PAUL DOUGLAS HULSEBERG PA-C, PHD
NPI 1447751045
Physician Assistant in Madison, WI

Active since February 28, 2018PECOS EnrolledAccepts Medicare Assignment
80.22/100
CMS Quality Rating
1265 JOHN Q HAMMONS DR, MADISON, WI 53717(608) 251-4156 Get Directions Write a Review

NPPES record last updated: June 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 1, 2020, Feb 28, 2018 (2 updates tracked since 2018).

About Paul Douglas Hulseberg Pa-c, Phd NPPES

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

PAUL DOUGLAS HULSEBERG PA-C, PHD (NPI 1447751045) is an individual physician assistant in Madison, Wisconsin, licensed in Wisconsin (4646-23) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1447751045
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NamePAUL DOUGLAS HULSEBERGCredential: PA-C, PHD
Location Address1265 JOHN Q HAMMONS DRMadison, WI 53717-1921
Mailing Address514 Dunning StMadison, WI 53704-5633
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 28, 2018
Last NPPES UpdateJune 1, 20202 updates tracked since enumeration
NPPES CertifiedJune 1, 2020
NPI 1447751045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 4646-23
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1265 JOHN Q HAMMONS DR, Madison, WI 53717

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

Paul Douglas Hulseberg Pa-c, Phd 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 ID7810250404
PECOS Enrollment IDI20200625000631
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 2

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 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.
31 services20 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.
30 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53717 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
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.

80.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.06
Promoting Interoperability99
Improvement Activities40
Cost49.83

Other Providers at the Same Location NPPES 12

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

Optometrist
1265 JOHN Q HAMMONS DR
MADISON, WI 53717
Counselor
1265 JOHN Q HAMMONS DR
MADISON, WI 53717
Health Maintenance Organization
1265 JOHN Q HAMMONS DR
MADISON, WI 53717
Pharmacist
1265 JOHN Q HAMMONS DR
MADISON, WI 53717
Dietitian, Registered
1265 JOHN Q HAMMONS DR
MADISON, WI 53717
Pharmacist
1265 JOHN Q HAMMONS DR, SUITE 200
MADISON, WI 53717
Occupational Therapist
1265 JOHN Q HAMMONS DR
MADISON, WI 53717
Physical Therapist
1265 JOHN Q HAMMONS DR
MADISON, WI 53717

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 Hulseberg's NPI number?

The NPI number for Paul Hulseberg is 1447751045. It was assigned to this individual provider in the NPPES registry on February 28, 2018.

Where is Paul Hulseberg located?

Paul Hulseberg practices at 1265 John Q Hammons Dr, Madison, WI 53717. The listed phone number is (608) 251-4156.

What is Paul Hulseberg's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Paul Hulseberg enrolled in Medicare?

Yes. Paul Hulseberg 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 Hulseberg accept?

Health plans from Group Health Cooperative-SCW list Paul Hulseberg 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 Hulseberg was last updated on June 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.