PAUL R BATTY MD
NPI 1619972643
Surgery in Rockford, IL

Active since June 16, 2005PECOS EnrolledAccepts Medicare Assignment
74.98/100
CMS Quality Rating
1340 CHARLES ST STE 100, ROCKFORD, IL 61104(779) 696-8700 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Paul R Batty Md NPPES

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

PAUL R BATTY MD (NPI 1619972643) is an individual surgery provider in Rockford, Illinois, licensed in Illinois (036082625) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Uw Health, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1619972643
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NamePAUL R BATTYCredential: MD
Location Address1340 CHARLES ST STE 100Rockford, IL 61104-2200
Mailing AddressPo Box 78866Milwaukee, WI 53278-8866 · (779) 696-7150
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateJune 16, 2005
Last NPPES UpdateMarch 11, 2021
NPPES CertifiedMarch 11, 2021
NPI 1619972643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in IL · 036082625
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.
1340 CHARLES ST STE 100, Rockford, IL 61104

Other Identifiers 5

Other206147IL · Medicare Group Ptan
OtherP01398548IL · Medicare Railroad
Medicaid036082625IL
OtherF400165384IL · Medicare Individual Ptan
OtherCA4748IL · Medicare Railroad Group Ptan

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 R Batty 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 ID9638364292
PECOS Enrollment IDI20101109001462
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 4

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.
29 services29 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.
22 services19 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
17 services17 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services13 patients

Hospital Affiliations CMS Care Compare

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

Uw Health

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140228
Location1401 East State StreetRockford, IL 61104 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61104 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

74.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.92
Promoting Interoperability78
Improvement Activities40
Cost55.01

Other Providers at the Same Location NPPES 14

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

Orthopaedic Surgery
1340 CHARLES ST STE 100
ROCKFORD, IL 61104
Surgery
1340 CHARLES ST STE 100
ROCKFORD, IL 61104
Physician Assistant
1340 CHARLES ST STE 100
ROCKFORD, IL 61104
Surgery
1340 CHARLES ST STE 100
ROCKFORD, IL 61104
Nurse Practitioner
1340 CHARLES ST STE 100
ROCKFORD, IL 61104
Surgery (Surgical Oncology)
1340 CHARLES ST STE 100
ROCKFORD, IL 61104
Physician Assistant
1340 CHARLES ST STE 100
ROCKFORD, IL 61104
Nurse Practitioner (Acute Care)
1340 CHARLES ST STE 100
ROCKFORD, IL 61104

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 Batty's NPI number?

The NPI number for Paul Batty is 1619972643. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Where is Paul Batty located?

Paul Batty practices at 1340 Charles St Ste 100, Rockford, IL 61104. The listed phone number is (779) 696-8700.

What is Paul Batty's specialty?

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

Is Paul Batty enrolled in Medicare?

Yes. Paul Batty 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 Batty accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Aspirus Health Plan and Quartz list Paul Batty 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 Batty affiliated with any hospitals?

According to CMS data, Paul Batty is affiliated with Uw Health.

When was this NPI record last updated?

The NPPES record for Paul Batty was last updated on March 11, 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.