PAUL S SANTARELLI PA
NPI 1457396970
Physician Assistant in Franklin, WI

Active since June 18, 2006PECOS EnrolledAccepts Medicare Assignment
81.61/100
CMS Quality Rating
3111 W RAWSON AVE, #200, FRANKLIN, WI 53132(414) 325-4320(414) 761-1921 Get Directions Write a Review

NPPES record last updated: March 3, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Paul S Santarelli Pa NPPES

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

PAUL S SANTARELLI PA (NPI 1457396970) is an individual physician assistant in Franklin, Wisconsin, licensed in Wisconsin (1980) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Midwest Orthopedic Specialty Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1457396970
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NamePAUL S SANTARELLICredential: PA
Location Address3111 W RAWSON AVE, #200Franklin, WI 53132-9417
Mailing Address3077 N Mayfair Rd Ste 305Wauwatosa, WI 53222-4305 · (414) 384-6700 · Fax (414) 727-1058
Fax(414) 761-1921
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 18, 2006
Last NPPES UpdateMarch 3, 2020
NPPES CertifiedMarch 3, 2020
NPI 1457396970 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 · 1980
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.

3111 W RAWSON AVE, Franklin, WI 53132

Other Identifiers 1

Medicaid42886100WI

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 S Santarelli Pa 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 ID4880698083
PECOS Enrollment IDI20060830000459
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 3

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.

X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
22 services21 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.
14 services13 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Midwest Orthopedic Specialty Hospital

Acute Care Hospitals · Franklin, WI
OwnershipPhysician
CMS Certification Number520205
Location10101 South 27th St 2nd FloorFranklin, WI 53132 · Milwaukee County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53132 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.

81.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.37
Improvement Activities40

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.

Surgery
3111 W RAWSON AVE, SUITE 225
FRANKLIN, WI 53132
Clinic/Center (Ambulatory Surgical)
3111 W RAWSON AVE
FRANKLIN, WI 53132
Surgery
3111 W RAWSON AVE, SUITE 225
FRANKLIN, WI 53132
Clinic/Center (Physical Therapy)
3111 W RAWSON AVE, SUITE 215
FRANKLIN, WI 53132
Physical Therapist
3111 W RAWSON AVE, SUITE 215
FRANKLIN, WI 53132
Physical Therapist
3111 W RAWSON AVE, SUITE 215
FRANKLIN, WI 53132
Physical Therapist
3111 W RAWSON AVE, SUITE 215
FRANKLIN, WI 53132
Occupational Therapist
3111 W RAWSON AVE, SUITE 215
FRANKLIN, WI 53132

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 Santarelli's NPI number?

The NPI number for Paul Santarelli is 1457396970. It was assigned to this individual provider in the NPPES registry on June 18, 2006.

Where is Paul Santarelli located?

Paul Santarelli practices at 3111 W Rawson Ave #200, Franklin, WI 53132. The listed phone number is (414) 325-4320.

What is Paul Santarelli's specialty?

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

Is Paul Santarelli enrolled in Medicare?

Yes. Paul Santarelli 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 Santarelli accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list Paul Santarelli 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 Santarelli affiliated with any hospitals?

According to CMS data, Paul Santarelli is affiliated with Midwest Orthopedic Specialty Hospital.

When was this NPI record last updated?

The NPPES record for Paul Santarelli was last updated on March 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.