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PAUL MATHEW LAVOIE M.D.
NPI 1649701343
Internal Medicine in Highland Beach, FL

Active since March 23, 2017PECOS EnrolledAccepts Medicare Assignment
3598 S OCEAN BLVD, UNIT 5105, HIGHLAND BEACH, FL 33487(561) 674-2595 Get Directions Write a Review

NPPES record last updated: February 23, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 23, 2018, Mar 23, 2017 (2 updates tracked since 2017).

About Paul Mathew Lavoie M.d. NPPES

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

PAUL MATHEW LAVOIE M.D. (NPI 1649701343) is an individual internal medicine provider in Highland Beach, Florida, licensed in Georgia (009119) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Upson Regional Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1649701343
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePAUL MATHEW LAVOIECredential: M.D.
Location Address3598 S OCEAN BLVD, UNIT 5105Highland Beach, FL 33487-3341
Mailing Address3598 S Ocean Blvd, Unit 5105Highland Beach, FL 33487-3341 · (561) 674-2595
Phone(561) 674-2595
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 23, 2017
Last NPPES UpdateFebruary 23, 20182 updates tracked since enumeration
✔ NPI 1649701343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 009119
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3598 S OCEAN BLVD, Highland Beach, FL 33487
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Paul Mathew Lavoie 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 ID9234493966
PECOS Enrollment IDI20200811004142
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 Reassignments

3

Medicare enrollment records show Paul Lavoie reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Houston Hospitalist Group LLC
471 mi
Hospitalist
1120 MORNINGSIDE DR
Perry, GA 31069
  • Reassigned Medicare billing, Georgia enrollment
  • 150 clinicians in this Medicare group
NPI 1831717511 (478) 987-3600
Peach Physician Services, PC
483 mi
Hospitalist
1960 247 CONNECTOR
Byron, GA 31008
  • Reassigned Medicare billing, Georgia enrollment
  • 31 clinicians in this Medicare group
NPI 1235821752 (478) 654-2000
Hightower Physician Services, PC
515 mi
Hospitalist
801 W GORDON ST
Thomaston, GA 30286
  • Reassigned Medicare billing, Georgia enrollment
  • 59 clinicians in this Medicare group
NPI 1891296620 (706) 647-8111

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

Areas of Expertise CMS Part B claims 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
184 services83 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
135 services126 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
111 services57 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
97 services90 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
36 services36 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
17 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Upson Regional Medical Center

Acute Care Hospitals · Thomaston, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110002
Location801 W Gordon StreetThomaston, GA 30286 · Upson County
Emergency services Birthing friendly

Atrium Health Navicent The Medical Center

Acute Care Hospitals · Macon, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110107
Location777 Hemlock StreetMacon, GA 31201 · Bibb County
Emergency services Birthing friendly

Coliseum Medical Centers, LLC, Dba

Acute Care Hospitals · Macon, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110164
Location350 Hospital DriveMacon, GA 31217 · Bibb County
Emergency services Birthing friendly

Piedmont Macon North Hospital

Acute Care Hospitals · Macon, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110201
Location400 Charter BoulevardMacon, GA 31210 · Bibb County
Emergency services

Atrium Health Navicent Peach

Critical Access Hospitals · Byron, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111310
Location1960 Highway 247 ConnectorByron, GA 31008 · Peach County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33487 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier56 claims56 services$17.26 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier56 claims56 services$90.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Lavoie's NPI number?

The NPI number for Paul Lavoie is 1649701343. It was assigned to this individual provider in the NPPES registry on March 23, 2017.

Where is Paul Lavoie located?

Paul Lavoie practices at 3598 S Ocean Blvd Unit 5105, Highland Beach, FL 33487. The listed phone number is (561) 674-2595.

What is Paul Lavoie's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Paul Lavoie enrolled in Medicare?

Yes. Paul Lavoie 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 organizations bill Medicare for Paul Lavoie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Lavoie reassigns Medicare benefits to 3 organizations: Houston Hospitalist Group LLC (Perry, GA), Peach Physician Services, PC (Byron, GA) and Hightower Physician Services, PC (Thomaston, GA). Each 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 Lavoie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Lavoie accept?

Health plans from Oscar Insurance Company list Paul Lavoie 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 Lavoie affiliated with any hospitals?

According to CMS data, Paul Lavoie is affiliated with Upson Regional Medical Center, Atrium Health Navicent The Medical Center, Coliseum Medical Centers, LLC, Dba, Piedmont Macon North Hospital and Atrium Health Navicent Peach.

When was this NPI record last updated?

The NPPES record for Paul Lavoie was last updated on February 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.