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PAUL SCHALCH MD
NPI 1558550053
Otolaryngology in Chula Vista, CA

Active since October 20, 2007PECOS Enrolled
75/100
CMS Quality Rating
765 MEDICAL CENTER CT STE 210, CHULA VISTA, CA 91911(619) 482-0565(619) 482-2775 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 16, 2023, Sep 13, 2022, May 17, 2016 (3 updates tracked since 2016).

About Paul Schalch Md NPPES

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

PAUL SCHALCH MD (NPI 1558550053) is an individual otolaryngology provider in Chula Vista, California, licensed in California (A92839) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1558550053
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NamePAUL SCHALCHCredential: MD
Location Address765 MEDICAL CENTER CT STE 210Chula Vista, CA 91911-6600
Mailing Address765 Medical Center Ct Ste 210Chula Vista, CA 91911-6600 · (619) 482-0565 · Fax (619) 482-2775
Phone(619) 482-0565
Fax(619) 482-2775
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateOctober 20, 2007
Last NPPES UpdateMay 16, 20233 updates tracked since enumeration
NPPES CertifiedMay 16, 2023
✔ NPI 1558550053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in CA · A92839
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
765 MEDICAL CENTER CT STE 210, Chula Vista, CA 91911
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Other Names 1

Other Name (5)Paul Schalch Lepe

Secondary Practice Location 1

Location 112395 El Camino Real Ste 209San Diego, CA 92130-3084 · Phone (858) 925-5800 · Fax (858) 925-5650

Other Identifiers 1

Medicaid036125120IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul Schalch Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719179779
PECOS Enrollment IDI20150717002585
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Paul Schalch reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ear Nose And Throat Associates Of San Diego A Medical Corp
11 mi
Specialist
5565 GROSSMONT CENTER DRIVE, BLDG 3, SUITE 101
La Mesa, CA 91942
  • Reassigned Medicare billing, California enrollment
  • 11 clinicians in this Medicare group
NPI 1811992761 (619) 464-3353
Regents Of The University Of California - Ucsd Medical Group
12 mi
Gastroenterology
200 W ARBOR DR
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Regents Of The University Of California
  • 1,051 clinicians in this Medicare group
NPI 1336267137 (800) 926-8273
Emergency And Acute Care Medical Corporation
15 mi
Emergency Medicine
7901 FROST ST
San Diego, CA 92123
  • Reassigned Medicare billing, California enrollment
  • 1,437 clinicians in this Medicare group
NPI 1437103942 (858) 939-3400
University Head & Neck Surgeons
95 mi
Otolaryngology
101 THE CITY DR S, BLDG 56, ROUTE 81, STE 500
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • 47 clinicians in this Medicare group
NPI 1669437075 (714) 456-6655
Hershcovitch MD PC
131 mi
Plastic Surgery within the Head & Neck
201 S BUENA VISTA ST STE 300
Burbank, CA 91505
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1144989401 (520) 979-6774
Strawberry Creek Medical Group Of California PC
465 mi
General Practice
77 MORAGA WAY STE G
Orinda, CA 94563
  • Reassigned Medicare billing, California enrollment
  • 6 clinicians in this Medicare group
NPI 1447806096 (925) 254-6710

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.

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.
22 services20 patients
Insertion of hypoglossal nerve neurostimulator electrode and generator and breathing sensor electrode 64582
This procedure involves placing a device that stimulates the hypoglossal nerve, which controls tongue movement. A generator powers the device and a sensor monitors your breathing. This helps keep the airway open during sleep, improving conditions like sleep apnea.
13 services13 patients
Evaluation of sleep-disordered breathing by examination of upper airway using an endoscope 42975
This procedure examines your upper airway for sleep-related breathing issues. An endoscope, a thin tube with a light and camera, is gently inserted through your nose. This allows a detailed view of your airway to identify any abnormalities that could disrupt your sleep.
12 services12 patients
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.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91911 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Referred Medical Equipment & Supplies CMS DME claims 10

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers43 claims43 services$32.77 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers34 claims34 services$69.34 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers36 claims102 services$27.57 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers30 claims169 services$14.11 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers13 claims76 services$12.29 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers43 claims43 services$41.50 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Schalch's NPI number?

The NPI number for Paul Schalch is 1558550053. It was assigned to this individual provider in the NPPES registry on October 20, 2007. The provider is also known as Paul Schalch Lepe.

Where is Paul Schalch located?

Paul Schalch practices at 765 Medical Center Ct Ste 210, Chula Vista, CA 91911. The listed phone number is (619) 482-0565.

What is Paul Schalch's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Paul Schalch enrolled in Medicare?

Yes. Paul Schalch is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Paul Schalch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Schalch reassigns Medicare benefits to 6 organizations: Ear Nose And Throat Associates Of San Diego A Medical Corp (La Mesa, CA), Regents Of The University Of California - Ucsd Medical Group (San Diego, CA), Emergency And Acute Care Medical Corporation (San Diego, CA), University Head & Neck Surgeons (Orange, CA), Hershcovitch MD PC (Burbank, CA) and 1 more organization, listed in the Medicare section above. Each 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 Paul Schalch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Paul Schalch was last updated on May 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.