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PAUL A. MAERTENS MD
NPI 1912951195
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Mobile, AL

Active since May 20, 2006PECOS EnrolledAccepts Medicare Assignment
96.56/100
CMS Quality Rating
1601 CENTER STREET, STE 2S, MOBILE, AL 36604(251) 660-5108(251) 660-5792 Get Directions Write a Review

NPPES record last updated: February 23, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paul A. Maertens Md NPPES

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

PAUL A. MAERTENS MD (NPI 1912951195) is an individual neurology with special qualifications in child neurology provider in Mobile, Alabama, licensed in Alabama (11964) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1976).

NPPES Registry Identity

NPI1912951195
Entity TypeIndividualMale
Primary Taxonomy2084N0402X
Provider Legal NamePAUL A. MAERTENSCredential: MD
Location Address1601 CENTER STREET, STE 2SMobile, AL 36604-1512
Mailing AddressPo Box 40480Mobile, AL 36640-0480 · (251) 660-5108 · Fax (251) 660-5792
Phone(251) 660-5108
Fax(251) 660-5792
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateMay 20, 2006
Last NPPES UpdateFebruary 23, 2017
✔ NPI 1912951195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in AL · 11964
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 11964 (AL)
1601 CENTER STREET, Mobile, AL 36604
Open in Google Maps ↗

Other Identifiers 7

Medicaid000014649AL
Medicaid256812800FL
Other51014649AL · Blue Cross
Other05-10122AL · United Health Care
Medicaid1379735LA
Medicaid00017940MS
Medicare UPINC74484

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health 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 A. Maertens 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 ID5294864989
PECOS Enrollment IDI20100518000405
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 36604 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

96.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.76
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 18

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

DR. JUAN GONZALO OCHOA MD
Psychiatry & Neurology (Neurology)
1601 CENTER STREET, STE. 2S
MOBILE, AL 36604
Mobile County (251) 660-5108
DR. ANANTHASEKAR PONNAMBALAM M.D.
Pediatrics (Pediatric Gastroenterology)
1601 CENTER STREET, SUITE 1S
MOBILE, AL 36604
Mobile County (251) 410-5437
REGENA SIMPSON W.H.N.P
Nurse Practitioner (Women's Health)
1601 CENTER STREET, STE 3S
MOBILE, AL 36604
Mobile County (251) 415-1496
MRS. TAMI TATE GREEN CRNP, CDE
Nurse Practitioner (Family)
1601 CENTER STREET, STE 1S
MOBILE, AL 36604
Mobile County (251) 410-5437
KAREN D. CRISSINGER MD
Pediatrics (Pediatric Gastroenterology)
1601 CENTER STREET, SUITE 1S
MOBILE, AL 36604
Mobile County (251) 410-5437
DEAN K NARITOKU M.D.
Psychiatry & Neurology (Neurology)
1601 CENTER STREET, STE. 2S
MOBILE, AL 36604
Mobile County (251) 660-5108
LAURA ELIZABETH MINTO MD
Psychiatry & Neurology (Neurology)
1601 CENTER STREET, STE. 2S
MOBILE, AL 36604
Mobile County (251) 660-5108
ANNE-MARIE DORE KAULFERS M.D.
Pediatrics (Pediatric Endocrinology)
1601 CENTER STREET, STE 1S
MOBILE, AL 36604
Mobile County (251) 410-5437

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 Maertens's NPI number?

The NPI number for Paul Maertens is 1912951195. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Paul Maertens located?

Paul Maertens practices at 1601 Center Street Ste 2S, Mobile, AL 36604. The listed phone number is (251) 660-5108.

What is Paul Maertens's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Paul Maertens enrolled in Medicare?

Yes. Paul Maertens 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 Maertens accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Paul Maertens 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.

When was this NPI record last updated?

The NPPES record for Paul Maertens was last updated on February 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.