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MR. PAUL M JULIEN MD
NPI 1770662462
Otolaryngology in Newport, VT

Active since November 03, 2006PECOS EnrolledAccepts Medicare Assignment
90.05/100
CMS Quality Rating
189 PROUTY DR, NEWPORT, VT 05855(802) 334-3262(802) 334-9022 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 10, 2023, Jun 29, 2021 (2 updates tracked since 2021).

About Mr. Paul M Julien Md NPPES

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

MR. PAUL M JULIEN MD (NPI 1770662462) is an individual otolaryngology provider in Newport, Vermont, licensed in Vermont (0420010859) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with North Country Hospital And Health Center, and is a graduate of Other (1973).

NPPES Registry Identity

NPI1770662462
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameMR. PAUL M JULIENCredential: MD
Location Address189 PROUTY DRNewport, VT 05855-9326
Mailing AddressPo Box 808Newport, VT 05855 · (802) 334-9009 · Fax (802) 334-9022
Phone(802) 334-3262
Fax(802) 334-9022
Sole ProprietorYes
Medical School CMSOtherGraduated 1973
Enumeration DateNovember 3, 2006
Last NPPES UpdateMay 10, 20232 updates tracked since enumeration
NPPES CertifiedMay 10, 2023
✔ NPI 1770662462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in VT · 0420010859
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.
189 PROUTY DR, Newport, VT 05855
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Other Identifiers 3

Medicaid1011153VT
Other68401VT · Bcbs Vt
Other30205421NH · Meaid Nh

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Mr. Paul M Julien 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 ID9032168828
PECOS Enrollment IDI20050119000577
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 5

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
29 services25 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
23 services23 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
23 services23 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.
21 services21 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

North Country Hospital And Health Center

Critical Access Hospitals · Newport, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471304
Location189 Prouty DriveNewport, VT 05855 · Orleans County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05855 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
$127.71 typical visit price
range $55.80 – $168.48
Typical copayment $31.92 (range $13.95 – $42.12)
Most-billed visit code 99204
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
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.

90.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40
Cost50.17

Reported Quality Measures

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.
3%207 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.
11%344 patients1/55-star benchmark: 97%
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…
72%344 patients3/55-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…
6%344 patients1/55-star benchmark: 89%
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.
24%344 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 20

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

DANIELLE L SPEER NP
Nurse Practitioner (Adult Health)
189 PROUTY DR
NEWPORT, VT 05855
Orleans County (802) 334-4108
JOHN N HENRY JR. PAC
Physician Assistant
189 PROUTY DR
NEWPORT, VT 05855
Orleans County (802) 334-7331
JESSICA KATHLEEN ANDREWS
Family Medicine
189 PROUTY DR
NEWPORT, VT 05855
Orleans County (802) 334-7331
MISS KATE SCHWEITZER SLP
Speech-Language Pathologist
189 PROUTY DR
NEWPORT, VT 05855
Orleans County (802) 334-3260
MR. ARTHUR D ALSOBROOK JR., M.D.
Emergency Medicine
189 PROUTY DR, EMERGENCY DEPARTMENT
NEWPORT, VT 05855
Orleans County (802) 334-4111
DR. WEILI GRAY M.D.
Internal Medicine (Sleep Medicine)
189 PROUTY DR
NEWPORT, VT 05855
Orleans County (802) 334-4108
NORTH COUNTRY HOSPITAL & HEALTH CENTER INC
Radiology (Diagnostic Radiology)
189 PROUTY DR
NEWPORT, VT 05855
Orleans County (802) 334-7331
NORTH COUNTRY HOSPITAL & HEALTH CENTER INC
General Acute Care Hospital (Critical Access)
189 PROUTY DR
NEWPORT, VT 05855
Orleans County (802) 334-7331

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 Julien's NPI number?

The NPI number for Paul Julien is 1770662462. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Paul Julien located?

Paul Julien practices at 189 Prouty Dr, Newport, VT 05855. The listed phone number is (802) 334-3262.

What is Paul Julien's specialty?

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

Is Paul Julien enrolled in Medicare?

Yes. Paul Julien 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 Julien accept?

Health plans from Anthem Blue Cross and Blue Shield list Paul Julien 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 Julien affiliated with any hospitals?

According to CMS data, Paul Julien is affiliated with North Country Hospital And Health Center.

When was this NPI record last updated?

The NPPES record for Paul Julien was last updated on May 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.