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DR. DAVID PAULSON D.D.S.
NPI 1598119273
Dentist - Periodontics in Hudson, WI

Active since April 19, 2016Opted out of Medicare · through Nov 10, 2027
1610 MAXWELL DR STE 100, HUDSON, WI 54016(715) 690-3050 Get Directions Write a Review

NPPES record last updated: August 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2021, Aug 6, 2019, Apr 30, 2019 (3 updates tracked since 2019).

About Dr. David Paulson D.d.s. NPPES

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

DR. DAVID PAULSON D.D.S. (NPI 1598119273) is an individual periodontics provider in Hudson, Wisconsin, licensed in Minnesota (D13705) and active in the NPI registry since April 2016. He has opted out of Medicare through November 10, 2027 and remains eligible to order and refer and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1598119273
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. DAVID PAULSONCredential: D.D.S.
Location Address1610 MAXWELL DR STE 100Hudson, WI 54016-8724
Mailing Address1610 Maxwell Dr Ste 100Hudson, WI 54016-8724 · (715) 495-0554
Phone(715) 690-3050
Sole ProprietorNo
Enumeration DateApril 19, 2016
Last NPPES UpdateAugust 5, 20213 updates tracked since enumeration
NPPES CertifiedAugust 5, 2021
✔ NPI 1598119273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in MN · D13705
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Also ListedDentistTaxonomy 122300000X · License D13705 (MN)
1610 MAXWELL DR STE 100, Hudson, WI 54016
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12036 Robert St SWest St Paul, MN 55118-3923 · Phone (651) 633-4216
Location 2515 Delaware St SE, 7-360Minneapolis, MN 55455-0357 · Phone (715) 495-0554

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. David Paulson D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 10, 2021 through November 10, 2027.

Opt-Out Effective DateNovember 10, 2021
Opt-Out In Effect ThroughNovember 10, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54016 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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 David Paulson's NPI number?

The NPI number for David Paulson is 1598119273. It was assigned to this individual provider in the NPPES registry on April 19, 2016.

Where is David Paulson located?

David Paulson practices at 1610 Maxwell Dr Ste 100, Hudson, WI 54016. The listed phone number is (715) 690-3050.

What is David Paulson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is David Paulson enrolled in Medicare?

No. David Paulson has opted out of Medicare through November 10, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does David Paulson accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Wisconsin, Inc. and 3 other insurers list David Paulson 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.

When was this NPI record last updated?

The NPPES record for David Paulson was last updated on August 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.