DR. PAUL M LEMEN MD
NPI 1457305708
Obstetrics & Gynecology in Milwaukee, WI

Active since May 20, 2006PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
9200 W WISCONSIN AVE, OBSTETRICS AND GYNECOLOGY, MILWAUKEE, WI 53226(414) 805-6600(414) 805-6622 Get Directions Write a Review

NPPES record last updated: March 18, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Paul M Lemen Md NPPES

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

DR. PAUL M LEMEN MD (NPI 1457305708) is an individual obstetrics & gynecology provider in Milwaukee, Wisconsin, licensed in Wisconsin (36172) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Froedtert Memorial Lutheran Hospital, and is a graduate of Wayne State University School Of Medicine (1993).

NPPES Registry Identity

NPI1457305708
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. PAUL M LEMENCredential: MD
Location Address9200 W WISCONSIN AVE, OBSTETRICS AND GYNECOLOGYMilwaukee, WI 53226-3522
Mailing Address9200 W Wisconsin Ave, Obstetrics And GynecologyMilwaukee, WI 53226-3522 · (414) 805-6600 · Fax (414) 805-6622
Fax(414) 805-6622
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1993
Enumeration DateMay 20, 2006
Last NPPES UpdateMarch 18, 2014
NPI 1457305708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in WI · 36172
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
9200 W WISCONSIN AVE, Milwaukee, WI 53226

Other Identifiers 4

Medicare PIN007073601WI
Medicare UPING52165
Other009006261UHumana
Medicaid1457305708WI

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. Paul M Lemen 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 ID6709918170
PECOS Enrollment IDI20100720001024
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.

Hospital Affiliations CMS Care Compare

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

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.24
Promoting Interoperability100
Improvement Activities40
Cost68.64

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.

Advanced Practice Midwife
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Internal Medicine (Gastroenterology)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Emergency Medicine
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Nurse Practitioner (Pediatrics)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Nurse Practitioner (Adult Health)
9200 W WISCONSIN AVE, DEPT OF INTERNAL MEDICINE
MILWAUKEE, WI 53226
Nurse Practitioner (Adult Health)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Nurse Anesthetist, Certified Registered
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Physician Assistant (Medical)
9200 W WISCONSIN AVE, INTERNAL MEDICINE
MILWAUKEE, WI 53226

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 Lemen's NPI number?

The NPI number for Paul Lemen is 1457305708. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Paul Lemen located?

Paul Lemen practices at 9200 W Wisconsin Ave Obstetrics And Gynecology, Milwaukee, WI 53226. The listed phone number is (414) 805-6600.

What is Paul Lemen's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Paul Lemen enrolled in Medicare?

Yes. Paul Lemen 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 Lemen accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and Network Health list Paul Lemen 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 Paul Lemen affiliated with any hospitals?

According to CMS data, Paul Lemen is affiliated with Froedtert Memorial Lutheran Hospital.

When was this NPI record last updated?

The NPPES record for Paul Lemen was last updated on March 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.