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PAUL T WIELEBINSKI M.D.
NPI 1285689620
Internal Medicine in Winter Haven, FL

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment
82.37/100
CMS Quality Rating
550 POPE AVE NW STE 200, WINTER HAVEN, FL 33881(863) 299-2630(863) 969-0711 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2025, Apr 4, 2024, Sep 28, 2018 (3 updates tracked since 2018).

About Paul T Wielebinski M.d. NPPES

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

PAUL T WIELEBINSKI M.D. (NPI 1285689620) is an individual internal medicine provider in Winter Haven, Florida, licensed in Florida (ME132006) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1285689620
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePAUL T WIELEBINSKICredential: M.D.
Location Address550 POPE AVE NW STE 200Winter Haven, FL 33881-4679
Mailing Address425 W Colonial Dr Ste 303Orlando, FL 32804-6863 · (321) 332-6947 · Fax (689) 304-0303
Phone(863) 299-2630
Fax(863) 969-0711
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateMay 24, 2006
Last NPPES UpdateMay 7, 20253 updates tracked since enumeration
NPPES CertifiedMay 7, 2025
✔ NPI 1285689620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in FL · ME132006✔ Licensed in MD · D33719✔ Licensed in MN · 75982
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
550 POPE AVE NW STE 200, Winter Haven, FL 33881
Open in Google Maps ↗

Secondary Practice Locations 4

Location 13617 W Hillsborough AveTampa, FL 33614-5713 · Phone (813) 875-2020
Location 28450 Seasons PkwyWoodbury, MN 55125-4402 · Phone (651) 702-5300
Location 3550 Pope Ave NW Ste 300Winter Haven, FL 33881-4679 · Phone (863) 299-2636
Location 43240 S Florida Ave Ste 101Lakeland, FL 33803-4574 · Phone (863) 644-7337

Other Identifiers 1

Medicaid806747800ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Health First Commercial Plans, Inc., Oscar Health Maintenance Organization of Florida.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 T Wielebinski 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 ID6709878713
PECOS Enrollment IDI20180709003044
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 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.
289 services259 patients
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.
147 services129 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
107 services90 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
49 services44 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
46 services36 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test 85027
A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.
37 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33881 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

82.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.57
Promoting Interoperability100
Improvement Activities40
Cost57.66

Other Providers at the Same Location NPPES 12

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

ELIZABETH MARGARET ENNIS PA-C
Physician Assistant
550 POPE AVE NW STE 200
WINTER HAVEN, FL 33881
Polk County (863) 299-2630
DEBRA DEHASS BEACHY FNP-BC
Nurse Practitioner (Family)
550 POPE AVE NW STE 200
WINTER HAVEN, FL 33881
Polk County (863) 299-2630
KEVIN SARNA
Physician Assistant
550 POPE AVE NW STE 200
WINTER HAVEN, FL 33881
Polk County (863) 299-2630
SHIHAB AL-DEEN MUSTAFA
Physician Assistant
550 POPE AVE NW STE 200
WINTER HAVEN, FL 33881
Polk County (863) 299-2630
MISS CASI LEIGH BELL APRN
Nurse Practitioner (Family)
550 POPE AVE NW STE 200
WINTER HAVEN, FL 33881
Polk County (863) 299-2630
MS. MELISSA RAQUEL DUQUE APRN
Nurse Practitioner (Family)
550 POPE AVE NW STE 200
WINTER HAVEN, FL 33881
Polk County (863) 299-2630
SEJAL PATEL
Physician Assistant
550 POPE AVE NW STE 200
WINTER HAVEN, FL 33881
Polk County (863) 299-2630
TRINITY MEDICAL PHYSICIANS, LLC
Clinic/Center (Urgent Care)
550 POPE AVE NW STE 200
WINTER HAVEN, FL 33881
Polk County (863) 644-7337

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 Wielebinski's NPI number?

The NPI number for Paul Wielebinski is 1285689620. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Paul Wielebinski located?

Paul Wielebinski practices at 550 Pope Ave NW Ste 200, Winter Haven, FL 33881. The listed phone number is (863) 299-2630.

What is Paul Wielebinski's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Paul Wielebinski enrolled in Medicare?

Yes. Paul Wielebinski 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 Wielebinski accept?

Health plans from Health First Commercial Plans, Inc. and Oscar Health Maintenance Organization of Florida list Paul Wielebinski 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 Paul Wielebinski was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.