PAUL M SEGAL MD
NPI 1720097165
Dermatology in Beloit, WI

Active since August 05, 2006PECOS EnrolledAccepts Medicare Assignment
73.05/100
CMS Quality Rating
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC, BELOIT, WI 53511(608) 364-1219(608) 364-1280 Get Directions Write a Review

NPPES record last updated: February 14, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Paul M Segal Md NPPES

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

PAUL M SEGAL MD (NPI 1720097165) is an individual dermatology provider in Beloit, Wisconsin, licensed in Wisconsin (25425020) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Beloit Health System, and is a graduate of Washington University School Of Medicine (1982).

NPPES Registry Identity

NPI1720097165
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NamePAUL M SEGALCredential: MD
Location Address1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INCBeloit, WI 53511-1842
Mailing Address1905 E. Huebbe Parkway, Beloit Health System IncBeloit, WI 53511-1842 · (608) 364-1219 · Fax (608) 364-1280
Fax(608) 364-1280
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1982
Enumeration DateAugust 5, 2006
Last NPPES UpdateFebruary 14, 2014
NPI 1720097165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses Licensed in WI · 25425020 Licensed in IL · 036-075374
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

1905 E. HUEBBE PARKWAY, Beloit, WI 53511

Other Identifiers 2

Medicare UPINB56484
Medicaid1720097165WI

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 M Segal 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 ID4082526595
PECOS Enrollment IDI20100327000286
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 26

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
2,697 services635 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,469 services305 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
1,313 services809 patients
Established patient office or other outpatient visit, 10-19 minutes 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
763 services505 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
637 services411 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
584 services371 patients

Hospital Affiliations CMS Care Compare

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

Beloit Health System

Acute Care Hospitals · Beloit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520100
Location1969 W Hart RdBeloit, WI 53511 · Rock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53511 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

73.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.79
Promoting Interoperability100
Improvement Activities40
Cost51.38

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.

Internal Medicine (Cardiovascular Disease)
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC.
BELOIT, WI 53511
Family Medicine
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM, INC
BELOIT, WI 53511
Podiatrist
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC
BELOIT, WI 53511
Internal Medicine
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC
BELOIT, WI 53511
Podiatrist
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC.
BELOIT, WI 53511
Orthopaedic Surgery
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC
BELOIT, WI 53511
Obstetrics & Gynecology
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC
BELOIT, WI 53511
Internal Medicine (Cardiovascular Disease)
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC.
BELOIT, WI 53511

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720097165, enumerated as an "individual" on August 05, 2006.

The provider is located at 1905 E. HUEBBE PARKWAY BELOIT HEALTH SYSTEM INC BELOIT, WI 53511 and the phone number is (608) 364-1219.

Dermatology with taxonomy code 207N00000X.

The provider might be accepting Accepts: Group Health Cooperative-SCW, Quartz, Medicare and. Please consult your insurance carrier or call the provider to verify.

Paul Segal is affiliated with: BELOIT HEALTH SYSTEM.