WESLEY MICHAEL CLARK PAUL MD
NPI 1467078576
Family Medicine - Sports Medicine in Du Bois, PA

Q: What is Wesley Paul's NPI number?

The NPI number for Wesley Paul is 1467078576. It was assigned to this individual provider in the NPPES registry on June 24, 2020.

Q: What is Wesley Paul's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Wesley Paul was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since June 24, 2020PECOS Enrolled

100 HOSPITAL AVE, DU BOIS, PA 15801(814) 371-2200 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 27, 2020, Jun 24, 2020 (2 updates tracked since 2020).

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About Wesley Michael Clark Paul Md NPPES

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

WESLEY MICHAEL CLARK PAUL MD (NPI 1467078576) is an individual sports medicine provider in Du Bois, Pennsylvania, licensed in Pennsylvania (MT234993) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Houghton Lake, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1467078576

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameWESLEY MICHAEL CLARK PAULCredential: MD

Location Address100 HOSPITAL AVEDu Bois, PA 15801-1440

Mailing Address100 Hospital AveDu Bois, PA 15801-1440 · (814) 371-2200

Phone(814) 371-2200

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateJune 24, 2020

Last NPPES UpdateJuly 17, 20252 updates tracked since enumeration

NPPES CertifiedJuly 17, 2025

✔ NPI 1467078576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in PA · MT234993

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 4351046706 (MI), 4301509321 (MI)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4351046706 (MI)

100 HOSPITAL AVE, Du Bois, PA 15801

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Secondary Practice Location 1

Location 19249 W Lake City RdHoughton Lake, MI 48629-9602 · Phone (989) 422-5122 · Fax (989) 422-4378

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wesley Michael Clark Paul Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698197390

PECOS Enrollment IDI20251013000047

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.

Medicare Billing Reassignments

Medicare enrollment records show Wesley Paul reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dubois Regional Medical Center

Same address

Family Medicine

100 HOSPITAL AVE
Du Bois, PA 15801

Reassigned Medicare billing, Pennsylvania enrollment
65 clinicians in this Medicare group

NPI 1245410554 (814) 375-4090

Midmichigan Health Services

325 mi

Federally Qualified Health Center (FQHC)

218 FAST ICE DR
Midland, MI 48642

Reassigned Medicare billing, Michigan enrollment
31 clinicians in this Medicare group

NPI 1982094876 (989) 246-3500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15801 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier12 claims12 services$55.84 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$21.30 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier11 claims11 services$6.32 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

3 suppliers28 claims28 services$109.57 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$35.00 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

1 supplier11 claims660 services$0.81 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.

SUSAN M. MITCHELL CRNP

Nurse Practitioner