DR. RALPH FRANCIS PAONE M.D.
NPI 1396892774
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Lubbock, TX

Active since January 05, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3502 9TH ST, SUITE 260, LUBBOCK, TX 79415(806) 792-8185(806) 792-9180 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 22, 2021, Jan 21, 2019, Aug 31, 2016 (3 updates tracked since 2016).

About Dr. Ralph Francis Paone M.d. NPPES

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

DR. RALPH FRANCIS PAONE M.D. (NPI 1396892774) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Lubbock, Texas, licensed in Texas (H2666) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with University Medical Center, and is a graduate of University Of Texas Medical Branch At Galveston (1986).

NPPES Registry Identity

NPI1396892774
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. RALPH FRANCIS PAONECredential: M.D.
Location Address3502 9TH ST, SUITE 260Lubbock, TX 79415-3300
Mailing Address5219 City Bank Pkwy Ste 35Lubbock, TX 79407 · (806) 761-0333 · Fax (806) 792-0087
Fax(806) 792-9180
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1986
Enumeration DateJanuary 5, 2007
Last NPPES UpdateMarch 22, 20213 updates tracked since enumeration
NPPES CertifiedMarch 22, 2021
NPI 1396892774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License Licensed in TX · H2666
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
3502 9TH ST, Lubbock, TX 79415

Other Identifiers 8

Other770002799Rail Road Medicare
Medicaid0000U5125NM
Other124039207Cidc
Other120977100First Care
Medicaid124039208TX
OtherMDH2666Work Comp.
Other8380M1Blue Cross Blue Shield
OtherA011Champus

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

Dr. Ralph Francis Paone M.d. 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 ID8426953316
PECOS Enrollment IDI20080815000062, I20120920000763
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 5

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.

Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
29 services29 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
29 services29 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
Coronary artery bypass using vein or artery graft, 2 grafts 33518
A coronary artery bypass with 2 grafts is a surgery to improve blood flow to your heart. A surgeon takes a healthy vein or artery from your body and attaches it to the blocked coronary artery. This creates a new path for blood to flow, bypassing the blockage.
17 services17 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

University Medical Center

Acute Care Hospitals · Lubbock, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450686
Location602 Indiana AvenueLubbock, TX 79415 · Lubbock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79415 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
$166.88 typical visit price
range $54.84 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality91.19
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers19 claims21 services$17.71 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers25 claims27 services$93.39 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.

Otolaryngology
3502 9TH ST, SUITE 410
LUBBOCK, TX 79415
Internal Medicine
3502 9TH ST, STE. 210
LUBBOCK, TX 79415
Clinic/Center (Primary Care)
3502 9TH ST, SUITE 360
LUBBOCK, TX 79415
Nurse Practitioner
3502 9TH ST, SUITE 170
LUBBOCK, TX 79415
Otolaryngology
3502 9TH ST, SUITE 410
LUBBOCK, TX 79415
Physician Assistant
3502 9TH ST, STE 110
LUBBOCK, TX 79415
Urology (Pediatric Urology)
3502 9TH ST, SUITE 260
LUBBOCK, TX 79415
Pediatrics
3502 9TH ST, SUITE 130
LUBBOCK, TX 79415

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 Ralph Paone's NPI number?

The NPI number for Ralph Paone is 1396892774. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Ralph Paone located?

Ralph Paone practices at 3502 9th St Suite 260, Lubbock, TX 79415. The listed phone number is (806) 792-8185.

What is Ralph Paone's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Ralph Paone enrolled in Medicare?

Yes. Ralph Paone 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 Ralph Paone accept?

Health plans from Blue Cross and Blue Shield of Texas and WellPoint list Ralph Paone 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 Ralph Paone affiliated with any hospitals?

According to CMS data, Ralph Paone is affiliated with University Medical Center.

When was this NPI record last updated?

The NPPES record for Ralph Paone was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.