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ALBERT JAMES PAINE JR. MD
NPI 1760443162
Otolaryngology - Facial Plastic Surgery in Beckley, WV

Active since March 28, 2006PECOS EnrolledAccepts Medicare Assignment
78 BROOKSHIRE LN, BECKLEY, WV 25801(304) 255-2341(304) 255-2343 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 22, 2021, Jan 14, 2021, Mar 26, 2020 and 1 more (4 updates tracked since 2016).

About Albert James Paine Jr. Md NPPES

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

ALBERT JAMES PAINE JR. MD (NPI 1760443162) is an individual facial plastic surgery provider in Beckley, West Virginia, licensed in West Virginia (13309) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Uniontown Hospital, and is a graduate of West Virginia University School Of Medicine (1981).

NPPES Registry Identity

NPI1760443162
Entity TypeIndividualMale
Primary Taxonomy207YS0123X
Provider Legal NameALBERT JAMES PAINE JR.Credential: MD
Location Address78 BROOKSHIRE LNBeckley, WV 25801-6765
Mailing Address78 Brookshire LnBeckley, WV 25801-6765 · (304) 255-2341 · Fax (304) 255-2343
Phone(304) 255-2341
Fax(304) 255-2343
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 1981
Enumeration DateMarch 28, 2006
Last NPPES UpdateMarch 29, 20244 updates tracked since enumeration
NPPES CertifiedMarch 29, 2024
✔ NPI 1760443162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License✔ Licensed in WV · 13309
Definition
An otolaryngologist who specializes in facial plastic surgery.
78 BROOKSHIRE LN, Beckley, WV 25801
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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

Albert James Paine Jr. 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 ID7214989862
PECOS Enrollment IDI20100928001528
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.

Hospital Affiliations CMS Care Compare

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

Uniontown Hospital

Acute Care Hospitals · Uniontown, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390041
Location500 West Berkeley StreetUniontown, PA 15401 · Fayette County
Emergency services

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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
94%1,043 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%718 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
28%47 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
50%1,119 patients3/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
13%373 patients1/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%215 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 82% · 307 patients
100%307 patients5/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
63%1,119 patients3/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
1%1,119 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOUNTAIN STATE ENT & FACIAL PLASTIC SURGERY, INC
Clinic/Center (Medical Specialty)
78 BROOKSHIRE LN
BECKLEY, WV 25801
Raleigh County (304) 255-2341

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 Albert Paine's NPI number?

The NPI number for Albert Paine is 1760443162. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Albert Paine located?

Albert Paine practices at 78 Brookshire Ln, Beckley, WV 25801. The listed phone number is (304) 255-2341.

What is Albert Paine's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Albert Paine enrolled in Medicare?

Yes. Albert Paine 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 Albert Paine accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Albert Paine 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 Albert Paine affiliated with any hospitals?

According to CMS data, Albert Paine is affiliated with Uniontown Hospital.

When was this NPI record last updated?

The NPPES record for Albert Paine was last updated on March 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.