PAUL E HODGE FNP-C
NPI 1215308077
Nurse Practitioner - Family in Madison, MN

Active since October 19, 2015PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
900 2ND AVE, MADISON, MN 56256(320) 598-7551 Get Directions Write a Review

NPPES record last updated: October 19, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Paul E Hodge Fnp-c NPPES

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

PAUL E HODGE FNP-C (NPI 1215308077) is an individual family provider in Madison, Minnesota, licensed in Minnesota (CNP 4241) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS, is affiliated with Madison Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1215308077
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NamePAUL E HODGECredential: FNP-C
Location Address900 2ND AVEMadison, MN 56256-1006
Mailing Address900 2nd AveMadison, MN 56256-1006 · (320) 598-7551
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 19, 2015
NPI 1215308077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MN · CNP 4241
900 2ND AVE, Madison, MN 56256

Accepted 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 E Hodge Fnp-c 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 ID1557671450
PECOS Enrollment IDI20151106000420
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.

Hospital Affiliations CMS Care Compare

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

Madison Hospital

Critical Access Hospitals · Madison, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241372
Location820 Third AvenueMadison, MN 56256 · Lac Qui Parle County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56256 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers22 claims22 services$119.05 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 16

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

Occupational Therapist
900 2ND AVE
MADISON, MN 56256
Family Medicine
900 2ND AVE
MADISON, MN 56256
Physical Therapist
900 2ND AVE
MADISON, MN 56256
Nurse Practitioner (Family)
900 2ND AVE
MADISON, MN 56256
Nurse Practitioner (Family)
900 2ND AVE
MADISON, MN 56256
Skilled Nursing Facility
900 2ND AVE
MADISON, MN 56256
Clinic/Center
900 2ND AVE
MADISON, MN 56256
Occupational Therapist
900 2ND AVE
MADISON, MN 56256

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 Hodge's NPI number?

The NPI number for Paul Hodge is 1215308077. It was assigned to this individual provider in the NPPES registry on October 19, 2015.

Where is Paul Hodge located?

Paul Hodge practices at 900 2nd Ave, Madison, MN 56256. The listed phone number is (320) 598-7551.

What is Paul Hodge's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Paul Hodge enrolled in Medicare?

Yes. Paul Hodge 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 Hodge accept?

Health plans from Medica and Sanford Health Plan list Paul Hodge 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 Hodge affiliated with any hospitals?

According to CMS data, Paul Hodge is affiliated with Madison Hospital.

When was this NPI record last updated?

The NPPES record for Paul Hodge was last updated on October 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.