FRANCES NICOLE PAULEY PA-C
NPI 1992254494
Physician Assistant in South Charleston, WV

Active since September 25, 2016PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
4607 MACCORKLE AVE SW, SUITE 300, SOUTH CHARLESTON, WV 25309(304) 766-3688 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 10, 2022, Sep 25, 2016 (2 updates tracked since 2016).

About Frances Nicole Pauley Pa-c NPPES

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

FRANCES NICOLE PAULEY PA-C (NPI 1992254494) is an individual physician assistant in South Charleston, West Virginia, licensed in West Virginia (2782) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Thomas Memorial Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1992254494
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameFRANCES NICOLE PAULEYCredential: PA-C
Location Address4607 MACCORKLE AVE SW, SUITE 300South Charleston, WV 25309-1364
Mailing Address4607 Maccorkle Ave Sw, Suite 300South Charleston, WV 25309-1364 · (304) 766-3688
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 25, 2016
Last NPPES UpdateNovember 10, 20222 updates tracked since enumeration
NPPES CertifiedNovember 10, 2022
NPI 1992254494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WV · 2782
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4607 MACCORKLE AVE SW, South Charleston, WV 25309

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

Frances Nicole Pauley Pa-c 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 ID1658652789
PECOS Enrollment IDI20170104002048
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 2

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 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.
57 services43 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
14 services11 patients

Hospital Affiliations CMS Care Compare

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

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510029
Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25309 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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606
DME-Other DME · category DE013N
1 supplier16 claims16 services$2,317.67 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.

Pediatrics
4607 MACCORKLE AVE SW, STE 400
SOUTH CHARLESTON, WV 25309
Pediatrics
4607 MACCORKLE AVE SW, MEDICAL PAVILION SUITE 204
SOUTH CHARLESTON, WV 25309
Specialist
4607 MACCORKLE AVE SW, SUITE 201
SOUTH CHARLESTON, WV 25309
Nurse Practitioner (Family)
4607 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Obstetrics & Gynecology
4607 MACCORKLE AVE SW, SUITE 201
SOUTH CHARLESTON, WV 25309
Pediatrics
4607 MACCORKLE AVE SW, MP STE 204
SOUTH CHARLESTON, WV 25309
Obstetrics & Gynecology
4607 MACCORKLE AVE SW, SUITE 201
SOUTH CHARLESTON, WV 25309
Internal Medicine
4607 MACCORKLE AVE SW, SUITE MP200
SOUTH CHARLESTON, WV 25309

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 Frances Pauley's NPI number?

The NPI number for Frances Pauley is 1992254494. It was assigned to this individual provider in the NPPES registry on September 25, 2016.

Where is Frances Pauley located?

Frances Pauley practices at 4607 Maccorkle Ave SW Suite 300, South Charleston, WV 25309. The listed phone number is (304) 766-3688.

What is Frances Pauley's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Frances Pauley enrolled in Medicare?

Yes. Frances Pauley 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 Frances Pauley accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Frances Pauley 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 Frances Pauley affiliated with any hospitals?

According to CMS data, Frances Pauley is affiliated with Thomas Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Frances Pauley was last updated on November 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.