ETHAN HUGHES PAULEY
NPI 1528694486
Internal Medicine in Billings, MT
About Ethan Hughes Pauley NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETHAN HUGHES PAULEY (NPI 1528694486) is an individual internal medicine provider in Billings, Montana, licensed in Montana (88123) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Monument Health Spearfish Hospital, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (2020).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ethan Hughes Pauley 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.
Medicare Billing Reassignment
Medicare enrollment records show Ethan Pauley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Spearfish, SD 57783
- Reassigned Medicare billing, South Dakota enrollment
- 831 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Monument Health Spearfish Hospital
Acute Care Hospitals · Spearfish, SDMonument Health Rapid City Hospital
Acute Care Hospitals · Rapid City, SDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 59101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
BILLINGS, MT 59101
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 Ethan Pauley's NPI number?
The NPI number for Ethan Pauley is 1528694486. It was assigned to this individual provider in the NPPES registry on March 22, 2020.
Where is Ethan Pauley located?
Ethan Pauley practices at 801 N 29th St, Billings, MT 59101. The listed phone number is (406) 238-5046.
What is Ethan Pauley's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Ethan Pauley enrolled in Medicare?
Yes. Ethan Pauley 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.
Which organization bills Medicare for Ethan Pauley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Pauley reassigns Medicare benefits to Monument Health Rapid City Hospital, Inc. (Spearfish, SD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ethan Pauley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ethan Pauley accept?
Health plans from Avera Health Plans, Sanford Health Plan and Wellmark of South Dakota, Inc. list Ethan Pauley 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 Ethan Pauley affiliated with any hospitals?
According to CMS data, Ethan Pauley is affiliated with Monument Health Spearfish Hospital and Monument Health Rapid City Hospital.
When was this NPI record last updated?
The NPPES record for Ethan Pauley was last updated on July 7, 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.
# Ethan Hughes Pauley · NPI 1528694486
Internal Medicine physician in Billings, Montana. Individual provider, active in the CMS NPPES registry since March 22, 2020.
## Identity
- **NPI:** 1528694486 (Entity type: Individual)
- **Enumerated:** March 22, 2020
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 88123 (Montana)
- **Sole proprietor:** No
## Practice location
- **Address:** 801 N 29TH ST, Billings, MT 59101-0905
- **Phone:** (406) 238-5046
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Monument Health Rapid City Hospital, Inc. (NPI 1255415246, Spearfish, SD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Sanford School Of Medicine Of University Of South Dakota, class of 2020
## Record status
- **NPPES last updated:** July 7, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1528694486) · Data from the CMS NPPES public registry.