PAUL M PRITCHARD MD
NPI 1790718922
Internal Medicine in Green Bay, WI

Active since July 09, 2006PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
3021 VOYAGER DR, GREEN BAY, WI 54311(920) 496-4700(920) 431-1995 Get Directions Write a Review

NPPES record last updated: July 21, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paul M Pritchard Md NPPES

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

PAUL M PRITCHARD MD (NPI 1790718922) is an individual internal medicine provider in Green Bay, Wisconsin, licensed in Wisconsin (39134) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and is a graduate of Medical College Of Wisconsin (1996).

NPPES Registry Identity

NPI1790718922
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePAUL M PRITCHARDCredential: MD
Location Address3021 VOYAGER DRGreen Bay, WI 54311-8303
Mailing AddressPo Box 19070, Prevea HealthGreen Bay, WI 54307-9070 · (920) 496-4700 · Fax (920) 431-1995
Fax(920) 431-1995
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1996
Enumeration DateJuly 9, 2006
Last NPPES UpdateJuly 21, 2008
NPI 1790718922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in WI · 39134
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3021 VOYAGER DR, Green Bay, WI 54311

Other Identifiers 3

Medicare UPING91964
Medicaid32551400WI
Medicare ID-Type Unspecified07125-0167

Accepted 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 M Pritchard 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 ID1355497181
PECOS Enrollment IDI20090921000507
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 2

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.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
37 services37 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
30 services30 patients

Hospital Affiliations CMS Care Compare

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

St Vincent Hospital

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520075
Location835 S Van Buren StGreen Bay, WI 54301 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54311 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7639
DME-Drugs Administered Through DME · category DG000N
2 suppliers18 claims1,350 services$38.01 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers18 claims18 services$26.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Student in an Organized Health Care Education/Training Program
3021 VOYAGER DR
GREEN BAY, WI 54311
Student in an Organized Health Care Education/Training Program
3021 VOYAGER DR
GREEN BAY, WI 54311
Durable Medical Equipment & Medical Supplies
3021 VOYAGER DR
GREEN BAY, WI 54311
Family Medicine
3021 VOYAGER DR
GREEN BAY, WI 54311
Physical Therapist
3021 VOYAGER DR
GREEN BAY, WI 54311
Nurse Practitioner
3021 VOYAGER DR
GREEN BAY, WI 54311
Student in an Organized Health Care Education/Training Program
3021 VOYAGER DR
GREEN BAY, WI 54311
Student in an Organized Health Care Education/Training Program
3021 VOYAGER DR
GREEN BAY, WI 54311

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 Pritchard's NPI number?

The NPI number for Paul Pritchard is 1790718922. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Where is Paul Pritchard located?

Paul Pritchard practices at 3021 Voyager Dr, Green Bay, WI 54311. The listed phone number is (920) 496-4700.

What is Paul Pritchard's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Paul Pritchard enrolled in Medicare?

Yes. Paul Pritchard 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 Pritchard accept?

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

According to CMS data, Paul Pritchard is affiliated with St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Paul Pritchard was last updated on July 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.