PAUL FILE M.D.
NPI 1720195266
Emergency Medicine in Monterey, CA

Active since August 23, 2006PECOS EnrolledAccepts Medicare Assignment
84.31/100
CMS Quality Rating
23625 HOLMAN HWY, MONTEREY, CA 93940(831) 624-5311(831) 625-4948 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paul File M.d. NPPES

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

PAUL FILE M.D. (NPI 1720195266) is an individual emergency medicine provider in Monterey, California, licensed in California (A61291) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1994).

NPPES Registry Identity

NPI1720195266
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NamePAUL FILECredential: M.D.
Location Address23625 HOLMAN HWYMonterey, CA 93940-5902
Mailing AddressP O Box Hh, Business Development & ContractingMonterey, CA 93942 · (831) 622-2716 · Fax (831) 625-4764
Fax(831) 625-4948
Sole ProprietorYes
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1994
Enumeration DateAugust 23, 2006
Last NPPES UpdateMarch 21, 2023
NPPES CertifiedMarch 21, 2023
NPI 1720195266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in CA · A61291
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License A61291 (CA)
23625 HOLMAN HWY, Monterey, CA 93940

Other Identifiers 2

Other930086626CA · Railroad
Other00A612910CA · Blue Shield

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 File 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 ID8820070121
PECOS Enrollment IDI20110124000772
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 6

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
210 services206 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
151 services148 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
144 services143 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
47 services47 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
19 services19 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93940 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
$94.44 typical visit price
range $61.69 – $184.30
Typical copayment $23.61 (range $15.42 – $46.07)
Most-billed visit code 99203
Established Patient
$108.04 typical visit price
range $20.34 – $151.02
Typical copayment $27.01 (range $5.08 – $37.75)
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.

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.

84.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality97.88
Improvement Activities0
Cost84.56

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.

Anesthesiology
23625 HOLMAN HWY
MONTEREY, CA 93940
Emergency Medicine
23625 HOLMAN HWY, CHOMP EMERGENCY SERVICES
MONTEREY, CA 93940
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
23625 HOLMAN HWY
MONTEREY, CA 93940
Dietitian, Registered
23625 HOLMAN HWY
MONTEREY, CA 93940
Pharmacist
23625 HOLMAN HWY
MONTEREY, CA 93940
Emergency Medicine
23625 HOLMAN HWY
MONTEREY, CA 93940
Internal Medicine
23625 HOLMAN HWY
MONTEREY, CA 93940
Anesthesiology
23625 HOLMAN HWY
MONTEREY, CA 93940

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 File's NPI number?

The NPI number for Paul File is 1720195266. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Paul File located?

Paul File practices at 23625 Holman Hwy, Monterey, CA 93940. The listed phone number is (831) 624-5311.

What is Paul File's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Paul File enrolled in Medicare?

Yes. Paul File 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.

When was this NPI record last updated?

The NPPES record for Paul File was last updated on March 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.