DR. PAUL W DUGDALE DO
NPI 1689136988
Internal Medicine in Indianapolis, IN

Active since April 04, 2019PECOS EnrolledAccepts Medicare Assignment
2001 W 86TH ST, INDIANAPOLIS, IN 46260(317) 338-2345 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 22, 2022, May 2, 2022, Apr 4, 2019 (3 updates tracked since 2019).

About Dr. Paul W Dugdale Do NPPES

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

DR. PAUL W DUGDALE DO (NPI 1689136988) is an individual internal medicine provider in Indianapolis, Indiana, licensed in Indiana (02006887A) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Kokomo, and is a graduate of Marian University College Of Osteopathic Medicine (2019).

NPPES Registry Identity

NPI1689136988
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PAUL W DUGDALECredential: DO
Location Address2001 W 86TH STIndianapolis, IN 46260-1902
Mailing Address2001 W 86th StIndianapolis, IN 46260-1902
Sole ProprietorYes
Medical School CMSMarian University College Of Osteopathic MedicineGraduated 2019
Enumeration DateApril 4, 2019
Last NPPES UpdateAugust 22, 20223 updates tracked since enumeration
NPPES CertifiedAugust 22, 2022
NPI 1689136988 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 IN · 02006887A
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.

2001 W 86TH ST, Indianapolis, IN 46260

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

Dr. Paul W Dugdale Do 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 ID1456688837
PECOS Enrollment IDI20220812000926
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 7

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.
346 services133 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.
247 services119 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.
45 services45 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.
43 services43 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.
37 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.
15 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension St Vincent Kokomo

Acute Care Hospitals · Kokomo, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150010
Location1907 W Sycamore StKokomo, IN 46904 · Howard County
Emergency services Birthing friendly

Ascension St Vincent Hospital

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150084
Location2001 W 86th StIndianapolis, IN 46260 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46260 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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.

Pediatrics (Pediatric Hematology-Oncology)
2001 W 86TH ST
INDIANAPOLIS, IN 46260
Pediatrics
2001 W 86TH ST
INDIANAPOLIS, IN 46260
Anesthesiology (Critical Care Medicine)
2001 W 86TH ST
INDIANAPOLIS, IN 46260
Anesthesiology (Critical Care Medicine)
2001 W 86TH ST
INDIANAPOLIS, IN 46260
Anesthesiology
2001 W 86TH ST
INDIANAPOLIS, IN 46260
Anesthesiology
2001 W 86TH ST
INDIANAPOLIS, IN 46260
Anesthesiology
2001 W 86TH ST
INDIANAPOLIS, IN 46260
Anesthesiology
2001 W 86TH ST
INDIANAPOLIS, IN 46260

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 Dugdale's NPI number?

The NPI number for Paul Dugdale is 1689136988. It was assigned to this individual provider in the NPPES registry on April 4, 2019.

Where is Paul Dugdale located?

Paul Dugdale practices at 2001 W 86th St, Indianapolis, IN 46260. The listed phone number is (317) 338-2345.

What is Paul Dugdale's specialty?

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

Is Paul Dugdale enrolled in Medicare?

Yes. Paul Dugdale 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 Dugdale accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Paul Dugdale 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 Dugdale affiliated with any hospitals?

According to CMS data, Paul Dugdale is affiliated with Ascension St Vincent Kokomo and Ascension St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Paul Dugdale was last updated on August 22, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.