STEPHEN KYLE PAUL D.O.
NPI 1700310943
Surgery in Middletown, OH

Active since April 14, 2017PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
200 MEDICAL CENTER DR STE 250, MIDDLETOWN, OH 45005(937) 883-5598(937) 915-0908 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2026, Dec 9, 2025, Apr 16, 2024 and 2 more (5 updates tracked since 2017).

About Stephen Kyle Paul D.o. NPPES

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

STEPHEN KYLE PAUL D.O. (NPI 1700310943) is an individual surgery provider in Middletown, Ohio, licensed in Ohio (34.015740) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Atrium Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1700310943
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameSTEPHEN KYLE PAULCredential: D.O.
Location Address200 MEDICAL CENTER DR STE 250Middletown, OH 45005-2594
Mailing Address5887 Spinney CtSpringboro, OH 45066-3500 · (937) 477-1597 · Fax (937) 915-0908
Fax(937) 915-0908
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateApril 14, 2017
Last NPPES UpdateMay 20, 20265 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
NPI 1700310943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in OH · 34.015740
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.
Also ListedInternal Medicine · Obesity MedicineTaxonomy 207RB0002X · License 34.015740 (OH)
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License 34.015740 (OH)
200 MEDICAL CENTER DR STE 250, Middletown, OH 45005

Other Names 1

Other Name (5)Stephen Paul

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

Stephen Kyle Paul D.o. 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 ID2668740911
PECOS Enrollment IDI20250731000192, I20260504008124
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 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.
110 services45 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.
62 services61 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.
52 services41 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.
25 services20 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
24 services23 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services17 patients

Hospital Affiliations CMS Care Compare

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

Atrium Medical Center

Acute Care Hospitals · Franklin, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360076
LocationOne Medical Center DriveFranklin, OH 45005 · Warren County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45005 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

Other Providers at the Same Location NPPES 2

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

Surgery
200 MEDICAL CENTER DR STE 250
MIDDLETOWN, OH 45005
Orthopaedic Surgery
200 MEDICAL CENTER DR STE 250
MIDDLETOWN, OH 45005

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 Stephen Paul's NPI number?

The NPI number for Stephen Paul is 1700310943. It was assigned to this individual provider in the NPPES registry on April 14, 2017.

Where is Stephen Paul located?

Stephen Paul practices at 200 Medical Center Dr Ste 250, Middletown, OH 45005. The listed phone number is (937) 883-5598.

What is Stephen Paul's specialty?

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

Is Stephen Paul enrolled in Medicare?

Yes. Stephen 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 Stephen Paul accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Stephen 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 Stephen Paul affiliated with any hospitals?

According to CMS data, Stephen Paul is affiliated with Atrium Medical Center.

When was this NPI record last updated?

The NPPES record for Stephen Paul was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.