DR. PAUL RAYMOND HORVATH M.D.
NPI 1912029141
Emergency Medicine in Eau Claire, WI

Active since April 06, 2007PECOS EnrolledAccepts Medicare Assignment
1400 BELLINGER ST, EAU CLAIRE, WI 54703(715) 838-5222 Get Directions Write a Review

NPPES record last updated: September 10, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 10, 2020, May 10, 2019, May 7, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Paul Raymond Horvath M.d. NPPES

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

DR. PAUL RAYMOND HORVATH M.D. (NPI 1912029141) is an individual emergency medicine provider in Eau Claire, Wisconsin, licensed in Minnesota (58776) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System Eau Claire Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1912029141
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. PAUL RAYMOND HORVATHCredential: M.D.
Location Address1400 BELLINGER STEau Claire, WI 54703-5222
Mailing AddressPo Box 1510Eau Claire, WI 54702-1510 · (175) 838-5222
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2004
Enumeration DateApril 6, 2007
Last NPPES UpdateSeptember 10, 20204 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2020
NPI 1912029141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in MN · 58776 Licensed in MI · 4301083984 Licensed in WI · 51625 Licensed in AZ · 50155
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1400 BELLINGER ST, Eau Claire, WI 54703

Secondary Practice Locations 2

Location 1200 1st St SWRochester, MN 55905-5222 · Phone (507) 284-2511
Location 213400 E Shea BlvdScottsdale, AZ 85259-5452 · Phone (480) 301-8000

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 Raymond Horvath 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 ID8527169481
PECOS Enrollment IDI20081112000731
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
67 services66 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
29 services29 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Mayo Clinic Health System Eau Claire Hospital

Acute Care Hospitals · Eau Claire, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520070
Location1221 Whipple StEau Claire, WI 54703 · Eau Claire County
Emergency services Birthing friendly

Mayo Clinic Hlth Systm Franciscan Hlthcare Sparta

Critical Access Hospitals · Sparta, WI
OwnershipVoluntary non-profit - Church
CMS Certification Number521305
Location310 W Main StSparta, WI 54656 · Monroe County
Emergency services

Mayo Clinic Health System-Northland

Critical Access Hospitals · Barron, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521315
Location1222 E Woodland AveBarron, WI 54812 · Barron County
Emergency services

Mayo Clinic Health System-Red Cedar Inc

Critical Access Hospitals · Menomonie, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521340
Location2321 Stout RdMenomonie, WI 54751 · Dunn County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54703 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

Occupational Therapist
1400 BELLINGER ST
EAU CLAIRE, WI 54703
Occupational Therapist
1400 BELLINGER ST
EAU CLAIRE, WI 54703
Counselor (Professional)
1400 BELLINGER ST
EAU CLAIRE, WI 54703
Dietitian, Registered
1400 BELLINGER ST
EAU CLAIRE, WI 54703
Pediatrics
1400 BELLINGER ST
EAU CLAIRE, WI 54703
Family Medicine
1400 BELLINGER ST
EAU CLAIRE, WI 54703
Occupational Therapist
1400 BELLINGER ST
EAU CLAIRE, WI 54703
Pharmacist
1400 BELLINGER ST
EAU CLAIRE, WI 54703

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 Horvath's NPI number?

The NPI number for Paul Horvath is 1912029141. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Where is Paul Horvath located?

Paul Horvath practices at 1400 Bellinger St, Eau Claire, WI 54703. The listed phone number is (715) 838-5222.

What is Paul Horvath's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Paul Horvath enrolled in Medicare?

Yes. Paul Horvath 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 Horvath accept?

Health plans from Medica list Paul Horvath 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 Horvath affiliated with any hospitals?

According to CMS data, Paul Horvath is affiliated with Mayo Clinic Health System Eau Claire Hospital, Mayo Clinic Hlth Systm Franciscan Hlthcare Sparta, Mayo Clinic Health System-Northland and Mayo Clinic Health System-Red Cedar Inc.

When was this NPI record last updated?

The NPPES record for Paul Horvath was last updated on September 10, 2020. 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.