Deactivated NPI 1790791416 Deactivated / Inactive NPI Male Practitioner

Dr. Gerald W Paul , DPM

Podiatrist • Bloomington, IL

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gerald Paul has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 01, 2006

NPI Deactivation Date November 01, 2021

Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Gerald Paul, DPM was a registered Podiatrist practicing in Bloomington, IL. Throughout an active medical career spanning 15 years, Dr. Paul provided care at the practice location at 2502 E EMPIRE ST until profile deactivation on 2021-11-01.

Historical Medicare Part B clinical services included therapy procedure using manual technique, each, established patient outpatient office visit, therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2502 E Empire St

Bloomington, IL 617043738

Telephone 3096636461

Fax 3096635711

Associated Practice Facility / Clinic

🏢 Laura C. Randolph Md Sc Facility NPI 1255527727

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Bloomington, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 30.7 Yrs

State Avg: 29.2 Yrs

Regional Practice Density

7 Specialists

Practicing in Bloomington, IL (647 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97140 Therapy procedure using manual technique, each 15 minutes	232	33	$87.00	$22.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	214	136	$229.58	$126.87
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	165	26	$60.00	$27.95
73630 X-ray of foot, minimum of 3 views	128	85	$178.00	$32.53
97035 Application of ultrasound, each 15 minutes	107	31	$35.00	$10.92
J1030 Injection, methylprednisolone acetate, 40 mg	100	19	$9.50	$5.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$354.00	$165.13
J1100 Injection, dexamethasone sodium phosphate, 1 mg	56	13	$8.50	$0.16
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	48	14	$29.00	$9.72
11721 Removal of fingernails or toenails, 6 or more nails	42	17	$111.00	$43.40
97162 Evaluation for physical therapy, typically 30 minutes	32	31	$175.00	$98.12
97016 Application of blood vessel compression device	24	12	$35.00	$9.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	512	52	$60.00	$26.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	409	222	$229.31	$104.94
97140 Therapy procedure using manual technique, each 15 minutes	294	55	$87.00	$22.19
97035 Application of ultrasound, each 15 minutes	260	53	$35.00	$10.98
73630 X-ray of foot, minimum of 3 views	239	141	$178.00	$30.45
J1030 Injection, methylprednisolone acetate, 40 mg	228	40	$9.50	$5.90
97016 Application of blood vessel compression device	155	45	$35.00	$9.35
J1100 Injection, dexamethasone sodium phosphate, 1 mg	128	29	$8.50	$0.12
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	120	21	$7.20	$6.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	111	111	$354.00	$161.39
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	71	23	$29.00	$10.18
97162 Evaluation for physical therapy, typically 30 minutes	47	46	$175.00	$82.51
97535 Training for self-care or home management, each 15 minutes	36	34	$100.00	$24.79
11721 Removal of fingernails or toenails, 6 or more nails	35	15	$111.00	$44.65
11750 Permanent removal fingernail or toenail	31	22	$554.00	$130.10
97760 Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes	28	14	$100.00	$40.21
64455 Injection of anesthetic and/or steroid drug into foot nerve	23	16	$561.39	$46.29
99213 Established patient office or other outpatient visit, typically 15 minutes	20	20	$158.00	$73.26
28285 Correction of toe joint deformity	19	11	$1847.00	$252.04
20550 Injection into tendon or ligament	17	11	$255.00	$50.32
73610 X-ray of ankle, minimum of 3 views	13	11	$181.00	$32.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	721	48	$60.00	$23.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	464	243	$229.00	$100.59
97140 Therapy procedure using manual technique, each 15 minutes	399	45	$87.00	$20.27
97035 Application of ultrasound, each 15 minutes	341	43	$35.00	$10.04
97016 Application of blood vessel compression device	318	44	$35.00	$9.01
73630 X-ray of foot, minimum of 3 views	201	124	$178.00	$28.07
J1030 Injection, methylprednisolone acetate, 40 mg	195	41	$9.50	$5.95
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	190	29	$66.76	$9.76
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	141	25	$96.00	$30.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	129	129	$354.00	$153.52
J1100 Injection, dexamethasone sodium phosphate, 1 mg	122	31	$8.50	$0.10
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	73	17	$7.20	$6.44
97161 Evaluation of physical therapy, typically 20 minutes	33	32	$128.00	$76.71
97535 Training for self-care or home management, each 15 minutes	28	26	$100.00	$25.57
99213 Established patient office or other outpatient visit, typically 15 minutes	27	26	$158.00	$66.25
64455 Injection of anesthetic and/or steroid drug into foot nerve	26	19	$538.00	$45.15
11750 Permanent removal fingernail or toenail	24	20	$554.00	$134.42
11721 Removal of fingernails or toenails, 6 or more nails	21	13	$111.00	$42.20
20550 Injection into tendon or ligament	16	12	$255.00	$47.86
73620 X-ray of foot, 2 views	11	11	$158.00	$24.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97140 Therapy procedure using manual technique, each 15 minutes	329	32	$87.00	$22.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	309	197	$229.00	$103.96
97035 Application of ultrasound, each 15 minutes	265	31	$35.00	$10.45
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	252	24	$60.00	$28.20
97016 Application of blood vessel compression device	195	24	$35.00	$11.04
J1030 Injection, methylprednisolone acetate, 40 mg	178	31	$9.50	$6.65
73630 X-ray of foot, minimum of 3 views	150	101	$178.00	$27.61
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	145	20	$70.00	$10.54
99213 Established patient office or other outpatient visit, typically 15 minutes	122	97	$158.00	$70.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	114	112	$354.00	$159.86
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	93	19	$7.20	$7.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg	85	18	$8.50	$0.12
11750 Permanent removal fingernail or toenail	20	17	$554.00	$136.43
97161 Evaluation of physical therapy, typically 20 minutes	18	18	$128.00	$80.91
64455 Injection of anesthetic and/or steroid drug into foot nerve	11	11	$538.00	$44.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	442	142	$110.33	$40.04
99213 Established patient office or other outpatient visit, typically 15 minutes	399	268	$156.50	$65.48
73630 X-ray of foot, minimum of 3 views	263	179	$178.00	$25.18
97140 Therapy procedure using manual technique, each 15 minutes	167	18	$87.00	$22.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	138	138	$240.97	$97.58
J1030 Injection, methylprednisolone acetate, 40 mg	129	47	$9.50	$5.97
97035 Application of ultrasound, each 15 minutes	110	18	$35.00	$9.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	108	87	$121.01	$38.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	83	$227.94	$95.56
J1100 Injection, dexamethasone sodium phosphate, 1 mg	79	44	$8.50	$0.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$352.35	$144.97
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	52	16	$7.20	$6.87
11750 Permanent removal fingernail or toenail	34	25	$552.82	$120.29
73610 X-ray of ankle, minimum of 3 views	31	23	$181.00	$27.46
28285 Correction of toe joint deformity	22	12	$1847.00	$245.50
20550 Injection into tendon or ligament	22	17	$251.36	$48.28
64455 Injection of anesthetic and/or steroid drug into foot nerve	18	14	$538.00	$43.71
97161 Evaluation of physical therapy, typically 20 minutes	14	13	$138.07	$73.64
97760 Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes	13	13	$95.00	$33.94

Medical Specialties & State Licenses

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License IL 016004826

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. John Kim , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1023647229

Doctor of Podiatric Medicine

Edward Ericksen

Physical Therapist

NPI 1043610199

Alissa Recker , PT

Physical Therapist

NPI 1053850495

Physical Therapist

Nicholas Von Holten , PA-C

Physician Assistant

NPI 1063054278

Physician Assistant (Certified)

Dr. Elizabeth Plocher , MD

Orthopaedic Surgery - Hand Surgery

NPI 1063655629

Doctor of Medicine (M.D.)

Abby Curtis , PT, MS, CLT

Physical Therapist

NPI 1124036322

Physical Therapist, Master of Science, Certified Lymphedema Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events

⚠️

NPI Profile Deactivated November 01, 2021

Record deactivated on November 01, 2021

📍

Updated Practice Location January 11, 2019

Registered at 3801 GE RD STE 4, BLOOMINGTON, IL 61704 (Tel: 3096629001)

📍

Updated Business Mailing Address January 11, 2019

Registered at 3801 GE RD STE 4, BLOOMINGTON, IL 617044193 (Tel: 3096629001)

✅

NPI Profile Active September 25, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 25, 2017

Registered at 1505 EASTLAND DR, SUITE 250, BLOOMINGTON, IL 61701 (Tel: (309) 662-9001)

📍

Updated Business Mailing Address September 25, 2017

Registered at 1505 EASTLAND DR, SUITE 250, BLOOMINGTON, IL 61701 (Tel: (309) 662-9001)

👤

Provider Name / Credentials Updated September 25, 2017

Recorded as GERALD PAUL, DPM

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2017

Podiatrist (License #016004826 in IL)

✅

NPI Profile Active June 30, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location June 30, 2016

Registered at 2502 E EMPIRE ST, BLOOMINGTON, IL 617043738 (Tel: 3096636461)

📍

Updated Business Mailing Address June 30, 2016

Registered at 1404 EASTLAND DR, STE 104, BLOOMINGTON, IL 617017904 (Tel: 3096629001)

👤

Provider Name / Credentials Updated June 30, 2016

Recorded as GERALD PAUL, D.P.M.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2016

Podiatrist (License #016004826 in IL)

🟢

Initial NPI Registration & Enumeration August 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790791416

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 01, 2006

Last Update: June 30, 2016

Deactivation Date: November 01, 2021

Update or Correct Profile

Mailing Address

1404 Eastland Dr, Ste 104

Bloomington, IL 617017904

Phone: 3096629001

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.