DR. PAUL J. JENSEN MD
NPI 1912018649
Family Medicine in Cresco, IA

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
321 8TH AVE W, CRESCO, IA 52136(563) 547-2022 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 6, 2026, Apr 14, 2021, Sep 15, 2020 (3 updates tracked since 2020).

About Dr. Paul J. Jensen Md NPPES

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

DR. PAUL J. JENSEN MD (NPI 1912018649) is an individual family medicine provider in Cresco, Iowa, licensed in Iowa (32522) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Regional Health Services Of Howard County, and is a graduate of University Of Nebraska College Of Medicine (1996).

NPPES Registry Identity

NPI1912018649
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PAUL J. JENSENCredential: MD
Location Address321 8TH AVE WCresco, IA 52136-1064
Mailing Address321 8th Ave WCresco, IA 52136-1064 · (563) 547-2022
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1996
Enumeration DateAugust 31, 2006
Last NPPES UpdateApril 6, 20263 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
NPI 1912018649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IA · 32522
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
321 8TH AVE W, Cresco, IA 52136

Other Identifiers 1

Medicaid7153437IA

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

Dr. Paul J. Jensen 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 ID8527103258
PECOS Enrollment IDI20100305000715
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

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
33 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Regional Health Services Of Howard County

Critical Access Hospitals · Cresco, IA
OwnershipGovernment - Local
CMS Certification Number161328
Location235 8th Avenue WestCresco, IA 52136 · Howard County
Emergency services Birthing friendly

Mercy Medical Center-New Hampton

Critical Access Hospitals · New Hampton, IA
OwnershipVoluntary non-profit - Church
CMS Certification Number161331
Location308 North Maple AvenueNew Hampton, IA 50659 · Chickasaw County
Emergency services

Winnmed

Critical Access Hospitals · Decorah, IA
OwnershipGovernment - Local
CMS Certification Number161371
Location901 Montgomery StreetDecorah, IA 52101 · Winneshiek County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52136 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 17

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
8 suppliers52 claims101 services$6.06 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers16 claims17 services$1.05 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers16 claims2,520 services$1.61 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers19 claims19 services$44.81 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers45 claims45 services$105.51 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers52 claims57 services$40.78 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 15

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

Family Medicine
321 8TH AVE W
CRESCO, IA 52136
Nurse Practitioner
321 8TH AVE W
CRESCO, IA 52136
Surgery
321 8TH AVE W
CRESCO, IA 52136
Nurse Practitioner (Psychiatric/Mental Health)
321 8TH AVE W
CRESCO, IA 52136
Family Medicine
321 8TH AVE W
CRESCO, IA 52136
Internal Medicine
321 8TH AVE W
CRESCO, IA 52136
Nurse Practitioner (Family)
321 8TH AVE W
CRESCO, IA 52136
Family Medicine
321 8TH AVE W
CRESCO, IA 52136

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 Jensen's NPI number?

The NPI number for Paul Jensen is 1912018649. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Paul Jensen located?

Paul Jensen practices at 321 8th Ave W, Cresco, IA 52136. The listed phone number is (563) 547-2022.

What is Paul Jensen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Paul Jensen enrolled in Medicare?

Yes. Paul Jensen 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 Jensen accept?

Health plans from Avera Health Plans, Medica, Oscar Insurance Company and Quartz list Paul Jensen 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 Jensen affiliated with any hospitals?

According to CMS data, Paul Jensen is affiliated with Regional Health Services Of Howard County, Mercy Medical Center-New Hampton and Winnmed.

When was this NPI record last updated?

The NPPES record for Paul Jensen was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.