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DR. PAUL MICHAEL PIERCE M.D.
NPI 1598924201
Plastic Surgery in Colorado Springs, CO

Active since June 06, 2008PECOS EnrolledAccepts Medicare Assignment
92.94/100
CMS Quality Rating
6031 E WOODMEN RD STE 310, COLORADO SPRINGS, CO 80923(719) 888-6677(719) 888-5080 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 18, 2025, May 10, 2023, May 4, 2023 and 2 more (5 updates tracked since 2018).

About Dr. Paul Michael Pierce M.d. NPPES

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

DR. PAUL MICHAEL PIERCE M.D. (NPI 1598924201) is an individual plastic surgery provider in Colorado Springs, Colorado, licensed in Colorado (DR.0063972) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At Houston (2007).

NPPES Registry Identity

NPI1598924201
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. PAUL MICHAEL PIERCECredential: M.D.
Location Address6031 E WOODMEN RD STE 310Colorado Springs, CO 80923-2624
Mailing Address6031 E Woodmen Rd Ste 310Colorado Springs, CO 80923-2624 · (719) 888-6677 · Fax (719) 888-5080
Phone(719) 888-6677
Fax(719) 888-5080
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2007
Enumeration DateJune 6, 2008
Last NPPES UpdateFebruary 18, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2025
✔ NPI 1598924201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in CO · DR.0063972
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
6031 E WOODMEN RD STE 310, Colorado Springs, CO 80923
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Paul Michael Pierce M.d. 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 ID1850519281
PECOS Enrollment IDI20201130001182
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 Pierce reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Paul Pierce M.D., PLLC
Same address
Plastic Surgery
6031 E WOODMEN RD STE 310
Colorado Springs, CO 80923
  • Reassigned Medicare billing, Colorado enrollment
NPI 1235828328 (719) 888-6677

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80923 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

92.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.03
Promoting Interoperability100
Improvement Activities40
Cost88.44

Other Providers at the Same Location NPPES

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

PAUL PIERCE M.D., PLLC
Plastic Surgery
6031 E WOODMEN RD STE 310
COLORADO SPRINGS, CO 80923
El Paso County (719) 888-6677

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 Pierce's NPI number?

The NPI number for Paul Pierce is 1598924201. It was assigned to this individual provider in the NPPES registry on June 6, 2008.

Where is Paul Pierce located?

Paul Pierce practices at 6031 E Woodmen Rd Ste 310, Colorado Springs, CO 80923. The listed phone number is (719) 888-6677.

What is Paul Pierce's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Paul Pierce enrolled in Medicare?

Yes. Paul Pierce 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.

Which organization bills Medicare for Paul Pierce's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Pierce reassigns Medicare benefits to Paul Pierce M.D., PLLC (Colorado Springs, CO). The 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 Pierce's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Pierce accept?

Health plans from Blue Cross and Blue Shield of Texas and Select Health list Paul Pierce 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 Paul Pierce was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.