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DR. PAUL ANTHONY PALMER MD
NPI 1821086000
Surgery in Beaver Dam, WI

Active since October 11, 2005PECOS EnrolledAccepts Medicare Assignment
75.66/100
CMS Quality Rating
705 S UNIVERSITY AVE, STE 350, BEAVER DAM, WI 53916(920) 887-0379(920) 887-0382 Get Directions Write a Review

NPPES record last updated: November 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Paul Anthony Palmer Md NPPES

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

DR. PAUL ANTHONY PALMER MD (NPI 1821086000) is an individual surgery provider in Beaver Dam, Wisconsin, licensed in Wisconsin (44261020) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center - Beaver Dam (mmc-bd), and is a graduate of University Of Wisconsin School Of Medicine (1997).

NPPES Registry Identity

NPI1821086000
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. PAUL ANTHONY PALMERCredential: MD
Location Address705 S UNIVERSITY AVE, STE 350Beaver Dam, WI 53916-3053
Mailing Address705 S University Ave, Ste 350Beaver Dam, WI 53916-3053 · (920) 887-0379 · Fax (920) 887-0382
Phone(920) 887-0379
Fax(920) 887-0382
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1997
Enumeration DateOctober 11, 2005
Last NPPES UpdateNovember 16, 2022
✔ NPI 1821086000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in WI · 44261020
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
705 S UNIVERSITY AVE, Beaver Dam, WI 53916
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Other Identifiers 1

Medicaid34216200WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Network Health and more.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

Dr. Paul Anthony Palmer 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 ID3375727175
PECOS Enrollment IDI20110401000548
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 10

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
90 services90 patients
Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384
This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.
88 services88 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
49 services48 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
19 services19 patients
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249
This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Marshfield Medical Center - Beaver Dam (mmc-Bd)

Acute Care Hospitals · Beaver Dam, WI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520076
Location707 S University AveBeaver Dam, WI 53916 · Dodge County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53916 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

75.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.27
Promoting Interoperability99
Improvement Activities40
Cost50.45

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.

GEORGE E DAVIS MD
Ophthalmology
705 S UNIVERSITY AVE, SUITE 100
BEAVER DAM, WI 53916
Dodge County (920) 887-1151
DEAN HEALTH SYSTEMS, INC.
Durable Medical Equipment & Medical Supplies
705 S UNIVERSITY AVE, STE 500
BEAVER DAM, WI 53916
Dodge County (920) 887-3102
UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC
Durable Medical Equipment & Medical Supplies
705 S UNIVERSITY AVE, SUITE 200
BEAVER DAM, WI 53916
Dodge County (920) 887-9272
DR. WILLIAM HENRY BULL V MD
Internal Medicine
705 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Dodge County (920) 887-9272
MARSHLAND PHARMACIES INC
Pharmacy (Community/Retail Pharmacy)
705 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Dodge County (920) 356-0040
LYNN R SWIGGUM A.T.C., L.A.T.
Specialist
705 S UNIVERSITY AVE, SUITE 150
BEAVER DAM, WI 53916
Dodge County (920) 885-2663
SUSAN LORRAINE SUTTER R.PH.
Pharmacist
705 S UNIVERSITY AVE, SUITE 180
BEAVER DAM, WI 53916
Dodge County (920) 356-0040
WILSON H LUY TAN, MD LTD
Psychiatry & Neurology (Neurology)
705 S UNIVERSITY AVE, SUITE 380
BEAVER DAM, WI 53916
Dodge County (920) 887-3460

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 Palmer's NPI number?

The NPI number for Paul Palmer is 1821086000. It was assigned to this individual provider in the NPPES registry on October 11, 2005.

Where is Paul Palmer located?

Paul Palmer practices at 705 S University Ave Ste 350, Beaver Dam, WI 53916. The listed phone number is (920) 887-0379.

What is Paul Palmer's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Paul Palmer enrolled in Medicare?

Yes. Paul Palmer 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 Palmer accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Network Health, Quartz and Sanford Health Plan and 1 other insurer list Paul Palmer 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 Palmer affiliated with any hospitals?

According to CMS data, Paul Palmer is affiliated with Marshfield Medical Center - Beaver Dam (mmc-Bd).

When was this NPI record last updated?

The NPPES record for Paul Palmer was last updated on November 16, 2022. 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.