DR. MONICA PAULO MD
NPI 1982703849
Internal Medicine - Pulmonary Disease in Bismarck, ND

Active since September 21, 2006PECOS EnrolledAccepts Medicare Assignment
79.63/100
CMS Quality Rating
310 N 10TH ST, BISMARCK, ND 58501(701) 530-7500(701) 530-7484 Get Directions Write a Review

NPPES record last updated: February 11, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Monica Paulo Md NPPES

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

DR. MONICA PAULO MD (NPI 1982703849) is an individual pulmonary disease provider in Bismarck, North Dakota, licensed in North Dakota (7026) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Chi St Alexius Health, and is a graduate of Saint Louis University School Of Medicine (1985).

NPPES Registry Identity

NPI1982703849
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameDR. MONICA PAULOCredential: MD
Location Address310 N 10TH STBismarck, ND 58501-4516
Mailing Address310 N 10th StBismarck, ND 58501-4516 · (701) 530-7500 · Fax (701) 530-7484
Fax(701) 530-7484
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 1985
Enumeration DateSeptember 21, 2006
Last NPPES UpdateFebruary 11, 2010
NPI 1982703849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in ND · 7026
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

310 N 10TH ST, Bismarck, ND 58501

Other Identifiers 3

Other1982703849Npi
OtherP00767211ND · Railroad Medicare
OtherP00202358ND · Railroad Medicare

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. Monica Paulo 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 ID2961452925
PECOS Enrollment IDI20050127000186
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 11

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
479 services361 patients
Established patient office or other outpatient visit, 40-54 minutes 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
329 services234 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
309 services151 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
180 services161 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
95 services93 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
90 services90 patients

Hospital Affiliations CMS Care Compare

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

Chi St Alexius Health

Acute Care Hospitals · Bismarck, ND
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number350002
Location900 E BroadwayBismarck, ND 58501 · Burleigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58501 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
$127.45 typical visit price
range $55.75 – $168.12
Typical copayment $31.86 (range $13.93 – $42.03)
Most-billed visit code 99204
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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.

79.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.03
Promoting Interoperability78
Improvement Activities40
Cost74.42

Referred Medical Equipment & Supplies CMS DME claims 24

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
6 suppliers117 claims236 services$1.64 avg. paid by Medicare
Filter, disposable, used with aerosol compressor or ultrasonic generator A7013
DME-Other DME · category DE000N
2 suppliers59 claims116 services$0.56 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers25 claims25 services$88.07 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers44 claims47 services$34.31 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
1 supplier20 claims40 services$21.18 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers14 claims47 services$15.98 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 20

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

Anesthesiology
310 N 10TH ST
BISMARCK, ND 58501
Physician Assistant
310 N 10TH ST
BISMARCK, ND 58501
Anesthesiology
310 N 10TH ST
BISMARCK, ND 58501
Anesthesiology
310 N 10TH ST
BISMARCK, ND 58501
Anesthesiology
310 N 10TH ST
BISMARCK, ND 58501
Anesthesiology
310 N 10TH ST
BISMARCK, ND 58501
Internal Medicine (Interventional Cardiology)
310 N 10TH ST
BISMARCK, ND 58501
Nurse Practitioner (Gerontology)
310 N 10TH ST
BISMARCK, ND 58501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982703849, enumerated as an "individual" on September 21, 2006.

The provider is located at 310 N 10TH ST BISMARCK, ND 58501 and the phone number is (701) 530-7500.

Internal Medicine with taxonomy code 207RP1001X and a focus in Pulmonary Disease.

The provider might be accepting Accepts: Blue Cross Blue Shield of North Dakota, Medica,. Please consult your insurance carrier or call the provider to verify.

Monica Paulo is affiliated with: CHI ST ALEXIUS HEALTH.