1. Home
  2. Directory
  3. Michigan
  4. Caseville
  5. Physician Assistant
  6. NPI Profile

PAUL PENFOLD P.A.-C
NPI 1871537829
Physician Assistant in Caseville, MI

Active since June 16, 2006PECOS EnrolledAccepts Medicare Assignment
7000 MAIN ST, CASEVILLE, MI 48755(989) 856-3446(989) 856-2209 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Paul Penfold P.a.-c NPPES

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

PAUL PENFOLD P.A.-C (NPI 1871537829) is an individual physician assistant in Caseville, Michigan, licensed in Michigan (5601003455) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Covenant Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1871537829
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NamePAUL PENFOLDCredential: P.A.-C
Location Address7000 MAIN STCaseville, MI 48755
Mailing Address7000 Main StCaseville, MI 48725-5112 · (989) 856-3449 · Fax (989) 856-2209
Phone(989) 856-3446
Fax(989) 856-2209
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJune 16, 2006
Last NPPES UpdateMarch 26, 2021
NPPES CertifiedMarch 26, 2021
✔ NPI 1871537829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601003455
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
7000 MAIN ST, Caseville, MI 48755
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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

Paul Penfold P.a.-c 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 ID6103877469
PECOS Enrollment IDI20050203000360
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.

Hospital Affiliations CMS Care Compare 2

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

Covenant Medical Center

Acute Care Hospitals · Saginaw, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230070
Location1447 N HarrisonSaginaw, MI 48602 · Saginaw County
Emergency services Birthing friendly

Scheurer Hospital

Critical Access Hospitals · Pigeon, MI
OwnershipVoluntary non-profit - Other
CMS Certification Number231310
Location170 N Caseville RdPigeon, MI 48755 · Huron County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48755 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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
7 suppliers46 claims130 services$5.64 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers11 claims20 services$1.13 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier21 claims21 services$17.89 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier26 claims26 services$109.97 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
1 supplier18 claims2,160 services$0.07 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers30 claims30 services$155.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Penfold's NPI number?

The NPI number for Paul Penfold is 1871537829. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Paul Penfold located?

Paul Penfold practices at 7000 Main St, Caseville, MI 48755. The listed phone number is (989) 856-3446.

What is Paul Penfold's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Paul Penfold enrolled in Medicare?

Yes. Paul Penfold 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 Penfold accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Paul Penfold 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 Penfold affiliated with any hospitals?

According to CMS data, Paul Penfold is affiliated with Covenant Medical Center and Scheurer Hospital.

When was this NPI record last updated?

The NPPES record for Paul Penfold was last updated on March 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.