PAUL L. URBAN MD
NPI 1508961756
Internal Medicine - Interventional Cardiology in Ocala, FL

Active since September 13, 2006PECOS EnrolledAccepts Medicare Assignment
91.3/100
CMS Quality Rating
6555 SW HIGHWAY 200, OCALA, FL 34476(352) 622-4251 Get Directions Write a Review

NPPES record last updated: March 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2021, Mar 18, 2016 (2 updates tracked since 2016).

About Paul L. Urban Md NPPES

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

PAUL L. URBAN MD (NPI 1508961756) is an individual interventional cardiology provider in Ocala, Florida, licensed in Florida (ME42058) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Ocala, and maintains a secondary practice location in Ocala.

NPPES Registry Identity

NPI1508961756
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NamePAUL L. URBANCredential: MD
Location Address6555 SW HIGHWAY 200Ocala, FL 34476-5575
Mailing Address2111 Sw 20th PlOcala, FL 34471-7734 · (352) 622-4251 · Fax (352) 622-0102
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1977
Enumeration DateSeptember 13, 2006
Last NPPES UpdateMarch 19, 20212 updates tracked since enumeration
NPPES CertifiedMarch 19, 2021
NPI 1508961756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in FL · ME42058
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
6555 SW HIGHWAY 200, Ocala, FL 34476

Secondary Practice Location 1

Location 12111 SW 20th PlOcala, FL 34471-7734 · Phone (352) 622-4251 · Fax (352) 622-0102

Other Identifiers 4

Medicaid004876300FL
Other47547FL · Blue Cross Blue Shield
OtherP00883805FL · Medicare Rr
OtherP00459990FL · Rr Medicare

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 L. Urban 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 ID3375630320
PECOS Enrollment IDI20080111000273
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 33

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.

Injection, inclisiran, 1 mg J1306
Inclisiran is an injection administered to lower cholesterol levels. It works by blocking the production of LDL (bad cholesterol) in your liver. This medicine is often used when diet changes and other medications have not been effective.
4,260 services12 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.
2,084 services1,267 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
931 services889 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296
This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.
389 services124 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
379 services370 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
278 services88 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth Ocala

Acute Care Hospitals · Ocala, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100062
Location1500 SW 1st AveOcala, FL 34474 · Marion County
Emergency services Birthing friendly

Marion Communtiy Hospital

Acute Care Hospitals · Ocala, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100212
Location1431 SW 1st AveOcala, FL 34471 · Marion County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34476 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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.

91.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality83.07
Promoting Interoperability97
Improvement Activities40

Reported Quality Measures

Controlling High Blood Pressure
71%2,287 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%5,480 patients4/55-star benchmark: 100%
e-Prescribing
98%5,578 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
99%2,707 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
31%960 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 1,419 patients
Patients screened: 100% · 1,419 patients
98%108 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
99%3,582 patients4/55-star benchmark: 100%
Support Electronic Referral Loops By Receiving and Reconciling Health Information
65%151 patients3/55-star benchmark: 98%
Support Electronic Referral Loops By Sending Health Information
79%145 patients4/55-star benchmark: 97%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 2,789 patients
Patients totalRate: 0% · 2,789 patients
0%2,789 patients5/55-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

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

Internal Medicine (Interventional Cardiology)
6555 SW HIGHWAY 200
OCALA, FL 34476

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 Urban's NPI number?

The NPI number for Paul Urban is 1508961756. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Paul Urban located?

Paul Urban practices at 6555 SW Highway 200, Ocala, FL 34476. The listed phone number is (352) 622-4251.

What is Paul Urban's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Paul Urban enrolled in Medicare?

Yes. Paul Urban 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 Urban accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Paul Urban 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 Urban affiliated with any hospitals?

According to CMS data, Paul Urban is affiliated with Adventhealth Ocala and Marion Communtiy Hospital.

When was this NPI record last updated?

The NPPES record for Paul Urban was last updated on March 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.