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DR. DAVID MICHAEL PAUL MD
NPI 1851323547
Internal Medicine - Hematology & Oncology in Phoenix, AZ

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment
81.49/100
CMS Quality Rating
925 E MCDOWELL RD, PHOENIX, AZ 85006(602) 521-3700(602) 521-3701 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2023, Sep 26, 2018, Nov 29, 2017 (3 updates tracked since 2017).

About Dr. David Michael Paul Md NPPES

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

DR. DAVID MICHAEL PAUL MD (NPI 1851323547) is an individual hematology & oncology provider in Phoenix, Arizona, licensed in Arizona (23254) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1989).

NPPES Registry Identity

NPI1851323547
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. DAVID MICHAEL PAULCredential: MD
Location Address925 E MCDOWELL RDPhoenix, AZ 85006-2502
Mailing Address925 E Mcdowell RdPhoenix, AZ 85006-2502 · (602) 521-3700 · Fax (602) 521-3701
Phone(602) 521-3700
Fax(602) 521-3701
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1989
Enumeration DateJuly 6, 2006
Last NPPES UpdateJuly 21, 20233 updates tracked since enumeration
NPPES CertifiedJuly 21, 2023
✔ NPI 1851323547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in AZ · 23254
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
925 E MCDOWELL RD, Phoenix, AZ 85006
Open in Google Maps ↗

Other Identifiers 1

Medicaid312489AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., UnitedHealthcare.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. David Michael 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 ID4587662572
PECOS Enrollment IDI20100625000616
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 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.

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.
310 services142 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.
280 services183 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.
47 services47 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.
45 services32 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
37 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85006 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
$168.60 typical visit price
range $55.44 – $168.60
Typical copayment $42.15 (range $13.86 – $42.15)
Most-billed visit code 99205
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

81.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40
Cost38.3

Referred Medical Equipment & Supplies CMS DME claims 6

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

Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
1 supplier20 claims227 services$11.04 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix B4197
Other-Enteral and Parenteral · category OB005N
1 supplier20 claims142 services$278.52 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
1 supplier20 claims142 services$7.97 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
1 supplier20 claims142 services$24.90 avg. paid by Medicare
Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers20 claims1,792 services$0.75 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers15 claims15 services$17.68 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.

TANIDA BROWN M.D.
Psychiatry & Neurology (Psychiatry)
925 E MCDOWELL RD
PHOENIX, AZ 85006
Maricopa County (602) 839-6880
ERIC M REIMAN M.D.
Psychiatry & Neurology (Psychiatry)
925 E MCDOWELL RD, 4TH FLOOR
PHOENIX, AZ 85006
Maricopa County (602) 239-6800
SAMANTHA VALERIE ETIENNE MD
Internal Medicine (Hematology & Oncology)
925 E MCDOWELL RD
PHOENIX, AZ 85006
Maricopa County (804) 256-6444
DR. SAM JACKSON M.D.
Emergency Medicine
925 E MCDOWELL RD, FLOOR 2
PHOENIX, AZ 85006
Maricopa County (602) 239-2280
PHILLIP STANDEN D.O.
Anesthesiology
925 E MCDOWELL RD
PHOENIX, AZ 85006
Maricopa County (602) 839-3339
DEESHA PRASHANT PARMAR PA-C
Physician Assistant
925 E MCDOWELL RD
PHOENIX, AZ 85006
Maricopa County (602) 521-3700
TERRENCE J LOFTUS MD
Surgery
925 E MCDOWELL RD
PHOENIX, AZ 85006
Maricopa County (602) 239-2391
BRITTANY NICOLE SESSION FNP
Nurse Practitioner (Family)
925 E MCDOWELL RD
PHOENIX, AZ 85006
Maricopa County (480) 256-6444

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 David Paul's NPI number?

The NPI number for David Paul is 1851323547. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is David Paul located?

David Paul practices at 925 E Mcdowell Rd, Phoenix, AZ 85006. The listed phone number is (602) 521-3700.

What is David Paul's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is David Paul enrolled in Medicare?

Yes. David 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.

What insurance does David Paul accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list David Paul 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.

When was this NPI record last updated?

The NPPES record for David Paul was last updated on July 21, 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.