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DR. PAUL WILLIAM KLOOSTRA MD, DDS
NPI 1952503104
Dentist - Oral and Maxillofacial Surgery in Charleston, WV

Active since June 01, 2007PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
830 PENNSYLVANIA AVE, SUITE 302, CHARLESTON, WV 25302(304) 388-2950(304) 388-2951 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Paul William Kloostra Md, Dds NPPES

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

DR. PAUL WILLIAM KLOOSTRA MD, DDS (NPI 1952503104) is an individual oral and maxillofacial surgery provider in Charleston, West Virginia, licensed in West Virginia (26313) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and is a graduate of University Of Michigan School Of Dentistry (2007).

NPPES Registry Identity

NPI1952503104
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. PAUL WILLIAM KLOOSTRACredential: MD, DDS
Location Address830 PENNSYLVANIA AVE, SUITE 302Charleston, WV 25302-3302
Mailing Address830 Pennsylvania Ave 302Charleston, WV 25302-3390 · (304) 388-2950 · Fax (304) 388-2951
Phone(304) 388-2950
Fax(304) 388-2951
Sole ProprietorNo
Medical School CMSUniversity Of Michigan School Of DentistryGraduated 2007
Enumeration DateJune 1, 2007
Last NPPES UpdateSeptember 19, 2023
NPPES CertifiedSeptember 19, 2023
✔ NPI 1952503104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in WV · 26313
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
830 PENNSYLVANIA AVE, Charleston, WV 25302
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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

Dr. Paul William Kloostra Md, Dds 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 ID1355575234
PECOS Enrollment IDI20150117000142
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

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25302 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

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.

DR. STEPHEN HAROLD BUSH MD
Obstetrics & Gynecology
830 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Kanawha County (304) 388-1515
DR. JOHN M ECKERD M.D.
Pediatrics (Pediatric Cardiology)
830 PENNSYLVANIA AVE, SUITE 103
CHARLESTON, WV 25302
Kanawha County (304) 388-1552
CARRIE MARIE BUSH M.D.
Otolaryngology
830 PENNSYLVANIA AVE, SUITE 405
CHARLESTON, WV 25302
Kanawha County (304) 388-2980
MARCUS DODDRIDGE SHAFFER M.D.
Otolaryngology
830 PENNSYLVANIA AVE, SUITE 302
CHARLESTON, WV 25302
Kanawha County (304) 388-2950
PICKENS A. GANTT II M.D.
Obstetrics & Gynecology (Reproductive Endocrinology)
830 PENNSYLVANIA AVE, SUITE 205
CHARLESTON, WV 25302
Kanawha County (304) 388-2863
MS. JENNIFER DIVITA D.O.
Pediatrics
830 PENNSYLVANIA AVE, STE 200
CHARLESTON, WV 25302
Kanawha County (304) 388-2709
INTEGRATED HEALTH CARE PROVIDERS, INC.
Clinical Medical Laboratory
830 PENNSYLVANIA AVE, SUITE 302
CHARLESTON, WV 25302
Kanawha County (304) 388-2950
SCOTT A. NAEGELE, MD, PLLC
Obstetrics & Gynecology
830 PENNSYLVANIA AVE, SUITE 108
CHARLESTON, WV 25302
Kanawha County (304) 344-8368

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 Kloostra's NPI number?

The NPI number for Paul Kloostra is 1952503104. It was assigned to this individual provider in the NPPES registry on June 1, 2007.

Where is Paul Kloostra located?

Paul Kloostra practices at 830 Pennsylvania Ave Suite 302, Charleston, WV 25302. The listed phone number is (304) 388-2950.

What is Paul Kloostra's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Paul Kloostra enrolled in Medicare?

Yes. Paul Kloostra 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 Kloostra accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, CareSource and Delta Dental PPO and 5 other insurers list Paul Kloostra 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 Kloostra affiliated with any hospitals?

According to CMS data, Paul Kloostra is affiliated with Charleston Area Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Kloostra was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.