PAUL JOHN PERCIVAL MD
NPI 1972595692
Family Medicine in Hollister, CA

Active since August 18, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 05D0944904 · Microscopy
591 MCCRAY ST, STE 221, HOLLISTER, CA 95023(831) 638-9715(831) 637-7691 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 29, 2022, Apr 19, 2022 (2 updates tracked since 2022).

About Paul John Percival Md NPPES

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

PAUL JOHN PERCIVAL MD (NPI 1972595692) is an individual family medicine provider in Hollister, California, licensed in California (G83115) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through April 21, 2028, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1993).

NPPES Registry Identity

NPI1972595692
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePAUL JOHN PERCIVALCredential: MD
Location Address591 MCCRAY ST, STE 221Hollister, CA 95023-2224
Mailing Address591 Mccray St, Ste 221Hollister, CA 95023-2224 · (831) 638-9715 · Fax (831) 637-7691
Fax(831) 637-7691
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1993
Enumeration DateAugust 18, 2005
Last NPPES UpdateSeptember 29, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2022
NPI 1972595692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · G83115
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.

591 MCCRAY ST, Hollister, CA 95023

Other Identifiers 1

Medicaid00G831151CA

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 John Percival 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 ID4082715602
PECOS Enrollment IDI20070726000744
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0944904

Paul Percival,md · Hollister, CA
Active · expires Apr 21, 2028
CLIA Number05D0944904
Laboratory TypePhysician Office
Certificate Effective DateApril 22, 2026
Certificate Expiration DateApril 21, 2028
Laboratory DirectorPaul J. Percival
Laboratory Phone(831) 638-9715
Laboratory LocationPaul Percival,md591 Mccray Street #221, Hollister, CA 95023
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 32

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
2,220 services27 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
383 services184 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
352 services221 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
317 services317 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
314 services314 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
312 services201 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95023 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
$107.20 typical visit price
range $70.72 – $207.37
Typical copayment $26.80 (range $17.68 – $51.84)
Most-billed visit code 99203
Established Patient
$122.36 typical visit price
range $24.01 – $170.46
Typical copayment $30.59 (range $6.00 – $42.61)
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.

Referred Medical Equipment & Supplies CMS DME claims 20

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
7 suppliers39 claims84 services$6.00 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers13 claims13 services$0.96 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers40 claims40 services$31.07 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers18 claims18 services$70.65 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers19 claims56 services$23.69 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers18 claims108 services$14.72 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 10

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

Family Medicine
591 MCCRAY ST, SUITE 211
HOLLISTER, CA 95023
Family Medicine
591 MCCRAY ST, #231
HOLLISTER, CA 95023
Speech-Language Pathologist
591 MCCRAY ST, SUITE 201
HOLLISTER, CA 95023
Family Medicine
591 MCCRAY ST, SUITE 221
HOLLISTER, CA 95023
Speech-Language Pathologist
591 MCCRAY ST, SUITE 201
HOLLISTER, CA 95023
Speech-Language Pathologist
591 MCCRAY ST, SUITE 201
HOLLISTER, CA 95023
Family Medicine
591 MCCRAY ST, SUITE 221
HOLLISTER, CA 95023
Physician Assistant
591 MCCRAY ST, SUITE 101
HOLLISTER, CA 95023

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 Percival's NPI number?

The NPI number for Paul Percival is 1972595692. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is Paul Percival located?

Paul Percival practices at 591 Mccray St Ste 221, Hollister, CA 95023. The listed phone number is (831) 638-9715.

What is Paul Percival's specialty?

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

Is Paul Percival enrolled in Medicare?

Yes. Paul Percival 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.

Does Paul Percival hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0944904) is associated with this NPI, valid through April 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Paul Percival was last updated on September 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.