Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PAUL G. DIDOMIZIO M.D.
NPI 1326579491
Pediatrics in Milwaukee, WI

Active since March 21, 2017PECOS Enrolled
80.46/100
CMS Quality Rating
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226(414) 266-6943(414) 266-2926 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2026, Jul 26, 2021, Jun 3, 2020 and 1 more (4 updates tracked since 2017).

About Paul G. Didomizio M.d. NPPES

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

PAUL G. DIDOMIZIO M.D. (NPI 1326579491) is an individual pediatrics provider in Milwaukee, Wisconsin, licensed in Virginia (0101289908) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1326579491
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NamePAUL G. DIDOMIZIOCredential: M.D.
Location Address9000 W WISCONSIN AVEMilwaukee, WI 53226-4874
Mailing AddressPo Box 780125Philadelphia, PA 19178-0125 · (804) 922-4844
Fax(414) 266-2926
Sole ProprietorNo
Enumeration DateMarch 21, 2017
Last NPPES UpdateSeptember 29, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1326579491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in VA · 0101289908
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
9000 W WISCONSIN AVE, Milwaukee, WI 53226

Secondary Practice Locations 3

Location 11250 E Marshall StRichmond, VA 23298-5023 · Phone (804) 828-2467 · Fax (804) 628-5847
Location 21213 E Clay StRichmond, VA 23298-5071 · Phone (804) 828-2467 · Fax (804) 628-5847
Location 31000 E Broad StRichmond, VA 23219-1930 · Phone (804) 828-2467 · Fax (804) 628-5847

Other Identifiers 1

Medicaid1326579491WI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul G. Didomizio M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Pediatrics
9000 W WISCONSIN AVE
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Childrens Specialty Group Inc
  • 424 clinicians in this Medicare group
Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.24
Promoting Interoperability100
Improvement Activities40
Cost68.64

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.

Nurse Practitioner (Pediatrics)
9000 W WISCONSIN AVE, PEDIATRIC CRITICAL CARE
MILWAUKEE, WI 53226
Pediatrics (Pediatric Hematology-Oncology)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Pediatrics (Pediatric Endocrinology)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Pediatrics
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Pediatrics
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Dietitian, Registered
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Social Worker (Clinical)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Psychologist (Clinical)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226

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 Didomizio's NPI number?

The NPI number for Paul Didomizio is 1326579491. It was assigned to this individual provider in the NPPES registry on March 21, 2017.

Where is Paul Didomizio located?

Paul Didomizio practices at 9000 W Wisconsin Ave, Milwaukee, WI 53226. The listed phone number is (414) 266-6943.

What is Paul Didomizio's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Paul Didomizio enrolled in Medicare?

Yes. Paul Didomizio is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Paul Didomizio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Didomizio reassigns Medicare benefits to 2 organizations: Children's Specialty Group, Inc. (Milwaukee, WI) and The Medical College Of Wisconsin, Inc. (Milwaukee, 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 Paul Didomizio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Didomizio accept?

Health plans from Aspirus Health Plan and CareSource (Common Ground Healthcare) list Paul Didomizio 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 Didomizio was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.