PAUL W DUNLAVY D.O.
NPI 1598028797
Surgery in Des Moines, IA

Active since June 21, 2012PECOS EnrolledAccepts Medicare Assignment
78.85/100
CMS Quality Rating
1111 6TH AVE, DES MOINES, IA 50314(515) 643-2261(515) 643-5802 Get Directions Write a Review

NPPES record last updated: October 27, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Paul W Dunlavy D.o. NPPES

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

PAUL W DUNLAVY D.O. (NPI 1598028797) is an individual surgery provider in Des Moines, Iowa, licensed in Iowa (R-9521) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with St Lukes Magic Valley Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1598028797
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NamePAUL W DUNLAVYCredential: D.O.
Location Address1111 6TH AVEDes Moines, IA 50314-2613
Mailing Address1111 6th AveDes Moines, IA 50314-2613 · (515) 643-2261 · Fax (515) 643-5802
Fax(515) 643-5802
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 21, 2012
Last NPPES UpdateOctober 27, 2014
NPI 1598028797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in IA · R-9521
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1111 6TH AVE, Des Moines, IA 50314

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 W Dunlavy D.o. 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 ID2264683507
PECOS Enrollment IDI20170726000212
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 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.

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.
44 services44 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
32 services32 patients
Insertion of central venous tube with port (5 years or older) 36561
A central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.
14 services13 patients
Removal of gallbladder with x-ray study of bile ducts using an endoscope 47563
This procedure, known as an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible camera (endoscope) to examine your bile ducts. If gallstones are found, your gallbladder may be removed in a separate procedure. This helps prevent future complications.
13 services13 patients
Fluoroscopic guidance for insertion or removal of central vein access device 77001
Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.
13 services12 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

St Lukes Magic Valley Medical Center

Acute Care Hospitals · Twin Falls, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130002
Location801 Pole Line Road WestTwin Falls, ID 83301 · Twin Falls County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50314 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

78.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.58
Promoting Interoperability100
Improvement Activities40
Cost47.94

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.

Psychiatry & Neurology (Neurology)
1111 6TH AVE, EAST TOWER SUITE A100
DES MOINES, IA 50314
Family Medicine
1111 6TH AVE
DES MOINES, IA 50314
Family Medicine
1111 6TH AVE
DES MOINES, IA 50314
Emergency Medicine
1111 6TH AVE, EMERGENCY DEPARTMENT
DES MOINES, IA 50314
Internal Medicine
1111 6TH AVE
DES MOINES, IA 50314
Internal Medicine
1111 6TH AVE
DES MOINES, IA 50314
Radiology (Neuroradiology)
1111 6TH AVE
DES MOINES, IA 50314
Pediatrics (Neonatal-Perinatal Medicine)
1111 6TH AVE
DES MOINES, IA 50314

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 Dunlavy's NPI number?

The NPI number for Paul Dunlavy is 1598028797. It was assigned to this individual provider in the NPPES registry on June 21, 2012.

Where is Paul Dunlavy located?

Paul Dunlavy practices at 1111 6th Ave, Des Moines, IA 50314. The listed phone number is (515) 643-2261.

What is Paul Dunlavy's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Paul Dunlavy enrolled in Medicare?

Yes. Paul Dunlavy 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 Dunlavy accept?

Health plans from Providence Health Plan list Paul Dunlavy 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 Dunlavy affiliated with any hospitals?

According to CMS data, Paul Dunlavy is affiliated with St Lukes Magic Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Dunlavy was last updated on October 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.