CHARLES JEFFREY PAUL MD
NPI 1386171437
Urology in Ames, IA

Active since May 19, 2017PECOS EnrolledAccepts Medicare Assignment
94.7/100
CMS Quality Rating
1215 DUFF AVE, AMES, IA 50010(515) 239-4490(515) 239-4771 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 1, 2023, Jul 21, 2022, May 19, 2017 (3 updates tracked since 2017).

About Charles Jeffrey Paul Md NPPES

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

CHARLES JEFFREY PAUL MD (NPI 1386171437) is an individual urology provider in Ames, Iowa, licensed in Iowa (MD-50773) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Mary Greeley Medical Center, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2017).

NPPES Registry Identity

NPI1386171437
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameCHARLES JEFFREY PAULCredential: MD
Location Address1215 DUFF AVEAmes, IA 50010-5400
Mailing Address1215 Duff AveAmes, IA 50010-5400 · (515) 239-4490 · Fax (515) 239-4771
Fax(515) 239-4771
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2017
Enumeration DateMay 19, 2017
Last NPPES UpdateSeptember 25, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2023
NPI 1386171437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in IA · MD-50773
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1215 DUFF AVE, Ames, IA 50010

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

Charles Jeffrey Paul 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 ID3173893187
PECOS Enrollment IDI20230712000238
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 32

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 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.
460 services328 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.
366 services310 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.
331 services274 patients
Psa (prostate specific antigen) measurement, total 84153
PSA measurement is a simple blood test that checks for a specific protein produced by your body. High levels could indicate a health issue that needs further investigation. It's often used to monitor general wellness and is part of routine health screening.
325 services267 patients
Leuprolide acetate (for depot suspension), 7.5 mg J9217
Leuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.
186 services22 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
136 services103 patients

Hospital Affiliations CMS Care Compare 2

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

Mary Greeley Medical Center

Acute Care Hospitals · Ames, IA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number160030
Location1111 Duff AvenueAmes, IA 50010 · Story County
Emergency services Birthing friendly

Boone County Hospital

Critical Access Hospitals · Boone, IA
OwnershipGovernment - Local
CMS Certification Number161372
Location1015 Union StreetBoone, IA 50036 · Boone County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50010 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

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.

94.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.76
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier11 claims1,230 services$6.02 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 20

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

Radiology (Diagnostic Radiology)
1215 DUFF AVE
AMES, IA 50010
Physician Assistant (Medical)
1215 DUFF AVE, MCFARLAND CLINIC, PC
AMES, IA 50010
Pharmacist (Ambulatory Care)
1215 DUFF AVE
AMES, IA 50010
Physical Therapist
1215 DUFF AVE
AMES, IA 50010
Physical Therapist
1215 DUFF AVE
AMES, IA 50010
Internal Medicine
1215 DUFF AVE
AMES, IA 50010
Pharmacist
1215 DUFF AVE
AMES, IA 50010
Physician Assistant
1215 DUFF AVE
AMES, IA 50010

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 Charles Paul's NPI number?

The NPI number for Charles Paul is 1386171437. It was assigned to this individual provider in the NPPES registry on May 19, 2017.

Where is Charles Paul located?

Charles Paul practices at 1215 Duff Ave, Ames, IA 50010. The listed phone number is (515) 239-4490.

What is Charles Paul's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Charles Paul enrolled in Medicare?

Yes. Charles Paul 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 Charles Paul accept?

Health plans from Medica list Charles Paul 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 Charles Paul affiliated with any hospitals?

According to CMS data, Charles Paul is affiliated with Mary Greeley Medical Center and Boone County Hospital.

When was this NPI record last updated?

The NPPES record for Charles Paul was last updated on September 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.