DR. PAUL C UTRIE MD
NPI 1326065368
Internal Medicine - Rheumatology in Green Bay, WI

Q: What is Paul Utrie's NPI number?

The NPI number for Paul Utrie is 1326065368. It was assigned to this individual provider in the NPPES registry on July 16, 2006.

Q: What is Paul Utrie's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Q: When was this NPI record last updated?

The NPPES record for Paul Utrie was last updated on April 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 16, 2006PECOS EnrolledAccepts Medicare Assignment

75.34/100

CMS Quality Rating

2223 LIME KILN RD, SUITE 1, GREEN BAY, WI 54311(920) 430-8120(920) 430-8122 Get Directions Write a Review

NPPES record last updated: April 26, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Paul C Utrie Md NPPES

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

DR. PAUL C UTRIE MD (NPI 1326065368) is an individual rheumatology provider in Green Bay, Wisconsin, licensed in Wisconsin (38895) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Dickinson County Memorial Hospital, and is a graduate of University Of Wisconsin School Of Medicine (1992).

NPPES Registry Identity

NPI1326065368

Entity TypeIndividualMale

Primary Taxonomy207RR0500X

Provider Legal NameDR. PAUL C UTRIECredential: MD

Location Address2223 LIME KILN RD, SUITE 1Green Bay, WI 54311-6213

Mailing Address2223 Lime Kiln Rd, Suite 1Green Bay, WI 54311-6213 · (920) 430-8120 · Fax (920) 430-8122

Phone(920) 430-8120

Fax(920) 430-8122

Sole ProprietorNo

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1992

Enumeration DateJuly 16, 2006

Last NPPES UpdateApril 26, 2022

NPPES CertifiedApril 26, 2022

✔ NPI 1326065368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

License✔ Licensed in WI · 38895

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

2223 LIME KILN RD, Green Bay, WI 54311

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Other Identifiers 1

Medicaid32336700WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, Security Health Plan.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 C Utrie 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 ID1355337296

PECOS Enrollment IDI20040424000035

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 24

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.

Injection, tocilizumab, 1 mg J3262

Tocilizumab is a medication administered via injection. It's used to treat certain conditions like rheumatoid arthritis by reducing inflammation in the body. It works by blocking a substance in the body that leads to inflammation.

60,881 services28 patients

Injection, golimumab, 1 mg, for intravenous use J1602

Golimumab is a medication given through an IV (a small tube in your vein). It helps to reduce inflammation and pain by blocking a protein in your body that causes inflammation. It's often used to treat conditions like rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.

16,050 services32 patients

Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0129

Abatacept is a medication administered via injection under a doctor's supervision. It's used to treat conditions like rheumatoid arthritis by moderating the immune system. This code applies when the doctor administers the drug, not for self-administration.

13,250 services42 patients

Injection, infliximab, excludes biosimilar, 10 mg J1745

Infliximab is a medication given via injection to treat certain autoimmune conditions. It works by blocking the action of a substance in your body that causes inflammation. Each dose is based on your medical condition and response to treatment.

4,900 services54 patients

Injection, rituximab, 10 mg J9312

Rituximab is a medication given via injection. It's used to treat certain types of cancer and autoimmune diseases. The 10 mg dosage refers to the amount of the drug in the injection. It works by targeting and destroying specific cells, helping your body's immune system.

1,750 services14 patients

Infusion, normal saline solution, 250 cc J7050

An infusion of normal saline solution, 250 cc, involves administering a sterile saltwater solution into your body through a vein, usually in your arm. This helps to replenish fluids, maintain hydration, and balance electrolytes in your body.

561 services184 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.

528 services302 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

301 services107 patients

Administration of chemotherapy into vein, 1 hour or less 96413

Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.

260 services104 patients

Administration of chemotherapy into vein, each additional hour 96415

Chemotherapy is a treatment method that uses drugs to destroy cancer cells. The drugs are administered into a vein, usually in the arm. Each additional hour of chemotherapy allows for more of the medication to enter your bloodstream to fight against the cancer cells.

172 services68 patients

Injection, zoledronic acid, 1 mg J3489

Zoledronic acid is a medication given via injection to strengthen bones. It's often used in patients with osteoporosis or certain types of cancer. The injection helps reduce the risk of fractures and other bone complications.

152 services32 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

134 services22 patients

Injection of additional new drug or substance into vein 96375

This procedure involves introducing a new medication or substance into your bloodstream via a vein. It's typically done using a small needle. The substance can help treat various conditions or assist in diagnostic procedures. It's generally safe and monitored by professionals.

92 services27 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.

74 services67 patients

Injection, diphenhydramine hcl, up to 50 mg J1200

Diphenhydramine HCL injection is a medicine given to alleviate symptoms of allergies, colds, or hay fever. It can also help with motion sickness and certain symptoms of Parkinson's disease. Up to 50 mg may be administered depending on your condition.

51 services22 patients

Dxa bone density measurement of hip, pelvis, spine 77080

A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.

33 services33 patients

X-ray of hand, 2 views 73120

An X-ray of the hand, 2 views, is a non-invasive imaging test that uses a small amount of radiation to produce pictures of the bones in your hand. Two different angles are captured to provide a comprehensive view. This helps in diagnosing injuries or conditions affecting your hand.

30 services30 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

22 services15 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.

18 services18 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.

16 services16 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

15 services12 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

14 services14 patients

X-ray of foot, 2 views 73620

An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.

11 services11 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Dickinson County Memorial Hospital

Acute Care Hospitals · Iron Mountain, MI

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number230055

Location1721 S Stephenson AveIron Mountain, MI 49801 · Dickinson County

Emergency services Birthing friendly

Osf St Francis Hospital And Medical Group

Critical Access Hospitals · Escanaba, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number231337

Location3401 Ludington StEscanaba, MI 49829 · Delta County

Emergency services Birthing friendly

St Mary's Hospital Medical Center

Acute Care Hospitals · Green Bay, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number520097

Location1726 Shawano AveGreen Bay, WI 54303 · Brown County

Emergency services

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520160

Location1818 N Meade StAppleton, WI 54911 · Outagamie County

Emergency services Birthing friendly

Door County Medical Center

Critical Access Hospitals · Sturgeon Bay, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number521358

Location323 South 18th AvenueSturgeon Bay, WI 54235 · Door County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54311 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

75.34/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

63.89

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Controlling High Blood Pressure

45%42 patients2/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

100%1,915 patients5/55-star benchmark: 100%

e-Prescribing

100%1,928 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

100%692 patients5/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

17%1,844 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 100% · 442 patients

Patients screened: 100% · 442 patients

97%32 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

95%723 patients4/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 741 patients

Patients totalRate: 1% · 741 patients

1%741 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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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.

DR. PAUL VERNON TUTTLE IV D.O.

Internal Medicine (Rheumatology)

2223 LIME KILN RD, STE 1
GREEN BAY, WI 54311

Brown County (920) 430-8120

WILLIAM J. ENRIGHT M.D.

Orthopaedic Surgery

2223 LIME KILN RD
GREEN BAY, WI 54311

Brown County (920) 468-0246

PAUL BRUHNDING D.O.

Physical Medicine & Rehabilitation

2223 LIME KILN RD
GREEN BAY, WI 54311

Brown County (920) 430-8113

MR. THOMAS ANDREW SULLIVAN MD

Orthopaedic Surgery

2223 LIME KILN RD, SUITE 1
GREEN BAY, WI 54311

Brown County (920) 430-8120

BELLIN MEMORIAL HOSPITAL INC

Clinic/Center (Rehabilitation)

2223 LIME KILN RD
GREEN BAY, WI 54311

Brown County (920) 430-4770

MADELINE J ALBERS PT

Physical Therapist

2223 LIME KILN RD
GREEN BAY, WI 54311

Brown County (920) 430-4770

PETER E. MCMAHON PT

Physical Therapist

2223 LIME KILN RD
GREEN BAY, WI 54311

Brown County (920) 965-4715

HEIDI GUTSCHOW PT

Physical Therapist

2223 LIME KILN RD
GREEN BAY, WI 54311

Brown County (920) 965-4715

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 Utrie's NPI number?

The NPI number for Paul Utrie is 1326065368. It was assigned to this individual provider in the NPPES registry on July 16, 2006.

Where is Paul Utrie located?

Paul Utrie practices at 2223 Lime Kiln Rd Suite 1, Green Bay, WI 54311. The listed phone number is (920) 430-8120.

What is Paul Utrie's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Paul Utrie enrolled in Medicare?

Yes. Paul Utrie 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 Utrie accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and Security Health Plan list Paul Utrie 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 Paul Utrie affiliated with any hospitals?

According to CMS data, Paul Utrie is affiliated with Dickinson County Memorial Hospital, Osf St Francis Hospital And Medical Group, St Mary's Hospital Medical Center, Thedacare Regional Medical Center - Appleton Inc and Door County Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Utrie was last updated on April 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.