MR. DAVID BRIAN PAUL MD
NPI 1528056595
Urology in Brainerd, MN

Active since October 12, 2005PECOS EnrolledAccepts Medicare Assignment
82.64/100
CMS Quality Rating
15620 EDGEWOOD DR, STE 200, BRAINERD, MN 56401(218) 330-6999(218) 825-8027 Get Directions Write a Review

NPPES record last updated: September 4, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. David Brian Paul Md NPPES

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

MR. DAVID BRIAN PAUL MD (NPI 1528056595) is an individual urology provider in Brainerd, Minnesota, licensed in Minnesota (27775) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Sanford Bemidji Medical Center, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1978).

NPPES Registry Identity

NPI1528056595
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameMR. DAVID BRIAN PAULCredential: MD
Location Address15620 EDGEWOOD DR, STE 200Brainerd, MN 56401-6983
Mailing Address15620 Edgewood Dr, Ste 200Brainerd, MN 56401-6983 · (218) 330-6999 · Fax (218) 825-8027
Fax(218) 825-8027
Sole ProprietorYes
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1978
Enumeration DateOctober 12, 2005
Last NPPES UpdateSeptember 4, 2013
NPI 1528056595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in MN · 27775
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
15620 EDGEWOOD DR, Brainerd, MN 56401

Other Identifiers 4

Medicare ID-Type Unspecified349000250MN
Medicare UPINA01349
Medicaid905867200MN
Medicare PIN340001294MN

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

Mr. David Brian Paul 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 ID3072525104
PECOS Enrollment IDI20060608000048
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

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.

Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Sanford Bemidji Medical Center

Acute Care Hospitals · Bemidji, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240100
Location1300 Anne St NWBemidji, MN 56601 · Beltrami County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56401 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

82.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.21
Promoting Interoperability99
Improvement Activities40
Cost51.14

Referred Medical Equipment & Supplies CMS DME claims

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

Intermittent urinary catheter, with insertion supplies A4353
DME-Orthotic Devices · category DF008N
1 supplier12 claims2,160 services$6.68 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 8

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

Occupational Therapist
15620 EDGEWOOD DR, SUITE 240
BRAINERD, MN 56401
Occupational Therapist
15620 EDGEWOOD DR, STE 240
BAXTER, MN 56401
Speech-Language Pathologist
15620 EDGEWOOD DR, STE 240
BAXTER, MN 56401
Speech-Language Pathologist
15620 EDGEWOOD DR, STE 240
BAXTER, MN 56401
Speech-Language Pathologist
15620 EDGEWOOD DR, SUITE 240
BRAINERD, MN 56401
Speech-Language Pathologist
15620 EDGEWOOD DR, SUITE 240
BAXTER, MN 56401
Occupational Therapist
15620 EDGEWOOD DR, STE 240
BAXTER, MN 56401
Speech-Language Pathologist
15620 EDGEWOOD DR, STE 240
BAXTER, MN 56401

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 David Paul's NPI number?

The NPI number for David Paul is 1528056595. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Where is David Paul located?

David Paul practices at 15620 Edgewood Dr Ste 200, Brainerd, MN 56401. The listed phone number is (218) 330-6999.

What is David Paul's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is David Paul enrolled in Medicare?

Yes. David 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 David Paul accept?

Health plans from Medica and Sanford Health Plan list David 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 David Paul affiliated with any hospitals?

According to CMS data, David Paul is affiliated with Sanford Bemidji Medical Center.

When was this NPI record last updated?

The NPPES record for David Paul was last updated on September 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.