PAUL S METZLER CRNA
NPI 1790720274
Nurse Anesthetist, Certified Registered in Roanoke, VA

Active since June 18, 2006Accepts Medicare Assignment
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014(540) 981-7000 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Paul S Metzler Crna NPPES

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

PAUL S METZLER CRNA (NPI 1790720274) is an individual nurse anesthetist, certified registered in Roanoke, Virginia, licensed in Virginia (0024186002) and active in the NPI registry since June 2006. He is affiliated with Carilion Medical Center, maintains a secondary practice location in Advance, and is a graduate of University Of Arizona College Of Medicine (2005).

NPPES Registry Identity

NPI1790720274
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NamePAUL S METZLERCredential: CRNA
Location Address1906 BELLEVIEW AVE SERoanoke, VA 24014-1838
Mailing Address213 S Jefferson St Ste ARoanoke, VA 24011-1705 · (540) 224-5353
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2005
Enumeration DateJune 18, 2006
Last NPPES UpdateOctober 7, 2024
NPPES CertifiedOctober 7, 2024
✔ NPI 1790720274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in VA · 0024186002✔ Licensed in NM · R56419
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1906 BELLEVIEW AVE SE, Roanoke, VA 24014

Secondary Practice Location 1

Location 1128 Peachtree Ln, Ste BAdvance, NC 27006-6782 · Phone (336) 998-3396

Other Identifiers 8

Medicaid075020AZ
Other202007308NM · Presbyterian Hp
MedicaidT0506UT
Medicaid83156062CO
OtherNM006B96NM · Bcbs
OtherP00380768NM · Rr Medicare
Medicaid58006036NM
Other10026471NM · Lovelace Hp

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paul S Metzler Crna 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 ID9436168077
PECOS Enrollment IDI20230309002857

Medicare Billing Reassignments

2

Medicare enrollment records show Paul Metzler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Anesthetist, Certified Registered
213 S JEFFERSON ST, SUITE 801
Roanoke, VA 24011
  • Reassigned Medicare billing, Virginia enrollment
  • 140 clinicians in this Medicare group
Anesthesiology
224-D NW CORNWALL STREET, SUITE 205
Leesburg, VA 20176
  • Reassigned Medicare billing, Virginia enrollment
  • 1,217 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 9

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.

Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
57 services57 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
29 services29 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
22 services22 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
17 services17 patients
Anesthesia for total hip replacement 01214
Anesthesia for total hip replacement is a medical service where medication is given to eliminate pain during surgery. Two types are commonly used: general anesthesia, making you unconscious, or spinal anesthesia, numbing the lower body. The choice depends on your health and your doctor's recommendation.
15 services15 patients
Anesthesia for other procedure on urinary system through urethra 00910
Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.
14 services12 patients

Hospital Affiliations CMS Care Compare

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

Carilion Medical Center

Acute Care Hospitals · Roanoke, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490024
Location1906 Belleview Avenue, SERoanoke, VA 24014 · Roanoke City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24014 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

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.

Physician Assistant
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Anesthesiology
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Family Medicine
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Anesthesiology
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Student in an Organized Health Care Education/Training Program
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Student in an Organized Health Care Education/Training Program
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Student in an Organized Health Care Education/Training Program
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Nurse Practitioner
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014

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 Metzler's NPI number?

The NPI number for Paul Metzler is 1790720274. It was assigned to this individual provider in the NPPES registry on June 18, 2006.

Where is Paul Metzler located?

Paul Metzler practices at 1906 Belleview Ave SE, Roanoke, VA 24014. The listed phone number is (540) 981-7000.

What is Paul Metzler's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Paul Metzler enrolled in Medicare?

Yes. Paul Metzler 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.

Which organizations bill Medicare for Paul Metzler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Metzler reassigns Medicare benefits to 2 organizations: Carilion Professional Services LLC (Roanoke, VA) and American Anesthesiology Of Virginia, PC (Leesburg, VA). Each 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 Paul Metzler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Metzler accept?

Health plans from Cigna Healthcare list Paul Metzler 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 Metzler affiliated with any hospitals?

According to CMS data, Paul Metzler is affiliated with Carilion Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Metzler was last updated on October 7, 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.