PAUL O'NEILL M.D.
NPI 1821062225
Internal Medicine in Waukesha, WI

Active since February 14, 2006PECOS EnrolledAccepts Medicare Assignment
N14W23900 STONE RIDGE DR, PROHEALTH CARE MEDICAL ASSOICATES INC., WAUKESHA, WI 53188(262) 549-3030 Get Directions Write a Review

NPPES record last updated: April 24, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Paul O'neill M.d. NPPES

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

PAUL O'NEILL M.D. (NPI 1821062225) is an individual internal medicine provider in Waukesha, Wisconsin, licensed in Wisconsin (33540) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Wayne State University School Of Medicine (1988).

NPPES Registry Identity

NPI1821062225
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePAUL O'NEILLCredential: M.D.
Location AddressN14W23900 STONE RIDGE DR, PROHEALTH CARE MEDICAL ASSOICATES INC.Waukesha, WI 53188-1135
Mailing AddressN14w23900 Stone Ridge Dr, Prohealth Care Medical Assoicates Inc.Waukesha, WI 53188-1135 · (262) 549-3030
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1988
Enumeration DateFebruary 14, 2006
Last NPPES UpdateApril 24, 2012
NPI 1821062225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in WI · 33540
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.

Also ListedPediatricsTaxonomy 208000000X · License 33540 (WI)
N14W23900 STONE RIDGE DR, Waukesha, WI 53188

Other Identifiers 4

Medicare PIN683750121
Medicare UPINF35573WI
Medicare ID-Type Unspecified0121WI
Medicaid31842000WI

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 O'neill M.d. 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 ID8022920685
PECOS Enrollment IDI20100215000752
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 15

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
334 services219 patients
Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
197 services123 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
182 services182 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.
102 services95 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.
77 services59 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
76 services63 patients

Hospital Affiliations CMS Care Compare 2

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Oconomowoc Memorial Hospital

Acute Care Hospitals · Oconomowoc, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520062
Location791 E Summit AveOconomowoc, WI 53066 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53188 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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
14 suppliers20 claims71 services$5.27 avg. paid by Medicare
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4036
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims330 services$3.44 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims4,235 services$0.30 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$31.73 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.

Internal Medicine
N14W23900 STONE RIDGE DR, PROHEALTH CARE MEDICAL ASSOCIATES INC.
WAUKESHA, WI 53188
Internal Medicine
N14W23900 STONE RIDGE DR, PROHEALTH CARE MEDICAL ASSOCIATES INC
WAUKESHA, WI 53188
Internal Medicine
N14W23900 STONE RIDGE DR, PROHEALTH CARE MEDICAL ASSOCIATES INC.
WAUKESHA, WI 53188
Internal Medicine (Infectious Disease)
N14W23900 STONE RIDGE DR, PROHEALTH CARE MEDICAL ASSOCIATES
WAUKESHA, WI 53188
Optometrist
N14W23900 STONE RIDGE DR, PROHEALTH CARE MEDICAL ASSOCIATES
WAUKESHA, WI 53188
Internal Medicine
N14W23900 STONE RIDGE DR, PROHEALTH CARE MEDICAL ASSOCIATES INC.
WAUKESHA, WI 53188
Pediatrics
N14W23900 STONE RIDGE DR, PROHEALTH CARE MEDICAL ASSOCIATES INC
WAUKESHA, WI 53188
Otolaryngology
N14W23900 STONE RIDGE DR, PROHEALTH CARE MEDICAL ASSOCIATES INC.
WAUKESHA, WI 53188

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 O'neill's NPI number?

The NPI number for Paul O'neill is 1821062225. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is Paul O'neill located?

Paul O'neill practices at N14w23900 Stone Ridge Dr Prohealth Care Medical Assoicates Inc., Waukesha, WI 53188. The listed phone number is (262) 549-3030.

What is Paul O'neill's specialty?

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

Is Paul O'neill enrolled in Medicare?

Yes. Paul O'neill 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 O'neill accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list Paul O'neill 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 O'neill affiliated with any hospitals?

According to CMS data, Paul O'neill is affiliated with Waukesha Memorial Hospital and Oconomowoc Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Paul O'neill was last updated on April 24, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.