PAUL W. HISS M.D.
NPI 1578522256
Ophthalmology in Sparks, NV

Q: What is Paul Hiss's NPI number?

The NPI number for Paul Hiss is 1578522256. It was assigned to this individual provider in the NPPES registry on March 21, 2006.

Q: What is Paul Hiss's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Hiss was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since March 21, 2006PECOS Enrolled

59.72/100

CMS Quality Rating

2285 GREEN VISTA DR, SPARKS, NV 89431(775) 674-1100(775) 674-1114 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Paul W. Hiss M.d. NPPES

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

PAUL W. HISS M.D. (NPI 1578522256) is an individual ophthalmology provider in Sparks, Nevada, licensed in Nevada (6100) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (1983).

NPPES Registry Identity

NPI1578522256

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NamePAUL W. HISSCredential: M.D.

Location Address2285 GREEN VISTA DRSparks, NV 89431-8532

Mailing Address2285 Green Vista DrSparks, NV 89431-8532 · (775) 674-1100 · Fax (775) 674-1114

Phone(775) 674-1100

Fax(775) 674-1114

Sole ProprietorNo

Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 1983

Enumeration DateMarch 21, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1578522256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in NV · 6100

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

2285 GREEN VISTA DR, Sparks, NV 89431

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul W. Hiss M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698792208

PECOS Enrollment IDI20120312000787

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 Reassignment

Medicare enrollment records show Paul Hiss reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Paul W. Hiss, MD, Ltd

Same address

Ophthalmology

2285 GREEN VISTA DR
Sparks, NV 89431

Reassigned Medicare billing, Nevada enrollment
7 clinicians in this Medicare group

NPI 1114986957 (775) 674-1100

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 9

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.

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

456 services230 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

357 services215 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

219 services219 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

106 services86 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.

74 services71 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

68 services51 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89431 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

$131.25 typical visit price

range $57.07 – $173.24

Typical copayment $32.81 (range $14.26 – $43.31)

Most-billed visit code 99204

Established Patient

$71.14 typical visit price

range $18.27 – $140.96

Typical copayment $17.78 (range $4.56 – $35.24)

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.

59.72/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

95.69

Improvement Activities

Cost

71.5

Other Providers at the Same Location NPPES 7

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

WILDCREEK SURGERY CENTER

Clinic/Center (Ambulatory Surgical)