PHILIP JAMES PAUSTIAN MD
NPI 1215946850
Internal Medicine in Panama City Beach, FL
About Philip James Paustian Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHILIP JAMES PAUSTIAN MD (NPI 1215946850) is an individual internal medicine provider in Panama City Beach, Florida, licensed in Georgia (026615) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Lithonia.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 5
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Philip James Paustian Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
12Medicare enrollment records show Philip Paustian reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Enterprise, AL 36330
- Reassigned Medicare billing, Alabama enrollment
- 123 clinicians in this Medicare group
Enterprise, AL 36330
- Reassigned Medicare billing, Alabama enrollment
- 514 clinicians in this Medicare group
Pensacola, FL 32514
- Reassigned Medicare billing, Florida enrollment
- 601 clinicians in this Medicare group
Camilla, GA 31730
- Reassigned Medicare billing, Georgia enrollment
- Medicare enrollment name: Phoebe Physician Group Inc
- 1,118 clinicians in this Medicare group
Demopolis, AL 36732
- Reassigned Medicare billing, Alabama enrollment
- 307 clinicians in this Medicare group
Lagrange, GA 30240
- Reassigned Medicare billing, Georgia enrollment
- 1,506 clinicians in this Medicare group
Tuscaloosa, AL 35401
- Reassigned Medicare billing, Alabama enrollment
- 244 clinicians in this Medicare group
Tuscaloosa, AL 35401
- Reassigned Medicare billing, Alabama enrollment
- 179 clinicians in this Medicare group
Clearwater, FL 33756
- Reassigned Medicare billing, Florida enrollment
- 74 clinicians in this Medicare group
Jacksonville, FL 32204
- Reassigned Medicare billing, Florida enrollment
- 492 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32413 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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 Philip Paustian's NPI number?
The NPI number for Philip Paustian is 1215946850. It was assigned to this individual provider in the NPPES registry on August 5, 2006.
Where is Philip Paustian located?
Philip Paustian practices at 20607 Front Beach Rd, Panama City Beach, FL 32413. The listed phone number is (850) 228-5735.
What is Philip Paustian's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Philip Paustian enrolled in Medicare?
Yes. Philip Paustian is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Philip Paustian's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Philip Paustian reassigns Medicare benefits to 12 organizations: Northern Alabama Physicians, LLP (Enterprise, AL), Houston County Healthcare Authority (Enterprise, AL), Hospital Physician Services Of Florida PA (Pensacola, FL), Phoebe Senior Center (Camilla, GA), Capstone Health Services Foundation PC (Demopolis, AL) and 7 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Philip Paustian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Philip Paustian accept?
Health plans from Ambetter Health and Oscar Health list Philip Paustian 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.
When was this NPI record last updated?
The NPPES record for Philip Paustian was last updated on September 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 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.
# Philip James Paustian, MD · NPI 1215946850
Internal Medicine physician in Panama City Beach, Florida. Individual provider, active in the CMS NPPES registry since August 5, 2006.
## Identity
- **NPI:** 1215946850 (Entity type: Individual)
- **Enumerated:** August 5, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 026615 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 20607 FRONT BEACH RD, Panama City Beach, FL 32413-3639
- **Phone:** (850) 228-5735
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 12 organizations under Medicare reassignment (form CMS-855R): Northern Alabama Physicians, LLP (NPI 1952845711, Enterprise, AL); Houston County Healthcare Authority (NPI 1619026606, Enterprise, AL); Hospital Physician Services Of Florida PA (NPI 1558718635, Pensacola, FL); Phoebe Senior Center (NPI 1821394271, Camilla, GA); Capstone Health Services Foundation PC (NPI 1952805400, Demopolis, AL); and 7 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 27, 2026
- **Other identifiers:** Other P00377668 (GA); Other 52047617022 (GA); Medicaid 427196341A (GA); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1215946850) · Data from the CMS NPPES public registry.