PAUL ANTHONY CRITELLI MD
NPI 1831351790
Surgery in Tyler, TX
About Paul Anthony Critelli Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAUL ANTHONY CRITELLI MD (NPI 1831351790) is an individual surgery provider in Tyler, Texas, licensed in Texas (Q6618) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Tyler Regional Hospital, and is a graduate of University Of Texas Medical School At Houston (2008).
NPPES Registry Identity
Specialties & Licenses 2
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 Anthony Critelli 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.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ut Health East Texas Tyler Regional Hospital
Acute Care Hospitals · Tyler, TXThe University Of Texas Health Science Center At Tyler
Acute Care Hospitals · Tyler, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75708 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
TYLER, TX 75708
TYLER, TX 75708
TYLER, TX 75708
TYLER, TX 75708
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 Critelli's NPI number?
The NPI number for Paul Critelli is 1831351790. It was assigned to this individual provider in the NPPES registry on July 1, 2008.
Where is Paul Critelli located?
Paul Critelli practices at 11937 Us Highway 271, Tyler, TX 75708. The listed phone number is (903) 877-8790.
What is Paul Critelli's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Paul Critelli enrolled in Medicare?
Yes. Paul Critelli 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 Critelli accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Paul Critelli 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 Critelli affiliated with any hospitals?
According to CMS data, Paul Critelli is affiliated with Ut Health East Texas Tyler Regional Hospital and The University Of Texas Health Science Center At Tyler.
When was this NPI record last updated?
The NPPES record for Paul Critelli was last updated on June 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.
