PAUL M SEGAL MD
NPI 1720097165
Dermatology in Beloit, WI

Q: What is Paul Segal's NPI number?

The NPI number for Paul Segal is 1720097165. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Q: What is Paul Segal's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Segal was last updated on February 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

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: August 09, 2026.

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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

Phone(608) 364-1219

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

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Other Identifiers 2

Medicare UPINB56484

Medicaid1720097165WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Group Health Cooperative-SCW, Quartz.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 IDI20071226000106, I20100327000286

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 25

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.

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.

3,086 services692 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.

1,462 services920 patients

Destruction of precancer skin growth, 2-14 growths 17003

1,274 services266 patients

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.

857 services538 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 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.

739 services505 patients

Destruction of precancer skin growth, 1 growth 17000

526 services337 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

318 services198 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

225 services154 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

208 services185 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

79 services79 patients

Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm 11602

This procedure involves the surgical removal of a cancerous skin growth on the body, arms, or legs. The growth is between 1.1 and 2.0 cm in size. The goal is to eliminate cancer cells and prevent them from spreading to other parts of the body.

66 services55 patients

Biopsy of related skin growth, first growth 11102

62 services60 patients

Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm 11642

This procedure involves the surgical removal of a cancerous skin growth on the face, ears, eyelids, nose, lips, or mouth. The growth is between 1.1-2.0 cm in size. This is done to prevent the cancer from spreading and to restore health.

61 services58 patients

Destruction of precancer skin growth, 15 or more growths 17004

This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.

54 services38 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

34 services34 patients

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 12032

This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.

29 services27 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

25 services23 patients

Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm 11622

This procedure involves the careful removal of a cancerous skin growth measuring between 1.1 to 2.0 cm, located on the scalp, neck, hands, or feet. The goal is to eliminate the cancer and prevent its spread. This is done under local anesthesia to minimize discomfort.

24 services23 patients

Destruction of precancer skin growth, 15 or more growths 17004

23 services18 patients

Punch biopsy, first skin growth 11104

A punch biopsy is a procedure where a small, circular tool is used to remove a sample of skin tissue. This is usually done to test a skin growth for potential issues. You may feel a pinch, but discomfort is minimal. The area heals quickly.

19 services18 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

19 services17 patients

Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm 11603

This procedure involves the removal of a cancerous skin growth, between 2.1 and 3.0 cm, from the body, arms, or legs. The area is numbed, then the growth is carefully cut out. The goal is to eliminate all cancer cells while minimizing scarring.

18 services16 patients

Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm 12052

This procedure involves repairing a wound on the face, ears, eyelids, nose, lips, or mouth that measures between 2.6-5.0 cm. The process includes cleaning, suturing if necessary, and dressing the wound to promote healing and prevent infection.

14 services14 patients

Simple or single drainage of skin abscess 10060

A simple or single drainage of skin abscess is a procedure to remove pus from a skin infection. A small cut is made on the abscess, the pus is drained out, and the area is cleaned. This helps to reduce pain, speed up recovery, and prevent the spread of infection.

12 services12 patients

Removal of skin tag, 1-15 skin tags 11200

Skin tag removal is a simple procedure where small, benign growths on the skin are carefully removed. This can be achieved through several methods such as freezing, burning, or cutting off the skin tags. The process is quick, typically painless with local anesthesia, and aids in skin smoothness.

12 services12 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

Quality

58.79

Promoting Interoperability

100

Improvement Activities

Cost

51.38

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.

VIJAYA SOMARAJU M.D.

Internal Medicine (Infectious Disease)

1905 E. HUEBBE PARKWAY, BELOIT CLINIC
BELOIT, WI 53511

Rock County (608) 364-2240

STEVEN S. YANG M.D.

Internal Medicine (Gastroenterology)

1905 E. HUEBBE PARKWAY
BELOIT, WI 53511

Rock County (608) 364-1460

WILLIAM M FITZGERALD II MD

Internal Medicine

1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC.
BELOIT, WI 53511

Rock County (608) 364-2200

MARIA M. POPLAWSKA GOETZEN MD

Family Medicine

1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC
BELOIT, WI 53511

Rock County (608) 364-2410

DR. JACK-KY WANG MD

Family Medicine

1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM, INC
BELOIT, WI 53511

Rock County (608) 364-2410

ALAN J REHBEIN OD

Optometrist

1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC.
BELOIT, WI 53511

Rock County (608) 364-2200

MARIA E TAVERAS MD

Internal Medicine (Cardiovascular Disease)

1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC.
BELOIT, WI 53511

Rock County (608) 364-2400

DR. CHRISTEL TECARRO MD.

Family Medicine

1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC
BELOIT, WI 53511

Rock County (608) 364-2240

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 Segal's NPI number?

The NPI number for Paul Segal is 1720097165. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Paul Segal located?

Paul Segal practices at 1905 E. Huebbe Parkway Beloit Health System Inc, Beloit, WI 53511. The listed phone number is (608) 364-1219.

What is Paul Segal's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Paul Segal enrolled in Medicare?

Yes. Paul Segal 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 Segal accept?

Health plans from Group Health Cooperative-SCW and Quartz list Paul Segal 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 Segal affiliated with any hospitals?

According to CMS data, Paul Segal is affiliated with Beloit Health System.

When was this NPI record last updated?

The NPPES record for Paul Segal was last updated on February 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.