PAUL A MCHENRY MD
NPI 1962422923
Internal Medicine - Infectious Disease in Duluth, MN
About Paul A Mchenry Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAUL A MCHENRY MD (NPI 1962422923) is an individual infectious disease provider in Duluth, Minnesota, licensed in Wisconsin (2409) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and maintains a secondary practice location in Reno.
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Paul A Mchenry 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.
Medicare Billing Reassignments
5Medicare enrollment records show Paul Mchenry reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Watertown, WI 53094
- Reassigned Medicare billing, Wisconsin enrollment
- 528 clinicians in this Medicare group
Show Low, AZ 85901
- Reassigned Medicare billing, Arizona enrollment
- 117 clinicians in this Medicare group
Phoenix, AZ 85016
- Reassigned Medicare billing, Arizona enrollment
- 240 clinicians in this Medicare group
Goodyear, AZ 85338
- Reassigned Medicare billing, Arizona enrollment
- 359 clinicians in this Medicare group
Sierra Vista, AZ 85635
- Reassigned Medicare billing, Arizona enrollment
- 372 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Waukesha Memorial Hospital
Acute Care Hospitals · Waukesha, WIOconomowoc Memorial Hospital
Acute Care Hospitals · Oconomowoc, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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
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.
DULUTH, MN 55805
DULUTH, MN 55805
DULUTH, MN 55805
DULUTH, MN 55805
DULUTH, MN 55805
DULUTH, MN 55805
DULUTH, MN 55805
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 Mchenry's NPI number?
The NPI number for Paul Mchenry is 1962422923. It was assigned to this individual provider in the NPPES registry on July 20, 2006.
Where is Paul Mchenry located?
Paul Mchenry practices at 400 East 3rd Street, Duluth, MN 55805. The listed phone number is (218) 786-8364.
What is Paul Mchenry's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.
Is Paul Mchenry enrolled in Medicare?
Yes. Paul Mchenry 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.
Which organizations bill Medicare for Paul Mchenry's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Mchenry reassigns Medicare benefits to 5 organizations: Prohealth Medical Group Inc (Watertown, WI), Comprehensive Hospitalist Services Of Arizona LLC (Show Low, AZ), Apogee Medical Group Inc (Phoenix, AZ), City Of Hope Medical Group Of Arizona LLC (Goodyear, AZ) and Cogent Healthcare Of Arizona PC (Sierra Vista, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Mchenry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Paul Mchenry accept?
Health plans from Blue Cross Blue Shield of Arizona, Dean Health Plan and Network Health list Paul Mchenry 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 Mchenry affiliated with any hospitals?
According to CMS data, Paul Mchenry is affiliated with Waukesha Memorial Hospital and Oconomowoc Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Paul Mchenry was last updated on April 23, 2024. 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.
# Paul A Mchenry, MD · NPI 1962422923
Infectious Disease physician in Duluth, Minnesota. Individual provider, active in the CMS NPPES registry since July 20, 2006.
## Identity
- **NPI:** 1962422923 (Entity type: Individual)
- **Enumerated:** July 20, 2006
- **Primary specialty:** Internal Medicine - Infectious Disease · taxonomy 207RI0200X
- **State license:** 2409 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 EAST 3RD STREET, Duluth, MN 55805
- **Phone:** (218) 786-8364
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Prohealth Medical Group Inc (NPI 1629119417, Watertown, WI); Comprehensive Hospitalist Services Of Arizona LLC (NPI 1487964771, Show Low, AZ); Apogee Medical Group Inc (NPI 1205883725, Phoenix, AZ); City Of Hope Medical Group Of Arizona LLC (NPI 1609026806, Goodyear, AZ); Cogent Healthcare Of Arizona PC (NPI 1568758266, Sierra Vista, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Northeastern Ohio University College Of Medicine, class of 1989
## Record status
- **NPPES last updated:** April 23, 2024
- **Other identifiers:** Medicaid 4707483-10 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1962422923) · Data from the CMS NPPES public registry.