PRITIKANTA PAUL MD
NPI 1801201025
Psychiatry & Neurology - Neurology in San Francisco, CA

Active since June 26, 2014PECOS EnrolledAccepts Medicare Assignment
87.08/100
CMS Quality Rating
1001 POTRERO AVE. BLDG. 5 #4M, SAN FRANCISCO, CA 94110(628) 206-3200 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pritikanta Paul Md NPPES

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

PRITIKANTA PAUL MD (NPI 1801201025) is an individual neurology provider in San Francisco, California, licensed in California (A187641) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1801201025
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NamePRITIKANTA PAULCredential: MD
Location Address1001 POTRERO AVE. BLDG. 5 #4MSan Francisco, CA 94110-3518
Mailing AddressPo Box 743749Los Angeles, CA 90074-7439
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 26, 2014
Last NPPES UpdateAugust 3, 2023
NPPES CertifiedAugust 3, 2023
NPI 1801201025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in CA · A187641 Licensed in MN · 63894
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Secondary Practice Locations 2

Location 13000 Arlington Avenue, MS 1050, Graduate Medical EducationTOLEDO, OH 43614 · Phone (419) 383-3661 · Fax (419) 383-3093
Location 2200 1st St SWRochester, MN 55905 · Phone (507) 284-2511

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

Pritikanta Paul 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 ID6103120746
PECOS Enrollment IDI20230815000963
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 18

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.

Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
104 services79 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
87 services32 patients
Needle measurement of electrical activity in arm or leg muscles, limited study 95885
This procedure, known as an electromyography (EMG), involves placing tiny needles into your arm or leg muscles to measure their electrical activity. It's a limited study, meaning only specific muscles are tested. This helps identify any muscle or nerve dysfunction.
64 services55 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
64 services38 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
53 services46 patients
Needle measurement of electrical activity in arm or leg muscles, limited study 95885
This procedure, known as an electromyography (EMG), involves placing tiny needles into your arm or leg muscles to measure their electrical activity. It's a limited study, meaning only specific muscles are tested. This helps identify any muscle or nerve dysfunction.
42 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94110 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

87.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.79
Promoting Interoperability100
Improvement Activities40
Cost52.82

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 Pritikanta Paul's NPI number?

The NPI number for Pritikanta Paul is 1801201025. It was assigned to this individual provider in the NPPES registry on June 26, 2014.

Where is Pritikanta Paul located?

Pritikanta Paul practices at 1001 Potrero Ave. Bldg. 5 #4m, San Francisco, CA 94110. The listed phone number is (628) 206-3200.

What is Pritikanta Paul's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Pritikanta Paul enrolled in Medicare?

Yes. Pritikanta Paul 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.

When was this NPI record last updated?

The NPPES record for Pritikanta Paul was last updated on August 3, 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.