DR. PAUL LOUIS DIMODICA D.O.
NPI 1225065576
Emergency Medicine in Lincoln City, OR

Active since June 26, 2006PECOS EnrolledAccepts Medicare Assignment
94.62/100
CMS Quality Rating
3043 NE 28TH ST, LINCOLN CITY, OR 97367(541) 994-3661 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Paul Louis Dimodica D.o. NPPES

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

DR. PAUL LOUIS DIMODICA D.O. (NPI 1225065576) is an individual emergency medicine provider in Lincoln City, Oregon, licensed in Oregon (DO24715) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Ocean Beach Hospital, and maintains a secondary practice location in Santa Maria.

NPPES Registry Identity

NPI1225065576
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. PAUL LOUIS DIMODICACredential: D.O.
Location Address3043 NE 28TH STLincoln City, OR 97367-4518
Mailing AddressPo Box 1194Corvallis, OR 97339-1194
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateJune 26, 2006
Last NPPES UpdateMarch 21, 2022
NPPES CertifiedMarch 21, 2022
NPI 1225065576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in OR · DO24715 Licensed in CA · 20A8624
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

3043 NE 28TH ST, Lincoln City, OR 97367

Secondary Practice Location 1

Location 11400 E Church StSanta Maria, CA 93454-5906 · Phone (805) 332-8100 · Fax (805) 739-3064

Other Identifiers 1

Medicaid00AX86240CA

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

Dr. Paul Louis Dimodica D.o. 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 ID4183693112
PECOS Enrollment IDI20040927001227
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 6

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
194 services194 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
186 services184 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
116 services116 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
49 services47 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
16 services15 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Ocean Beach Hospital

Critical Access Hospitals · Ilwaco, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501314
Location174 First Avenue NorthIlwaco, WA 98624 · Pacific County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97367 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

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.

Emergency Medicine
3043 NE 28TH ST
LINCOLN CITY, OR 97367
Physical Therapist
3043 NE 28TH ST
LINCOLN CITY, OR 97367
Physical Therapist
3043 NE 28TH ST
LINCOLN CITY, OR 97367
Occupational Therapist
3043 NE 28TH ST
LINCOLN CITY, OR 97367
Physical Therapist
3043 NE 28TH ST
LINCOLN CITY, OR 97367
Physical Therapist
3043 NE 28TH ST
LINCOLN CITY, OR 97367
Physical Therapist
3043 NE 28TH ST
LINCOLN CITY, OR 97367
Physical Therapist
3043 NE 28TH ST
LINCOLN CITY, OR 97367

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 Dimodica's NPI number?

The NPI number for Paul Dimodica is 1225065576. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Paul Dimodica located?

Paul Dimodica practices at 3043 NE 28th St, Lincoln City, OR 97367. The listed phone number is (541) 994-3661.

What is Paul Dimodica's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Paul Dimodica enrolled in Medicare?

Yes. Paul Dimodica 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.

Is Paul Dimodica affiliated with any hospitals?

According to CMS data, Paul Dimodica is affiliated with Ocean Beach Hospital.

When was this NPI record last updated?

The NPPES record for Paul Dimodica was last updated on March 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.