DR. PAUL W MARSHBURN MD
NPI 1316939101
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Phoenix, AZ

Active since August 17, 2005PECOS EnrolledAccepts Medicare Assignment
1616 E MARYLAND AVE, PHOENIX, AZ 85016(602) 788-1521(602) 688-5420 Get Directions Write a Review

NPPES record last updated: February 14, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Paul W Marshburn Md NPPES

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

DR. PAUL W MARSHBURN MD (NPI 1316939101) is an individual urogynecology and reconstructive pelvic surgery provider in Phoenix, Arizona, licensed in Arizona (26784) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Tulane University School Of Medicine (1990).

NPPES Registry Identity

NPI1316939101
Entity TypeIndividualMale
Primary Taxonomy207VF0040X
Provider Legal NameDR. PAUL W MARSHBURNCredential: MD
Location Address1616 E MARYLAND AVEPhoenix, AZ 85016-1302
Mailing Address1616 E Maryland AvePhoenix, AZ 85016-1302 · (602) 788-1521 · Fax (602) 688-5420
Fax(602) 688-5420
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1990
Enumeration DateAugust 17, 2005
Last NPPES UpdateFebruary 14, 2014
NPI 1316939101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207VF0040X
License Licensed in AZ · 26784
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License 26784 (AZ)
1616 E MARYLAND AVE, Phoenix, AZ 85016

Other Identifiers 7

Other2032538AZ · Aetna
Medicare UPINF86595AZ
Medicaid432922AZ
Medicare PINZ70982AZ
Medicare ID-Type Unspecified70983AZ
Medicare NSC6820310001AZ
OtherAZ0862820AZ · Blue Cross Blue Shield

Accepted 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

Dr. Paul W Marshburn 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 ID9537244439
PECOS Enrollment IDI20100107000032
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 19

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.

Manual urinalysis test with examination using microscope, non-automated 81000
A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.
203 services149 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.
188 services122 patients
Insertion of temporary bladder tube 51701
This procedure involves placing a small tube into your lower abdomen to help drain urine from your bladder. It's a temporary measure, often used when normal urination is not possible. The tube remains in place until you can urinate on your own again.
157 services130 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.
101 services82 patients
Intermittent urinary catheter, with insertion supplies A4353
An intermittent urinary catheter is a medical device used to drain urine from the body when one cannot do so naturally. It's inserted at intervals, not left in place. Supplies for insertion include the catheter, gloves, cleansing wipes, and a collection bag.
100 services91 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
78 services78 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier14 claims840 services$0.09 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier15 claims930 services$1.50 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Surgery
1616 E MARYLAND AVE
PHOENIX, AZ 85016
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
1616 E MARYLAND AVE
PHOENIX, AZ 85016
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
1616 E MARYLAND AVE
PHOENIX, AZ 85016
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
1616 E MARYLAND AVE
PHOENIX, AZ 85016
Obstetrics & Gynecology (Gynecology)
1616 E MARYLAND AVE
PHOENIX, AZ 85016

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 Marshburn's NPI number?

The NPI number for Paul Marshburn is 1316939101. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Paul Marshburn located?

Paul Marshburn practices at 1616 E Maryland Ave, Phoenix, AZ 85016. The listed phone number is (602) 788-1521.

What is Paul Marshburn's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Paul Marshburn enrolled in Medicare?

Yes. Paul Marshburn 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 Marshburn accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. list Paul Marshburn 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 Marshburn was last updated on February 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.