1. Home
  2. Directory
  3. New Jersey
  4. Marlton
  5. Pain Medicine
  6. NPI Profile

DR. MICHAEL J. PAUL D.O.
NPI 1770528754
Pain Medicine - Interventional Pain Medicine in Marlton, NJ

Active since June 16, 2006PECOS Enrolled
851 ROUTE 73 N STE D, MARLTON, NJ 08053(856) 372-9422(856) 409-0393 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 9, 2022, Apr 4, 2020 (2 updates tracked since 2020).

About Dr. Michael J. Paul D.o. NPPES

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

DR. MICHAEL J. PAUL D.O. (NPI 1770528754) is an individual interventional pain medicine provider in Marlton, New Jersey, licensed in New Jersey (25MB07847800) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Egg Harbor Township.

NPPES Registry Identity

NPI1770528754
Entity TypeIndividualMale
Primary Taxonomy208VP0014X
Provider Legal NameDR. MICHAEL J. PAULCredential: D.O.
Location Address851 ROUTE 73 N STE DMarlton, NJ 08053-1275
Mailing Address851 Route 73 N Ste DMarlton, NJ 08053-1275 · (856) 372-9422 · Fax (856) 409-0393
Phone(856) 372-9422
Fax(856) 409-0393
Sole ProprietorNo
Enumeration DateJune 16, 2006
Last NPPES UpdateMarch 9, 20222 updates tracked since enumeration
NPPES CertifiedMarch 9, 2022
✔ NPI 1770528754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in NJ · 25MB07847800
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
851 ROUTE 73 N STE D, Marlton, NJ 08053
Open in Google Maps ↗

Secondary Practice Location 1

Location 13069 English Creek Ave Ste 201Egg Harbor Township, NJ 08234-9708 · Phone (856) 372-9422 · Fax (856) 409-0393

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael J. Paul D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Michael Paul reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Neurosurgical & Spinal Specialists, LLC
Same address
Neurological Surgery
851 ROUTE 73 N STE D
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
NPI 1134624778 (856) 372-9422

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08053 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
58%131 patients3/55-star benchmark: 100%
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.
100%889 patients5/55-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.
77%31 patients3/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
1%889 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.
5%153 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
10%131 patients1/55-star benchmark: 95%
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…
39%416 patients2/55-star benchmark: 100%
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…
76%153 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
17%153 patients1/55-star benchmark: 79%
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 3

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

NEUROSURGICAL & SPINAL SPECIALISTS, LLC
Neurological Surgery
851 ROUTE 73 N STE D
MARLTON, NJ 08053
Burlington County (856) 372-9422
WILLIAM MITCHELL MD
Neurological Surgery
851 ROUTE 73 N STE D
MARLTON, NJ 08053
Burlington County (856) 372-9422
SARAH MCMAHON PA-C
Physician Assistant
851 ROUTE 73 N STE D
MARLTON, NJ 08053
Burlington County (856) 372-9422

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 Michael Paul's NPI number?

The NPI number for Michael Paul is 1770528754. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Michael Paul located?

Michael Paul practices at 851 Route 73 N Ste D, Marlton, NJ 08053. The listed phone number is (856) 372-9422.

What is Michael Paul's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Michael Paul enrolled in Medicare?

Yes. Michael Paul is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Paul's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Paul reassigns Medicare benefits to Neurosurgical & Spinal Specialists, LLC (Marlton, NJ). The 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 Michael Paul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Paul accept?

Health plans from Oscar Health list Michael Paul 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.

When was this NPI record last updated?

The NPPES record for Michael Paul was last updated on March 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.