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DR. PAUL PADESKY M.D.
NPI 1346504438
Pediatrics in Saint Clair Shores, MI

Active since July 03, 2012PECOS Enrolled
20225 E 9 MILE RD, SUITE A, SAINT CLAIR SHORES, MI 48080(586) 772-1090 Get Directions Write a Review

NPPES record last updated: June 15, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Paul Padesky M.d. NPPES

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

DR. PAUL PADESKY M.D. (NPI 1346504438) is an individual pediatrics provider in Saint Clair Shores, Michigan, licensed in Michigan (4301101476) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346504438
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. PAUL PADESKYCredential: M.D.
Location Address20225 E 9 MILE RD, SUITE ASaint Clair Shores, MI 48080-1775
Mailing Address20225 E 9 Mile Rd, Suite ASaint Clair Shores, MI 48080-1775 · (586) 772-1090
Phone(586) 772-1090
Sole ProprietorYes
Enumeration DateJuly 3, 2012
Last NPPES UpdateJune 15, 2015
✔ NPI 1346504438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 4301101476
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.
20225 E 9 MILE RD, Saint Clair Shores, MI 48080
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Paul Padesky 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 Reassignment

Medicare enrollment records show Paul Padesky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Henry Ford Cornerstone Medical Group
11 mi
Family Medicine
43900 GARFIELD RD STE 222
Clinton Township, MI 48038
  • Reassigned Medicare billing, Michigan enrollment
  • 87 clinicians in this Medicare group
NPI 1851765374 (586) 286-0050

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 48080 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%45 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%2,042 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
75%254 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%240 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
96%3,125 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
80%65 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
45%496 patients2/55-star benchmark: 96%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
98%3,125 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
6%3,125 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
40%3,125 patients
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
Patients nutrition: 88% · 1,669 patients
Patients physicalActivity: 88% · 1,669 patients
93%1,669 patients
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.

Other Providers at the Same Location NPPES 19

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

RUBIN PETER GAPPY MD
Pediatrics
20225 E 9 MILE RD, SUITE A
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 772-1090
GIUSEPPINA LOMBARDO NAUGHTON DO
Pediatrics
20225 E 9 MILE RD, SUITE A
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 772-1090
BARBARA CLARE TESS MD
Family Medicine
20225 E 9 MILE RD, SUITE A
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 779-8700
DAVID WALTER KROLL MD
Pediatrics
20225 E 9 MILE RD, SUITE A
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 772-1090
CHRISTOPHER S GOLDSBY MD
Family Medicine
20225 E 9 MILE RD, SUITE A
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 779-8700
KENDRA HELENE MOTYL M.D.
Pediatrics
20225 E 9 MILE RD
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 772-1090
CECELIA KITAKUFE M.D.
Family Medicine
20225 E 9 MILE RD
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 779-8700
JAMES ALBERT FORTUNE MD
Family Medicine
20225 E 9 MILE RD, SUITE A
SAINT CLAIR SHORES, MI 48080
Macomb County (596) 779-8700

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 Padesky's NPI number?

The NPI number for Paul Padesky is 1346504438. It was assigned to this individual provider in the NPPES registry on July 3, 2012.

Where is Paul Padesky located?

Paul Padesky practices at 20225 E 9 Mile Rd Suite A, Saint Clair Shores, MI 48080. The listed phone number is (586) 772-1090.

What is Paul Padesky's specialty?

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

Is Paul Padesky enrolled in Medicare?

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

Which organization bills Medicare for Paul Padesky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Padesky reassigns Medicare benefits to Henry Ford Cornerstone Medical Group (Clinton Township, MI). The 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 Padesky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Padesky accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Paul Padesky 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 Padesky was last updated on June 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.