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HOWARD S PAUL M.D.
NPI 1265429401
Psychiatry & Neurology - Child & Adolescent Psychiatry in Beloit, WI

Active since October 03, 2005PECOS EnrolledAccepts Medicare Assignment
99.95/100
CMS Quality Rating
1969 W HART ROAD, BELOIT HEALTH SYSTEM COUNSELING CARE CENTER, BELOIT, WI 53511(608) 364-5684(608) 363-5756 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 3, 2023, Jul 21, 2022, Sep 14, 2017 (3 updates tracked since 2017).

About Howard S Paul M.d. NPPES

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

HOWARD S PAUL M.D. (NPI 1265429401) is an individual child & adolescent psychiatry provider in Beloit, Wisconsin, licensed in Wisconsin (36077-20) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Beloit Health System, and maintains a secondary practice location in Eau Claire.

NPPES Registry Identity

NPI1265429401
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameHOWARD S PAULCredential: M.D.
Location Address1969 W HART ROAD, BELOIT HEALTH SYSTEM COUNSELING CARE CENTERBeloit, WI 53511-2230
Mailing Address1969 W Hart Road, Beloit Health System Counseling Care CenterBeloit, WI 53511-2230 · (608) 364-5684 · Fax (608) 363-5756
Phone(608) 364-5684
Fax(608) 363-5756
Sole ProprietorNo
Medical School CMSChicago College Of Medicine And SurgeryGraduated 1972
Enumeration DateOctober 3, 2005
Last NPPES UpdateNovember 3, 20233 updates tracked since enumeration
NPPES CertifiedNovember 3, 2023
✔ NPI 1265429401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in WI · 36077-20
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 36077 (WI)
1969 W HART ROAD, Beloit, WI 53511
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Secondary Practice Location 1

Location 11400 Bellinger StEau Claire, WI 54703-5222 · Phone (715) 838-5222

Other Identifiers 1

Medicaid32078100WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Dean Health Plan, Group Health Cooperative-SCW.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Howard S Paul M.d. 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 ID3577718352
PECOS Enrollment IDI20140415001597
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Howard Paul reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Beloit Health System, Inc
Same address
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1969 W HART RD
Beloit, WI 53511
  • Reassigned Medicare billing, Wisconsin enrollment
  • 194 clinicians in this Medicare group
NPI 1568677417 (608) 364-5123
Mayo Clinic Health System-Northwest Wisconsin Region, Inc.
179 mi
Multi-Specialty
13025 8TH ST
Osseo, WI 54758
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,248 clinicians in this Medicare group
NPI 1083140990 (715) 597-3121

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.

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.
21 services18 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.
15 services12 patients

Hospital Affiliations CMS Care Compare

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

Beloit Health System

Acute Care Hospitals · Beloit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520100
Location1969 W Hart RdBeloit, WI 53511 · Rock County
Emergency services Birthing friendly

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.

99.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.89
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

MR. GREGORY ARTHUR AMMON LPC MS NCC
Counselor (Professional)
1969 W HART ROAD
BELOIT, WI 53511
Rock County (608) 364-5686
MR. DAVID M DRUM PAC
Emergency Medicine
1969 W HART ROAD
BELOIT, WI 53511
Rock County (608) 758-7216
MRS. MARY ANN BERTUSO PAC
Emergency Medicine
1969 W HART ROAD
BELOIT, WI 53511
Rock County (608) 758-7215
BELOIT HEALTH SYSTEM, INC
Counselor
1969 W HART ROAD
BELOIT, WI 53511
Rock County (608) 364-5686

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 Howard Paul's NPI number?

The NPI number for Howard Paul is 1265429401. It was assigned to this individual provider in the NPPES registry on October 3, 2005.

Where is Howard Paul located?

Howard Paul practices at 1969 W Hart Road Beloit Health System Counseling Care Center, Beloit, WI 53511. The listed phone number is (608) 364-5684.

What is Howard Paul's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Howard Paul enrolled in Medicare?

Yes. Howard 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.

Which organizations bill Medicare for Howard Paul's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Howard Paul reassigns Medicare benefits to 2 organizations: Beloit Health System, Inc (Beloit, WI) and Mayo Clinic Health System-Northwest Wisconsin Region, Inc. (Osseo, WI). 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 Howard Paul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Howard Paul accept?

Health plans from Dean Health Plan and Group Health Cooperative-SCW list Howard Paul 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 Howard Paul affiliated with any hospitals?

According to CMS data, Howard Paul is affiliated with Beloit Health System.

When was this NPI record last updated?

The NPPES record for Howard Paul was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.