Active NPI 1467431213 Individual Practitioner Male Practitioner

Dr. James F Paul , DDS, MS, MD

Plastic Surgery • Davenport, IA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Paul, DDS, MS, MD is a certified Plastic Surgery practicing in Davenport, IA. With approximately 30 years of clinical experience since graduating from Louisiana State University School Of Medicine In Shreveport in 1996, Dr. Paul delivers high-quality medical care to the local community at 3385 DEXTER CT.

Dr. Paul accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3385 Dexter Ct
Suite 115

Davenport, IA 528073461

Telephone 5633594777

Fax 5633594781

Associated Practice Facility / Clinic

🏢 Mississippi Valley Sleep Supplies Facility NPI 1376518787

Medicare Profile & Education

Medical School

Louisiana State University School Of Medicine In Shreveport

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Davenport, IA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +12.7 yrs vs City Avg

City Avg: 17.3 Yrs

State Avg: 20.7 Yrs

Regional Practice Density

4 Specialists

Practicing in Davenport, IA (31 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

84.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Paul (30 Years) 30 Yrs

Davenport Specialty Average (17.3 Years) 17.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	163	95	$204.32	$81.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$344.49	$102.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$525.32	$153.81
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	27	26	$1099.68	$97.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	23	$315.60	$111.66
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	25	21	$1553.59	$168.26
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	24	23	$1135.22	$100.86
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	20	20	$1028.22	$88.26
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	19	19	$118.72	$21.18
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	11	11	$1583.55	$270.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	129	70	$204.32	$80.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$344.49	$102.25
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	24	22	$118.72	$21.32
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	22	21	$1135.22	$106.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$525.32	$147.95
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	20	15	$1553.59	$145.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$315.60	$118.80
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	13	13	$1028.22	$83.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	164	96	$199.67	$84.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$339.29	$100.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	33	$519.25	$146.85
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	31	29	$117.47	$21.52
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	22	22	$1128.47	$94.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$311.18	$120.76
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	13	12	$1062.55	$113.74
11104 Punch biopsy, first skin growth	12	12	$336.32	$104.27
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	12	12	$1528.18	$183.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	176	113	$190.95	$86.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$321.95	$106.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	29	$294.95	$123.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$490.95	$159.28
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	30	27	$110.95	$21.40
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	19	18	$1023.95	$113.61
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$517.95	$210.54
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	14	13	$1451.95	$183.25
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	13	13	$1060.95	$96.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	186	111	$181.96	$70.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$471.06	$155.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$306.43	$98.96
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	33	27	$104.37	$21.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	20	$279.71	$97.96
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$491.70	$196.50
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	17	16	$920.74	$240.41
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	13	13	$1007.95	$196.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	206	119	$179.56	$69.30
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	63	44	$103.76	$21.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	38	$277.32	$102.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$462.95	$154.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$302.95	$97.76
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$487.95	$194.57
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	16	14	$990.95	$100.46
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	14	14	$879.95	$167.19
11644 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 3.1-4.0 cm	13	13	$1616.95	$196.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	153	97	$156.97	$63.86
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	78	57	$90.33	$18.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$403.30	$145.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	34	$243.31	$95.34
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	39	39	$424.23	$182.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$261.81	$94.75
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	19	19	$866.63	$90.44
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	16	16	$827.33	$90.06
11644 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 3.1-4.0 cm	14	14	$1409.45	$215.41
11100 Biopsy of single growth of skin and/or tissue	14	14	$233.38	$88.36
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	12	12	$764.45	$178.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	155	91	$153.95	$62.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	44	$237.95	$92.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$394.95	$141.05
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	40	40	$415.95	$179.98
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	22	22	$814.95	$89.25
11646 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, more than 4.0 cm	18	18	$1759.95	$335.71
11100 Biopsy of single growth of skin and/or tissue	16	16	$226.78	$85.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$258.95	$93.66
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	12	12	$846.95	$85.03
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	12	12	$751.95	$81.03
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	12	12	$1161.95	$142.59

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License IA 33897

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Specialist

NUCC Taxonomy Code: 174400000X

State License IA 33897

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Oral & Maxillofacial Surgery

NUCC Taxonomy Code: 204E00000X

State License IA 33897

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036104275 (IL)

Medicaid State Provider ID

0244574 (IA)

Practice Associates & Co-Workers

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

38 Associated Practitioners

Joel Mason , PT

Physical Therapist

NPI 1023004074

Physical Therapist

Cassie Davis

Nurse Practitioner - Acute Care

NPI 1023965910

Dr. Tuvi Mendel , MD

Orthopaedic Surgery - Foot and Ankle Surgery

NPI 1033189535

Doctor of Medicine (M.D.)

Elizabeth Miller , PT

Physical Therapist

NPI 1043516073

Physical Therapist

Dr. Kathryn Rockafellow , DPT

Physical Therapist

NPI 1073800561

Doctor of Physical Therapy

Jennifer Tyler , PA-C

Physician Assistant - Surgical

NPI 1083684484

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 24, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location February 24, 2015

Registered at 3385 DEXTER CT, SUITE 115, DAVENPORT, IA 528073461 (Tel: 5633594777)

📍

Updated Business Mailing Address February 24, 2015

Registered at 3385 DEXTER CT, SUITE 115, DAVENPORT, IA 528073461 (Tel: 5633594777)

👤

Provider Name / Credentials Updated February 24, 2015

Recorded as JAMES PAUL, D.D.S., M.S., M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2015

Specialist (License #33897 in IA)

🟢

Initial NPI Registration & Enumeration January 11, 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: 1467431213

Entity Type:

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

Enumeration Date: January 11, 2006

Last Update: February 24, 2015

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

3385 Dexter Ct, Suite 115

Davenport, IA 528073461

Phone: 5633594777

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

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