RISA DAWN PAUL PA-C
NPI 1548739444
Physician Assistant in Helena, MT

Active since November 20, 2018PECOS EnrolledAccepts Medicare Assignment
81.43/100
CMS Quality Rating
2550 E BROADWAY ST, HELENA, MT 59601(406) 457-4160 Get Directions Write a Review

NPPES record last updated: May 9, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 9, 2019, Nov 20, 2018 (2 updates tracked since 2018).

About Risa Dawn Paul Pa-c NPPES

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

RISA DAWN PAUL PA-C (NPI 1548739444) is an individual physician assistant in Helena, Montana, licensed in Montana (MED-PAC-LIC-70120) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, is affiliated with St Peters Health, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1548739444
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameRISA DAWN PAULCredential: PA-C
Location Address2550 E BROADWAY STHelena, MT 59601-4905
Mailing Address2550 E Broadway StHelena, MT 59601-4905 · (406) 457-4160
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 20, 2018
Last NPPES UpdateMay 9, 20192 updates tracked since enumeration
✔ NPI 1548739444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MT · MED-PAC-LIC-70120
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2550 E BROADWAY ST, Helena, MT 59601

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

Risa Dawn Paul Pa-c 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 ID2860732690
PECOS Enrollment IDI20190314000772
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 7

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.

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.
310 services299 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.
140 services139 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
25 services13 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
19 services12 patients
Inhalation treatment for airway obstruction or sputum production 94640
Inhalation treatment, also known as nebulizer therapy, helps clear airway obstructions and reduce sputum production. It involves breathing in medication through a device, turning it into a mist. This can open up the airways, making breathing easier and helping to cough out mucus.
15 services15 patients
Removal of impacted ear wax by washing 69209
Impacted ear wax removal by washing, also known as ear irrigation, involves using a pressurized flow of water to break up and dislodge the ear wax. This safe procedure helps restore normal hearing and relieve discomfort caused by the blockage.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

St Peters Health

Acute Care Hospitals · Helena, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270003
Location2475 BroadwayHelena, MT 59601 · Lewis And Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59601 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
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
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.

81.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.22
Promoting Interoperability100
Improvement Activities40
Cost64.88

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.

Family Medicine
2550 E BROADWAY ST
HELENA, MT 59601
Pharmacist
2550 E BROADWAY ST
HELENA, MT 59601
Family Medicine
2550 E BROADWAY ST
HELENA, MT 59601
Internal Medicine
2550 E BROADWAY ST
HELENA, MT 59601
Family Medicine
2550 E BROADWAY ST
HELENA, MT 59601
Podiatrist (Foot & Ankle Surgery)
2550 E BROADWAY ST
HELENA, MT 59601
Family Medicine
2550 E BROADWAY ST
HELENA, MT 59601
Family Medicine
2550 E BROADWAY ST
HELENA, MT 59601

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 Risa Paul's NPI number?

The NPI number for Risa Paul is 1548739444. It was assigned to this individual provider in the NPPES registry on November 20, 2018.

Where is Risa Paul located?

Risa Paul practices at 2550 E Broadway St, Helena, MT 59601. The listed phone number is (406) 457-4160.

What is Risa Paul's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Risa Paul enrolled in Medicare?

Yes. Risa 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 Risa Paul accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Risa 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 Risa Paul affiliated with any hospitals?

According to CMS data, Risa Paul is affiliated with St Peters Health.

When was this NPI record last updated?

The NPPES record for Risa Paul was last updated on May 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.