PAUL A BILUNOS M.D.
NPI 1891737946
Internal Medicine in Roseville, CA

Active since June 12, 2006PECOS Enrolled
5 MEDICAL PLAZA DR, SUIRE 190, ROSEVILLE, CA 95661(916) 786-7498(916) 786-2715 Get Directions Write a Review

NPPES record last updated: January 24, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Paul A Bilunos M.d. NPPES

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

PAUL A BILUNOS M.D. (NPI 1891737946) is an individual internal medicine provider in Roseville, California, licensed in California (C33529) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891737946
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePAUL A BILUNOSCredential: M.D.
Location Address5 MEDICAL PLAZA DR, SUIRE 190Roseville, CA 95661-2865
Mailing Address3637 Mission Ave, Suite 7Carmichael, CA 95608-2946 · (916) 786-7498 · Fax (916) 786-2715
Fax(916) 786-2715
Sole ProprietorNo
Enumeration DateJune 12, 2006
Last NPPES UpdateJanuary 24, 2013
NPI 1891737946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · C33529
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

5 MEDICAL PLAZA DR, Roseville, CA 95661

Other Identifiers 3

Medicare PIN00C335290CA
Medicaid00C335290CA
Medicare UPINA35304CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Paul A Bilunos M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95661 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
64%58 patients3/55-star benchmark: 95%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%906 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
94%491 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
90%102 patients5/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%184 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
97%658 patients5/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
85%383 patients4/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
92%651 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 188 patients
94%188 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%658 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
99%658 patients5/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
50%658 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 11

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers29 claims29 services$33.68 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
9 suppliers40 claims40 services$76.58 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers42 claims96 services$29.07 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers26 claims130 services$17.10 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers20 claims100 services$13.64 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers51 claims51 services$46.96 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.

Obstetrics & Gynecology
5 MEDICAL PLAZA DR, SUITE 250
ROSEVILLE, CA 95661
Obstetrics & Gynecology
5 MEDICAL PLAZA DR, SUITE 250
ROSEVILLE, CA 95661
Obstetrics & Gynecology (Gynecology)
5 MEDICAL PLAZA DR, SUITE 250
ROSEVILLE, CA 95661
Nurse Practitioner (Obstetrics & Gynecology)
5 MEDICAL PLAZA DR, SUITE 250
ROSEVILLE, CA 95661
Nurse Practitioner (Obstetrics & Gynecology)
5 MEDICAL PLAZA DR, SUITE 250
ROSEVILLE, CA 95661
Obstetrics & Gynecology
5 MEDICAL PLAZA DR, SUITE 250
ROSEVILLE, CA 95661
Obstetrics & Gynecology
5 MEDICAL PLAZA DR, SUITE 250
ROSEVILLE, CA 95661
Obstetrics & Gynecology (Gynecology)
5 MEDICAL PLAZA DR, SUITE 250
ROSEVILLE, CA 95661

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 Bilunos's NPI number?

The NPI number for Paul Bilunos is 1891737946. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Paul Bilunos located?

Paul Bilunos practices at 5 Medical Plaza Dr Suire 190, Roseville, CA 95661. The listed phone number is (916) 786-7498.

What is Paul Bilunos's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Paul Bilunos enrolled in Medicare?

Yes. Paul Bilunos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Paul Bilunos was last updated on January 24, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.