PAUL KEVIN FOSTER M.D.
NPI 1730189366
Otolaryngology in Miami Beach, FL

Active since July 26, 2005PECOS EnrolledAccepts Medicare Assignment
87.59/100
CMS Quality Rating
4302 ALTON RD, #115, MIAMI BEACH, FL 33140(305) 531-7637 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 21, 2022, Nov 20, 2019, Jan 18, 2016 (3 updates tracked since 2016).

About Paul Kevin Foster M.d. NPPES

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

PAUL KEVIN FOSTER M.D. (NPI 1730189366) is an individual otolaryngology provider in Miami Beach, Florida, licensed in Florida (ME79120) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Medical Center Of Florida, Inc, and is a graduate of University Of Florida College Of Medicine (1997).

NPPES Registry Identity

NPI1730189366
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NamePAUL KEVIN FOSTERCredential: M.D.
Location Address4302 ALTON RD, #115Miami Beach, FL 33140-2891
Mailing Address15280 Nw 79th Ct Ste 200Miami Lakes, FL 33016-5873 · (305) 558-3724 · Fax (786) 907-4485
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 1997
Enumeration DateJuly 26, 2005
Last NPPES UpdateSeptember 21, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2022
NPI 1730189366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in FL · ME79120
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

4302 ALTON RD, Miami Beach, FL 33140

Other Identifiers 1

Medicaid279697000FL

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 Kevin Foster 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 ID8729117742
PECOS Enrollment IDI20100528000532
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 14

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.

Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
618 services456 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.
537 services403 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.
433 services369 patients
Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
309 services292 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
308 services308 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
286 services270 patients

Hospital Affiliations CMS Care Compare

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

Mount Sinai Medical Center Of Florida, Inc

Acute Care Hospitals · Miami Beach, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100034
Location4300 Alton RdMiami Beach, FL 33140 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33140 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

87.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.34
Promoting Interoperability91
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers13 claims13 services$37.33 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Orthopaedic Surgery (Hand Surgery)
4302 ALTON RD, SUITE 710
MIAMI BEACH, FL 33140
Internal Medicine
4302 ALTON RD, SUITE 300
MIAMI BEACH, FL 33140
Physical Medicine & Rehabilitation
4302 ALTON RD, SUITE 420
MIAMI BEACH, FL 33140
Nurse Practitioner (Acute Care)
4302 ALTON RD
MIAMI BEACH, FL 33140
Physical Medicine & Rehabilitation
4302 ALTON RD, SUITE 420
MIAMI BEACH, FL 33140
Internal Medicine
4302 ALTON RD, SUITE 900
MIAMI BEACH, FL 33140
Internal Medicine
4302 ALTON RD, SUITE 320
MIAMI BEACH, FL 33140
Surgery
4302 ALTON RD, SUITE 540
MIAMI BEACH, FL 33140

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 Foster's NPI number?

The NPI number for Paul Foster is 1730189366. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Where is Paul Foster located?

Paul Foster practices at 4302 Alton Rd #115, Miami Beach, FL 33140. The listed phone number is (305) 531-7637.

What is Paul Foster's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Paul Foster enrolled in Medicare?

Yes. Paul Foster 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 Foster accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida and 1 other insurer list Paul Foster 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 Foster affiliated with any hospitals?

According to CMS data, Paul Foster is affiliated with Mount Sinai Medical Center Of Florida, Inc.

When was this NPI record last updated?

The NPPES record for Paul Foster was last updated on September 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.