PAUL A REDER M.D.
NPI 1871521567
Otolaryngology in Boerne, TX

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment
34910 INTERSTATE 10 W, BOERNE, TX 78006(361) 994-4880(361) 994-4890 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 14, 2024, May 25, 2022, May 28, 2019 (3 updates tracked since 2019).

About Paul A Reder M.d. NPPES

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

PAUL A REDER M.D. (NPI 1871521567) is an individual otolaryngology provider in Boerne, Texas, licensed in Texas (J7153) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Lovelace Regional Hospital - Roswell, and maintains a secondary practice location in Marshfield.

NPPES Registry Identity

NPI1871521567
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NamePAUL A REDERCredential: M.D.
Location Address34910 INTERSTATE 10 WBoerne, TX 78006-9229
Mailing Address1620 N Main StSpanish Fork, UT 84660-1008 · (801) 822-2234
Fax(361) 994-4890
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1989
Enumeration DateJune 29, 2006
Last NPPES UpdateAugust 14, 20243 updates tracked since enumeration
NPPES CertifiedAugust 14, 2024
✔ NPI 1871521567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in TX · J7153✔ Licensed in WI · 101249
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
34910 INTERSTATE 10 W, Boerne, TX 78006

Secondary Practice Location 1

Location 11000 N OAK AVEMarshfield, WI 54449-5703 · Phone (715) 387-5511

Other Identifiers 7

Medicaid100262986WI
Medicaid1353229-12TX
Medicaid135322913TX
Other8BR082TX · Bcbs
Other8S4592TX · Bcbs
Medicaid135322914TX
Medicaid135322916TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paul A Reder 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 ID5496728958
PECOS Enrollment IDI20040813000867, I20220606000319, I20240126003025
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.

Medicare Billing Reassignments

10

Medicare enrollment records show Paul Reder reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Practitioner
1381 S MAIN STREET
Boerne, TX 78006
  • Reassigned Medicare billing, Texas enrollment
  • 179 clinicians in this Medicare group
Surgery
2990 RODEO PARK DR E
Santa Fe, NM 87505
  • Reassigned Medicare billing, New Mexico enrollment
  • 399 clinicians in this Medicare group
Otolaryngology
3917 WEST RD
Los Alamos, NM 87544
  • Reassigned Medicare billing, New Mexico and Texas enrollments
  • 30 clinicians in this Medicare group
Family Medicine
1580 W JAMES ST
Columbus, WI 53925
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Beaver Dam Community Hospitals Inc.
  • 1,447 clinicians in this Medicare group
Obstetrics & Gynecology
8905 W LINCOLN AVE, SUITE 515
West Allis, WI 53227
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
Clinic/Center
2310 CRAIG RD
Eau Claire, WI 54701
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1952890873 (Wisconsin)
  • 2,476 clinicians in this Medicare group
Clinic/Center
N3708 RIVER AVE
Neillsville, WI 54456
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1346239373 (Wisconsin)
  • 1,440 clinicians in this Medicare group
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
Clinic/Center
806 2ND ST
Chetek, WI 54728
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,616 clinicians in this Medicare group
Clinic/Center
98 SHERRY AVE
Park Falls, WI 54552
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1700963048 (Wisconsin)
  • 1,351 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
61 services61 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.
56 services49 patients
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.
23 services21 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.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Lovelace Regional Hospital - Roswell

Acute Care Hospitals · Roswell, NM
3/5 CMS rating
OwnershipProprietary
CMS Certification Number320086
Location117 East 19th StreetRoswell, NM 88201 · Chaves County
Emergency services Birthing friendly

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78006 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
34910 INTERSTATE 10 W, SUITE 301
BOERNE, TX 78006
Occupational Therapist
34910 INTERSTATE 10 W, SUITE 401
BOERNE, TX 78006
Internal Medicine (Pulmonary Disease)
34910 INTERSTATE 10 W, SUITE 601
BOERNE, TX 78006
Hearing Instrument Specialist
34910 INTERSTATE 10 W, BLDG 301
BOERNE, TX 78006

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 Reder's NPI number?

The NPI number for Paul Reder is 1871521567. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Paul Reder located?

Paul Reder practices at 34910 Interstate 10 W, Boerne, TX 78006. The listed phone number is (361) 994-4880.

What is Paul Reder's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Paul Reder enrolled in Medicare?

Yes. Paul Reder 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.

Which organizations bill Medicare for Paul Reder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Reder reassigns Medicare benefits to 10 organizations: C H Wilkinson Physician Network (Boerne, TX), St. Vincent Hospital (Santa Fe, NM), National Sinus Institute PLLC (Los Alamos, NM), Beaver Dam Community Hosptials Inc (Columbus, WI), Aurora Medical Group, Inc. (West Allis, WI) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Reder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Reder 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 8 other insurers list Paul Reder 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 Reder affiliated with any hospitals?

According to CMS data, Paul Reder is affiliated with Lovelace Regional Hospital - Roswell and Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Reder was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.