1. Home
  2. Directory
  3. Texas
  4. San Antonio
  5. Obstetrics Gynecology
  6. NPI Profile

PAULA BILICA D.O.
NPI 1467620260
Obstetrics & Gynecology in San Antonio, TX

Active since February 14, 2008PECOS EnrolledAccepts Medicare Assignment
81.57/100
CMS Quality Rating
3903 WISEMAN BLVD, SUITE 200, SAN ANTONIO, TX 78251(210) 684-4100(210) 521-6799 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 2, 2026, Mar 19, 2025 (2 updates tracked since 2025).

About Paula Bilica D.o. NPPES

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

PAULA BILICA D.O. (NPI 1467620260) is an individual obstetrics & gynecology provider in San Antonio, Texas, licensed in Texas (M8535) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2004).

NPPES Registry Identity

NPI1467620260
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NamePAULA BILICACredential: D.O.
Location Address3903 WISEMAN BLVD, SUITE 200San Antonio, TX 78251-4417
Mailing Address3903 Wiseman Blvd Ste 200San Antonio, TX 78251-4417 · (210) 684-4100 · Fax (210) 521-6799
Phone(210) 684-4100
Fax(210) 521-6799
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2004
Enumeration DateFebruary 14, 2008
Last NPPES UpdateJune 2, 20262 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
✔ NPI 1467620260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · M8535
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.
3903 WISEMAN BLVD, San Antonio, TX 78251
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Paula Bilica D.o. 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 ID143395376
PECOS Enrollment IDI20080821000569
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 4

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
38 services38 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.
29 services19 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
22 services22 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78251 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

81.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.05
Promoting Interoperability100
Improvement Activities40
Cost53.51

Reported Quality Measures

Cervical Cancer Screening
81%42 patients4/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
94%71 patients4/55-star benchmark: 100%
e-Prescribing
98%509 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
30%20 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
43%63 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 47 patients
0%47 patients
Provide Patients Electronic Access to Their Health Information
94%823 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 17

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

FORTITUDE PSYCHOTHERAPY
Counselor
3903 WISEMAN BLVD, STE #211
SAN ANTONIO, TX 78251
Bexar County (210) 381-6593
KELLUM PHYSICIAN PARTNERS, PA
Obstetrics & Gynecology
3903 WISEMAN BLVD, SUITE 215
SAN ANTONIO, TX 78251
Bexar County (210) 675-6724
DR. JOHN HANSFORD KELLUM M.D.
Obstetrics & Gynecology
3903 WISEMAN BLVD, SUITE 215
SAN ANTONIO, TX 78251
Bexar County (210) 675-6724
BEXAR COUNTY HOSPITAL DISTRICT
Clinic/Center (Ambulatory Family Planning Facility)
3903 WISEMAN BLVD
SAN ANTONIO, TX 78251
Bexar County (210) 644-7850
MRS. CARLA LUISA BARBA NP
Nurse Practitioner (Women's Health)
3903 WISEMAN BLVD, SUITE 300
SAN ANTONIO, TX 78251
Bexar County (210) 426-3663
DR. MOLLY DUDLEY SHIELDS M.D.
Obstetrics & Gynecology
3903 WISEMAN BLVD, SUITE # 215
SAN ANTONIO, TX 78251
Bexar County (210) 675-6724
TRANQUILITY TMS CENTER PLLC
Psychiatry & Neurology (Psychiatry)
3903 WISEMAN BLVD, SUITE 211
SAN ANTONIO, TX 78251
Bexar County (210) 509-6000
ALAMO WOMENS HEALTH PLLC
Obstetrics & Gynecology (Obstetrics)
3903 WISEMAN BLVD, #300
SAN ANTONIO, TX 78251
Bexar County (210) 426-3663

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 Paula Bilica's NPI number?

The NPI number for Paula Bilica is 1467620260. It was assigned to this individual provider in the NPPES registry on February 14, 2008.

Where is Paula Bilica located?

Paula Bilica practices at 3903 Wiseman Blvd Suite 200, San Antonio, TX 78251. The listed phone number is (210) 684-4100.

What is Paula Bilica's specialty?

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

Is Paula Bilica enrolled in Medicare?

Yes. Paula Bilica 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 Paula Bilica accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 9 other insurers list Paula Bilica 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 Paula Bilica was last updated on June 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.