MR. PAUL HERBERT KUPPINGER MSN,FNP-BC
NPI 1427456300
Nurse Practitioner - Family in Gilbert, AZ

Active since December 09, 2014PECOS EnrolledAccepts Medicare Assignment
81.49/100
CMS Quality Rating
2946 E. BANNER GATEWAY DR., GILBERT, AZ 85234(480) 254-6444(480) 256-3682 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Paul Herbert Kuppinger Msn,fnp-bc NPPES

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

MR. PAUL HERBERT KUPPINGER MSN,FNP-BC (NPI 1427456300) is an individual family provider in Gilbert, Arizona, licensed in Arizona (AP7498) and active in the NPI registry since December 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1427456300
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. PAUL HERBERT KUPPINGERCredential: MSN,FNP-BC
Location Address2946 E. BANNER GATEWAY DR.Gilbert, AZ 85234
Mailing Address2946 E. Banner Gateway Dr.Gilbert, AZ 85234 · (480) 254-6444 · Fax (480) 256-3682
Fax(480) 256-3682
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 9, 2014
Last NPPES UpdateAugust 6, 2025
NPI 1427456300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AZ · AP7498
2946 E. BANNER GATEWAY DR., Gilbert, AZ 85234

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

Mr. Paul Herbert Kuppinger Msn,fnp-bc 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 ID547585887
PECOS Enrollment IDI20150209002123
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 4

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.
291 services144 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.
220 services134 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
91 services57 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
14 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85234 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

81.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40
Cost38.3

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.

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier14 claims14 services$11.80 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 8

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

Physician Assistant (Medical)
2946 E. BANNER GATEWAY DR.
GILBERT, AZ 85234
Internal Medicine (Hematology & Oncology)
2946 E. BANNER GATEWAY DR.
GILBERT, AZ 85234
Colon & Rectal Surgery
2946 E. BANNER GATEWAY DR.
GILBERT, AZ 85234
Otolaryngology (Plastic Surgery within the Head & Neck)
2946 E. BANNER GATEWAY DR.
GILBERT, AZ 85234
Urology
2946 E. BANNER GATEWAY DR.
GILBERT, AZ 85234
Student in an Organized Health Care Education/Training Program
2946 E. BANNER GATEWAY DR.
GILBERT, AZ 85234
Internal Medicine (Medical Oncology)
2946 E. BANNER GATEWAY DR.
GILBERT, AZ 85234
Internal Medicine (Hematology & Oncology)
2946 E. BANNER GATEWAY DR.
GILBERT, AZ 85234

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 Kuppinger's NPI number?

The NPI number for Paul Kuppinger is 1427456300. It was assigned to this individual provider in the NPPES registry on December 9, 2014.

Where is Paul Kuppinger located?

Paul Kuppinger practices at 2946 E. Banner Gateway Dr., Gilbert, AZ 85234. The listed phone number is (480) 254-6444.

What is Paul Kuppinger's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Paul Kuppinger enrolled in Medicare?

Yes. Paul Kuppinger 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 Paul Kuppinger accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Paul Kuppinger 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 Kuppinger was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.