1. Home
  2. Directory
  3. Illinois
  4. Granite City
  5. Surgery
  6. NPI Profile

DR. PAUL JOSEPH PACE M.D.
NPI 1528222437
Surgery in Granite City, IL

Active since July 10, 2008PECOS EnrolledAccepts Medicare Assignment
2044 MADISON AVE, SUITE 27, GRANITE CITY, IL 62040(618) 451-7600 Get Directions Write a Review

NPPES record last updated: April 10, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Paul Joseph Pace M.d. NPPES

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

DR. PAUL JOSEPH PACE M.D. (NPI 1528222437) is an individual surgery provider in Granite City, Illinois, licensed in Illinois (036.13263) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Touchette Regional Hospital Inc, and is a graduate of Albany Medical College Of Union University (2008).

NPPES Registry Identity

NPI1528222437
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. PAUL JOSEPH PACECredential: M.D.
Location Address2044 MADISON AVE, SUITE 27Granite City, IL 62040-4641
Mailing Address2044 Madison Ave, Suite 27Granite City, IL 62040-4641 · (618) 451-7600
Phone(618) 451-7600
Sole ProprietorYes
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2008
Enumeration DateJuly 10, 2008
Last NPPES UpdateApril 10, 2017
✔ NPI 1528222437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 036.13263
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

2044 MADISON AVE, Granite City, IL 62040
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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. Paul Joseph Pace 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 ID8022251990
PECOS Enrollment IDI20130823001155
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.

Hospital Affiliations CMS Care Compare

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

Touchette Regional Hospital Inc

Acute Care Hospitals · Centreville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number140077
Location5900 Bond AvenueCentreville, IL 62207 · St. Clair County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62040 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
53%97 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%561 patients5/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%249 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
33%384 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
18%318 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 87% · 138 patients
59%66 patients3/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
96%384 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
4%384 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
8%384 patients
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.

GRANITE CITY ORTHOPEDIC PHYSICIANS COMPANY LLC
Durable Medical Equipment & Medical Supplies
2044 MADISON AVE
GRANITE CITY, IL 62040
Madison County (618) 451-0500
GRANITE CITY PHYSICIANS CORP
Internal Medicine
2044 MADISON AVE, SUITE 15
GRANITE CITY, IL 62040
Madison County (618) 798-8652
DIANE M SCHWIND NP
Nurse Practitioner (Adult Health)
2044 MADISON AVE, SUITE 15
GRANITE CITY, IL 62040
Madison County (618) 451-1500
BIJOY HEGDE MD, PC
Physical Medicine & Rehabilitation
2044 MADISON AVE, SUITE 15
GRANITE CITY, IL 62040
Madison County (618) 451-1500
DR. CHRISTOPHER JEAN KNAPP MD, MPH
Preventive Medicine (Occupational Medicine)
2044 MADISON AVE, SUITE G6
GRANITE CITY, IL 62040
Madison County (618) 798-3475
GRANITE CITY CLINIC CORP
Family Medicine
2044 MADISON AVE, SUITE 27
GRANITE CITY, IL 62040
Madison County (618) 451-7600
LAWRENCE HARMON MD
Internal Medicine
2044 MADISON AVE, SUITE 23
GRANITE CITY, IL 62040
Madison County (618) 451-1500
BIOMEDICAL IMAGING, LLC
Physiological Laboratory
2044 MADISON AVE, SUITE 28
GRANITE CITY, IL 62040
Madison County (618) 877-3225

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 Pace's NPI number?

The NPI number for Paul Pace is 1528222437. It was assigned to this individual provider in the NPPES registry on July 10, 2008.

Where is Paul Pace located?

Paul Pace practices at 2044 Madison Ave Suite 27, Granite City, IL 62040. The listed phone number is (618) 451-7600.

What is Paul Pace's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Paul Pace enrolled in Medicare?

Yes. Paul Pace 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 Pace accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Paul Pace 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 Pace affiliated with any hospitals?

According to CMS data, Paul Pace is affiliated with Touchette Regional Hospital Inc.

When was this NPI record last updated?

The NPPES record for Paul Pace was last updated on April 10, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.