in Medicare?

Yes. Paul Houle 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 Paul Houle accept?

Health plans from Anthem Blue Cross and Blue Shield list Paul Houle 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 Paul Houle affiliated with any hospitals?

According to CMS data, Paul Houle is affiliated with Cape Cod Hospital, Falmouth Hospital and Martha's Vineyard Hospital Inc.

When was this NPI record last updated?

The NPPES record for Paul Houle was last updated on November 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.