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DR. PAUL SCOTT DENKER MD
NPI 1750328811
Internal Medicine - Endocrinology, Diabetes & Metabolism in Palm Harbor, FL

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment
32615 US HIGHWAY 19 N STE 2, PALM HARBOR, FL 34684(727) 789-2784(727) 785-3537 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 3, 2024, Mar 2, 2021, Jan 25, 2021 and 3 more (6 updates tracked since 2017).

About Dr. Paul Scott Denker Md NPPES

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

DR. PAUL SCOTT DENKER MD (NPI 1750328811) is an individual endocrinology, diabetes & metabolism provider in Palm Harbor, Florida, licensed in Florida (ME0043347) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Morton Plant Hospital, and is a graduate of Saint Louis University School Of Medicine (1982).

NPPES Registry Identity

NPI1750328811
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. PAUL SCOTT DENKERCredential: MD
Location Address32615 US HIGHWAY 19 N STE 2Palm Harbor, FL 34684-3176
Mailing Address32615 Us Highway 19 N Ste 2Palm Harbor, FL 34684-3176 · (727) 789-2784 · Fax (727) 785-3537
Phone(727) 789-2784
Fax(727) 785-3537
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 1982
Enumeration DateMay 31, 2006
Last NPPES UpdateAugust 27, 20256 updates tracked since enumeration
NPPES CertifiedAugust 27, 2025
✔ NPI 1750328811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in FL · ME0043347✔ Licensed in FL · 43347
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
32615 US HIGHWAY 19 N STE 2, Palm Harbor, FL 34684
Open in Google Maps ↗

Other Identifiers 2

Other110043768Rr
Medicaid022195900FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Paul Scott Denker 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 ID749443190
PECOS Enrollment IDI20120522000904
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Paul Denker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arthritis Center Inc
Same address
Specialist
32615 US HWY 19 N, STE 2
Palm Harbor, FL 34684
  • Reassigned Medicare billing, Florida enrollment
  • 12 clinicians in this Medicare group
NPI 1730259201 (727) 789-2784
Baycare Medical Group, Inc.
7.2 mi
General Practice
2995 DREW ST FL 2
Clearwater, FL 33759
  • Reassigned Medicare billing, Florida enrollment
  • 2,009 clinicians in this Medicare group
NPI 1043269871 (727) 281-9065

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

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.
116 services102 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.
109 services102 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
21 services21 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100127
Location300 Pinellas StClearwater, FL 33756 · Pinellas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34684 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
3 suppliers31 claims403 services$18.23 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
2 suppliers30 claims930 services$2.33 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
31 suppliers104 claims327 services$6.31 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers17 claims17 services$2.95 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
13 suppliers28 claims55 services$0.98 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
1 supplier23 claims23 services$306.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Denker's NPI number?

The NPI number for Paul Denker is 1750328811. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Paul Denker located?

Paul Denker practices at 32615 Us Highway 19 N Ste 2, Palm Harbor, FL 34684. The listed phone number is (727) 789-2784.

What is Paul Denker's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Paul Denker enrolled in Medicare?

Yes. Paul Denker 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.

Which organizations bill Medicare for Paul Denker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Denker reassigns Medicare benefits to 2 organizations: Arthritis Center Inc (Palm Harbor, FL) and Baycare Medical Group, Inc. (Clearwater, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Denker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Denker accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 1 other insurer list Paul Denker 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 Denker affiliated with any hospitals?

According to CMS data, Paul Denker is affiliated with Morton Plant Hospital.

When was this NPI record last updated?

The NPPES record for Paul Denker was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.