PAUL MAZZONE MD
NPI 1588045439
Radiology - Diagnostic Radiology in Durham, NC

Active since June 17, 2015PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2301 ERWIN RD, DURHAM, NC 27710(919) 684-8111 Get Directions Write a Review

NPPES record last updated: June 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paul Mazzone Md NPPES

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

PAUL MAZZONE MD (NPI 1588045439) is an individual diagnostic radiology provider in Durham, North Carolina, licensed in Michigan (4301107548) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Riverside Medical Center, and is a graduate of University Of Louisville School Of Medicine (2015).

NPPES Registry Identity

NPI1588045439
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NamePAUL MAZZONECredential: MD
Location Address2301 ERWIN RDDurham, NC 27710-2515
Mailing AddressBox 3808 DumcDurham, NC 27710-0001 · (919) 684-7406 · Fax (919) 684-7157
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2015
Enumeration DateJune 17, 2015
Last NPPES UpdateJune 9, 2020
NPPES CertifiedJune 9, 2020
NPI 1588045439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in MI · 4301107548
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2301 ERWIN RD, Durham, NC 27710

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

Paul Mazzone Md 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 ID1355655549
PECOS Enrollment IDI20210603003343
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 53

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
629 services534 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
529 services470 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
189 services185 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
146 services141 patients
Mri scan of brain before and after contrast 70553
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
140 services132 patients
Ct scan of blood vessels of head with contrast 70496
A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.
111 services108 patients

Hospital Affiliations CMS Care Compare 5

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

Riverside Medical Center

Acute Care Hospitals · Kankakee, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140186
Location350 N Wall StKankakee, IL 60901 · Kankakee County
Emergency services Birthing friendly

Norton-King's Daughters' Health

Acute Care Hospitals · Madison, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150069
Location1373 East Sr 62Madison, IN 47250 · Jefferson County
Emergency services Birthing friendly

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number180012
Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County
Emergency services

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27710 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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

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.

Pediatrics (Pediatric Critical Care Medicine)
2301 ERWIN RD
DURHAM, NC 27710
Physical Therapist
2301 ERWIN RD
DURHAM, NC 27710
Nurse Practitioner (Neonatal)
2301 ERWIN RD
DURHAM, NC 27710
Surgery
2301 ERWIN RD
DURHAM, NC 27710
Internal Medicine (Clinical Cardiac Electrophysiology)
2301 ERWIN RD
DURHAM, NC 27710
Nurse Practitioner (Neonatal)
2301 ERWIN RD
DURHAM, NC 27710
Student in an Organized Health Care Education/Training Program
2301 ERWIN RD
DURHAM, NC 27710
Radiology (Diagnostic Radiology)
2301 ERWIN RD
DURHAM, NC 27710

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 Mazzone's NPI number?

The NPI number for Paul Mazzone is 1588045439. It was assigned to this individual provider in the NPPES registry on June 17, 2015.

Where is Paul Mazzone located?

Paul Mazzone practices at 2301 Erwin Rd, Durham, NC 27710. The listed phone number is (919) 684-8111.

What is Paul Mazzone's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Paul Mazzone enrolled in Medicare?

Yes. Paul Mazzone 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 Mazzone accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Paul Mazzone 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 Mazzone affiliated with any hospitals?

According to CMS data, Paul Mazzone is affiliated with Riverside Medical Center, Norton-King's Daughters' Health, Baptist Health Hardin, Jewish Hospital & St Mary's Healthcare and Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Paul Mazzone was last updated on June 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.