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ALFRED A PAUL MD
NPI 1235222597
Ophthalmology in Pawtucket, RI

Active since October 01, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
465 EAST AVE, PAWTUCKET, RI 02860(401) 728-9350(401) 728-1320 Get Directions Write a Review

NPPES record last updated: June 2, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alfred A Paul Md NPPES

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

ALFRED A PAUL MD (NPI 1235222597) is an individual ophthalmology provider in Pawtucket, Rhode Island, licensed in Rhode Island (MD10487) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (1988).

NPPES Registry Identity

NPI1235222597
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameALFRED A PAULCredential: MD
Location Address465 EAST AVEPawtucket, RI 02860-5217
Mailing Address465 East AvePawtucket, RI 02860-5217 · (401) 728-9350 · Fax (401) 728-1320
Phone(401) 728-9350
Fax(401) 728-1320
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1988
Enumeration DateOctober 1, 2006
Last NPPES UpdateJune 2, 2008
✔ NPI 1235222597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in RI · MD10487
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
465 EAST AVE, Pawtucket, RI 02860
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Other Identifiers 10

Other2450368Aetna U.s. Healthcare- Master
OtherMD10487RI · State Medical License #
Other407997Blue Chip
Other010487Tufts Halth Plan
Other0800782United Healthcare
Medicaid9026310RI
Other0000026310Blue Shield Of Rhode Island
OtherP00201594Railroad Medicare
Medicare UPINF39972
Medicare PIN189026310

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

Alfred A 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 ID5092795799
PECOS Enrollment IDI20040722001282
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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
434 services421 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.
157 services128 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
143 services139 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
124 services123 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
123 services120 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
98 services87 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02860 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 2

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

LIN CHOU MD
Ophthalmology
465 EAST AVE
PAWTUCKET, RI 02860
Providence County (401) 728-9350
ALFRED A PAUL, MD AND LIN CHOU, MD, INC.
Ophthalmology
465 EAST AVE
PAWTUCKET, RI 02860
Providence County (401) 728-9350

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 Alfred Paul's NPI number?

The NPI number for Alfred Paul is 1235222597. It was assigned to this individual provider in the NPPES registry on October 1, 2006.

Where is Alfred Paul located?

Alfred Paul practices at 465 East Ave, Pawtucket, RI 02860. The listed phone number is (401) 728-9350.

What is Alfred Paul's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Alfred Paul enrolled in Medicare?

Yes. Alfred 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.

When was this NPI record last updated?

The NPPES record for Alfred Paul was last updated on June 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.