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DR. MICHAEL D PAUL M.D
NPI 1669403200
Specialist in Port St Lucie, FL

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
1701 SE HILLMOOR DR, PORT ST LUCIE, FL 34952(772) 398-9998(772) 398-9986 Get Directions Write a Review

NPPES record last updated: November 28, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Michael D Paul M.d NPPES

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

DR. MICHAEL D PAUL M.D (NPI 1669403200) is an individual specialist in Port St Lucie, Florida, licensed in Florida (ME0070321) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with St Lucie Medical Center, and is a graduate of Temple University School Of Medicine (1990).

NPPES Registry Identity

NPI1669403200
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. MICHAEL D PAULCredential: M.D
Location Address1701 SE HILLMOOR DRPort St Lucie, FL 34952-7552
Mailing Address705 Ne Stokes TerJensen Beach, FL 34957-3735 · (772) 334-2694
Phone(772) 398-9998
Fax(772) 398-9986
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1990
Enumeration DateJuly 5, 2006
Last NPPES UpdateNovember 28, 2018
✔ NPI 1669403200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME0070321
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1701 SE HILLMOOR DR, Port St Lucie, FL 34952
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

Dr. Michael D Paul 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 ID2961495270
PECOS Enrollment IDI20110317000558
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 11

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.

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.
159 services70 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.
43 services43 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
39 services37 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
39 services38 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
37 services12 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
31 services30 patients

Hospital Affiliations CMS Care Compare

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

St Lucie Medical Center

Acute Care Hospitals · Port Saint Lucie, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100260
Location1800 SE Tiffany AvePort Saint Lucie, FL 34952 · St. Lucie County
Emergency services Birthing friendly

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.

Reported Quality Measures

Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
2%121 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
0%217 patients1/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
86%594 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
1%167 patients1/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
14%373 patients1/55-star benchmark: 97%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 189 patients
1%189 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
1 supplier11 claims11 services$9.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CECELIA MARY MAGAW
Social Worker
1701 SE HILLMOOR DR, SUITE 17
PORT ST LUCIE, FL 34952
St. Lucie County (772) 335-9808
NEUROLOGY RESTORATION CENTER LLC
Psychiatry & Neurology (Neurology)
1701 SE HILLMOOR DR, SUITE D-16
PORT SAINT LUCIE, FL 34952
St. Lucie County (772) 201-1162
ACCURATE CHIROPRACTIC REHAB, INC.
Chiropractor
1701 SE HILLMOOR DR, SUITE A1
PORT ST LUCIE, FL 34952
St. Lucie County (772) 337-5511
DR. ALLAN JAY BIRNBAUM D.O.
Internal Medicine
1701 SE HILLMOOR DR, SUITE #5
PORT SAINT LUCIE, FL 34952
St. Lucie County (772) 485-7507
ELIZABETH M. MCGOOGAN ARNP
Nurse Practitioner (Pediatrics)
1701 SE HILLMOOR DR, SUITE 19
PORT ST LUCIE, FL 34952
St. Lucie County (772) 335-8455
MR. ALEXANDER POLOUKINE
Massage Therapist
1701 SE HILLMOOR DR, SUITE 1A
PORT ST LUCIE, FL 34952
St. Lucie County (772) 337-5511
ACCURATE PAIN & REHAB CENTER
Clinic/Center (Multi-Specialty)
1701 SE HILLMOOR DR, STE. #A-1
PORT ST LUCIE, FL 34952
St. Lucie County (772) 337-5511
ALLAN BIRNBAUM DO PA
Internal Medicine
1701 SE HILLMOOR DR, SUITE 5
PORT ST LUCIE, FL 34952
St. Lucie County (772) 337-7320

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 Michael Paul's NPI number?

The NPI number for Michael Paul is 1669403200. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Michael Paul located?

Michael Paul practices at 1701 SE Hillmoor Dr, Port St Lucie, FL 34952. The listed phone number is (772) 398-9998.

What is Michael Paul's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Michael Paul enrolled in Medicare?

Yes. Michael Paul 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 Michael Paul accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Michael Paul 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 Michael Paul affiliated with any hospitals?

According to CMS data, Michael Paul is affiliated with St Lucie Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Paul was last updated on November 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.