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DR. JAMES F PAUL D.D.S., M.S., M.D.
NPI 1467431213
Plastic Surgery in Davenport, IA

Active since January 11, 2006PECOS EnrolledAccepts Medicare Assignment
34.82/100
CMS Quality Rating
3385 DEXTER CT, SUITE 115, DAVENPORT, IA 52807(563) 359-4777(563) 359-4781 Get Directions Write a Review

NPPES record last updated: February 24, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. James F Paul D.d.s., M.s., M.d. NPPES

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

DR. JAMES F PAUL D.D.S., M.S., M.D. (NPI 1467431213) is an individual plastic surgery provider in Davenport, Iowa, licensed in Iowa (33897) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Genesis Medical Center-davenport, and is a graduate of Louisiana State University School Of Medicine In Shreveport (1996).

NPPES Registry Identity

NPI1467431213
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. JAMES F PAULCredential: D.D.S., M.S., M.D.
Location Address3385 DEXTER CT, SUITE 115Davenport, IA 52807-3461
Mailing Address3385 Dexter Ct, Suite 115Davenport, IA 52807-3461 · (563) 359-4777 · Fax (563) 359-4781
Phone(563) 359-4777
Fax(563) 359-4781
Sole ProprietorYes
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 1996
Enumeration DateJanuary 11, 2006
Last NPPES UpdateFebruary 24, 2015
✔ NPI 1467431213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in IA · 33897
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Also ListedSpecialistTaxonomy 174400000X · License 33897 (IA)
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License 33897 (IA)
3385 DEXTER CT, Davenport, IA 52807
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Other Identifiers 4

Medicare UPINH38754IA
Medicare ID-Type UnspecifiedI3325IA
Medicaid036104275IL
Medicaid0244574IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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. James F Paul D.d.s., M.s., M.d. 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 ID8820171606
PECOS Enrollment IDI20080218000198
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 10

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 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.
163 services95 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.
55 services55 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
40 services40 patients
Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm 12052
This procedure involves repairing a wound on the face, ears, eyelids, nose, lips, or mouth that measures between 2.6-5.0 cm. The process includes cleaning, suturing if necessary, and dressing the wound to promote healing and prevent infection.
27 services26 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.
26 services23 patients
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm 11643
This procedure involves the careful removal of a cancerous growth on the face, ears, eyelids, nose, lips, or mouth that measures between 2.1 to 3.0 cm. The goal is to eliminate the cancer while preserving surrounding healthy tissue.
25 services21 patients

Hospital Affiliations CMS Care Compare

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

Genesis Medical Center-Davenport

Acute Care Hospitals · Davenport, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160033
Location1227 East Rusholme StreetDavenport, IA 52803 · Scott County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52807 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

34.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality21.25
Promoting Interoperability0
Improvement Activities20
Cost69.82

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.

JOEL D MASON PT
Physical Therapist
3385 DEXTER CT, PLAZA PHYSICAL THERAPY
DAVENPORT, IA 52807
Scott County (563) 344-6645
MISSISSIPPI VALLEY IMAGING, LLC
Clinic/Center (Radiology)
3385 DEXTER CT, SUITE 102A
DAVENPORT, IA 52807
Scott County (563) 344-6600
CASSIE L DAVIS
Nurse Practitioner (Acute Care)
3385 DEXTER CT
DAVENPORT, IA 52807
Scott County (563) 421-4370
TUVI MENDEL MD
Orthopaedic Surgery (Foot and Ankle Surgery)
3385 DEXTER CT, SUITE 300
DAVENPORT, IA 52807
Scott County (563) 344-9292
ELIZABETH A MILLER PT
Physical Therapist
3385 DEXTER CT, STE 301
DAVENPORT, IA 52807
Scott County (563) 344-6645
KATHRYN LEE ROCKAFELLOW D.P.T.
Physical Therapist
3385 DEXTER CT, STE 301
DAVENPORT, IA 52807
Scott County (563) 344-6645
JENNIFER TYLER PA-C
Physician Assistant (Surgical)
3385 DEXTER CT, SUITE 300
DAVENPORT, IA 52807
Scott County (563) 344-9292
JASON S STRANG PT
Physical Therapist
3385 DEXTER CT, STE 301
DAVENPORT, IA 52807
Scott County (563) 344-6645

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 James Paul's NPI number?

The NPI number for James Paul is 1467431213. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Where is James Paul located?

James Paul practices at 3385 Dexter Ct Suite 115, Davenport, IA 52807. The listed phone number is (563) 359-4777.

What is James Paul's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is James Paul enrolled in Medicare?

Yes. James Paul 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 James Paul accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list James Paul 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 James Paul affiliated with any hospitals?

According to CMS data, James Paul is affiliated with Genesis Medical Center-Davenport.

When was this NPI record last updated?

The NPPES record for James Paul was last updated on February 24, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.