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PAUL JORGEN NORDNESS M.D.
NPI 1760456941
Surgery in Gadsden, AL

Active since February 15, 2006PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
419 S 5TH ST, GADSDEN, AL 35901(256) 547-6331(256) 547-1711 Get Directions Write a Review

NPPES record last updated: January 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paul Jorgen Nordness M.d. NPPES

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

PAUL JORGEN NORDNESS M.D. (NPI 1760456941) is an individual surgery provider in Gadsden, Alabama, licensed in Alabama (MD.33742) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Cape Fear Valley Medical Center, and is a graduate of Vanderbilt University School Of Medicine (1995).

NPPES Registry Identity

NPI1760456941
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NamePAUL JORGEN NORDNESSCredential: M.D.
Location Address419 S 5TH STGadsden, AL 35901-5101
Mailing Address419 S 5th StGadsden, AL 35901-5101 · (256) 547-6331 · Fax (256) 547-1711
Phone(256) 547-6331
Fax(256) 547-1711
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 1995
Enumeration DateFebruary 15, 2006
Last NPPES UpdateJanuary 13, 2020
✔ NPI 1760456941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in AL · MD.33742
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
419 S 5TH ST, Gadsden, AL 35901
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Other Identifiers 2

Other5122074AL · Blue Cross Blue Shield Of Alabama
Medicaid000207838AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.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 Jorgen Nordness 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 ID8729044797
PECOS Enrollment IDI20180509000494
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 7

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.
64 services40 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
45 services44 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
41 services40 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.
23 services23 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
20 services11 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Cape Fear Valley Medical Center

Acute Care Hospitals · Fayetteville, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340028
Location1638 Owen Drive P O Box 2000Fayetteville, NC 28302 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35901 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost29.37

Other Providers at the Same Location NPPES 5

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

ASHLEY E HENDERSON-GASKIN
Physician Assistant
419 S 5TH ST
GADSDEN, AL 35901
Etowah County (256) 547-6331
DR. CHARLES L NEWMAN M.D.
Surgery
419 S 5TH ST
GADSDEN, AL 35901
Etowah County (256) 547-6331
SURGERY CLINIC, LLC
Surgery
419 S 5TH ST
GADSDEN, AL 35901
Etowah County (256) 547-6331
SURGICAL SPECIALIST ETOWAH COUNTY LLC
Surgery
419 S 5TH ST
GADSDEN, AL 35901
Etowah County (256) 547-6331
DR. LUCIAN NEWMAN III M.D.
Surgery
419 S 5TH ST
GADSDEN, AL 35901
Etowah County (256) 547-6331

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 Nordness's NPI number?

The NPI number for Paul Nordness is 1760456941. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Paul Nordness located?

Paul Nordness practices at 419 S 5th St, Gadsden, AL 35901. The listed phone number is (256) 547-6331.

What is Paul Nordness's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Paul Nordness enrolled in Medicare?

Yes. Paul Nordness 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 Nordness accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 2 other insurers list Paul Nordness 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 Nordness affiliated with any hospitals?

According to CMS data, Paul Nordness is affiliated with Cape Fear Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Nordness was last updated on January 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.