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JAMES LEE PAULSGROVE MD
NPI 1982964607
Internal Medicine in Blue Springs, MO

Active since May 29, 2012PECOS EnrolledAccepts Medicare Assignment
80.41/100
CMS Quality Rating
201 NW R D MIZE RD, BLUE SPRINGS, MO 64014(816) 228-5900 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About James Lee Paulsgrove Md NPPES

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

JAMES LEE PAULSGROVE MD (NPI 1982964607) is an individual internal medicine provider in Blue Springs, Missouri, licensed in Missouri (2015015365) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Norman Regional, and is a graduate of University Of Oklahoma College Of Medicine (2012).

NPPES Registry Identity

NPI1982964607
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJAMES LEE PAULSGROVECredential: MD
Location Address201 NW R D MIZE RDBlue Springs, MO 64014-2513
Mailing Address36123 Schoolcraft RdLivonia, MI 48150-1216 · (913) 660-1616
Phone(816) 228-5900
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2012
Enumeration DateMay 29, 2012
Last NPPES UpdateOctober 27, 2020
NPPES CertifiedOctober 27, 2020
✔ NPI 1982964607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in MO · 2015015365✔ Licensed in KS · 04-38164✔ Licensed in OK · 29180
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
201 NW R D MIZE RD, Blue Springs, MO 64014
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Accepted Insurance

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

James Lee Paulsgrove 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 ID1658591326
PECOS Enrollment IDI20210107001533
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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
442 services229 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
222 services212 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
193 services123 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
192 services185 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
111 services65 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
66 services65 patients

Hospital Affiliations CMS Care Compare

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

Norman Regional

Acute Care Hospitals · Norman, OK
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370008
Location3300 Healthplex PkwyNorman, OK 73072 · Cleveland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64014 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
$127.61 typical visit price
range $55.29 – $168.52
Typical copayment $31.90 (range $13.82 – $42.13)
Most-billed visit code 99204
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
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.

80.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality47.5
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%337 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%740 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers68 claims68 services$15.58 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
4 suppliers44 claims44 services$895.27 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
7 suppliers112 claims112 services$71.00 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
2 suppliers30 claims30 services$31.34 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.

SPEROS GABRIEL DO
Orthopaedic Surgery
201 NW R D MIZE RD
BLUE SPRINGS, MO 64014
Jackson County (816) 228-5900
MR. JEREMY MICHAEL DAVES CRNA
Nurse Anesthetist, Certified Registered
201 NW R D MIZE RD, ANESTHESIA SERVICES OF BLUE SPRINGS/ST. MARY'S MEDICAL
BLUE SPRINGS, MO 64014
Jackson County (816) 988-8415
CATHERINE GIESEKE BSN, BSBA, RN, CCRN
Registered Nurse (Critical Care Medicine)
201 NW R D MIZE RD
BLUE SPRINGS, MO 64014
Jackson County (816) 655-5500
JOHN MCGARRY HOLKINS MD
Internal Medicine (Interventional Cardiology)
201 NW R D MIZE RD
BLUE SPRINGS, MO 64014
Jackson County (816) 220-1117
ELIZABETH KEPHART FNP-BC
Nurse Practitioner (Family)
201 NW R D MIZE RD
BLUE SPRINGS, MO 64014
Jackson County (816) 228-5900
OMNI EMERGENCY MEDICINE LLC
Emergency Medicine
201 NW R D MIZE RD
BLUE SPRINGS, MO 64014
Jackson County (816) 228-5900
AUGUSTINE AI NGUYEN DO
Student in an Organized Health Care Education/Training Program
201 NW R D MIZE RD
BLUE SPRINGS, MO 64014
Jackson County (816) 228-5900
MR. MICHAEL ANDREW ROTH CAA
Anesthesiologist Assistant
201 NW R D MIZE RD
BLUE SPRINGS, MO 64014
Jackson County (816) 228-5900

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 James Paulsgrove's NPI number?

The NPI number for James Paulsgrove is 1982964607. It was assigned to this individual provider in the NPPES registry on May 29, 2012.

Where is James Paulsgrove located?

James Paulsgrove practices at 201 NW R D Mize Rd, Blue Springs, MO 64014. The listed phone number is (816) 228-5900.

What is James Paulsgrove's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Paulsgrove enrolled in Medicare?

Yes. James Paulsgrove 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 James Paulsgrove accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica and Mending Health list James Paulsgrove 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 James Paulsgrove affiliated with any hospitals?

According to CMS data, James Paulsgrove is affiliated with Norman Regional.

When was this NPI record last updated?

The NPPES record for James Paulsgrove was last updated on October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.