SCOTT J PAULMAN MD
NPI 1396851820
Ophthalmology in Marshfield, WI

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment
78.85/100
CMS Quality Rating
1000 N OAK AVE, MARSHFIELD, WI 54449(715) 221-7574 Get Directions Write a Review

NPPES record last updated: November 17, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Scott J Paulman Md NPPES

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

SCOTT J PAULMAN MD (NPI 1396851820) is an individual ophthalmology provider in Marshfield, Wisconsin, licensed in Wisconsin (39681) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center, and is a graduate of University Of Wisconsin School Of Medicine (1992).

NPPES Registry Identity

NPI1396851820
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameSCOTT J PAULMANCredential: MD
Location Address1000 N OAK AVEMarshfield, WI 54449
Mailing Address1000 N Oak AveMarshfield, WI 54449-5777
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1992
Enumeration DateAugust 21, 2006
Last NPPES UpdateNovember 17, 2022
NPI 1396851820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in WI · 39681
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1000 N OAK AVE, Marshfield, WI 54449

Other Identifiers 1

Medicaid32457900WI

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

Scott J Paulman 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 ID2163547696
PECOS Enrollment IDI20100921000333
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 7

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.

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
513 services178 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.
468 services174 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
303 services98 patients
Injection of drug or substance into membrane covering eyeball 67515
This procedure involves injecting medication into the membrane covering your eyeball, known as the conjunctiva. It's done to treat various eye conditions. A specialist will numb your eye first to minimize discomfort. You may experience temporary blurred vision afterwards.
28 services16 patients
Photocoagulation treatment to prevent detachment of retina 67145
Photocoagulation is a procedure used to treat retinal disorders. A special laser is directed at the retina to create small burns. These burns form scar tissue which helps to secure the retina to the eye's wall, preventing detachment and preserving vision.
17 services14 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.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Marshfield Medical Center

Acute Care Hospitals · Marshfield, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520037
Location611 St Joseph AveMarshfield, WI 54449 · Wood County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54449 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

78.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.68
Promoting Interoperability99
Improvement Activities40
Cost54.87

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.

Obstetrics & Gynecology
1000 N OAK AVE
MARSHFIELD, WI 54449
Nurse Practitioner
1000 N OAK AVE
MARSHFIELD, WI 54449
Dietitian, Registered
1000 N OAK AVE
MARSHFIELD, WI 54449
Physician Assistant
1000 N OAK AVE
MARSHFIELD, WI 54449
Nurse Anesthetist, Certified Registered
1000 N OAK AVE
MARSHFIELD, WI 54449
Internal Medicine
1000 N OAK AVE
MARSHFIELD, WI 54449
Radiology (Vascular & Interventional Radiology)
1000 N OAK AVE
MARSHFIELD, WI 54449
Nurse Practitioner
1000 N OAK AVE
MARSHFIELD, WI 54449

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 Scott Paulman's NPI number?

The NPI number for Scott Paulman is 1396851820. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Scott Paulman located?

Scott Paulman practices at 1000 N Oak Ave, Marshfield, WI 54449. The listed phone number is (715) 221-7574.

What is Scott Paulman's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Scott Paulman enrolled in Medicare?

Yes. Scott Paulman 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 Scott Paulman accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica and Sanford Health Plan list Scott Paulman 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 Scott Paulman affiliated with any hospitals?

According to CMS data, Scott Paulman is affiliated with Marshfield Medical Center.

When was this NPI record last updated?

The NPPES record for Scott Paulman was last updated on November 17, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.