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Active NPI 1235222597 Individual Practitioner Male Practitioner

Dr. Alfred A Paul , MD

Ophthalmology • Pawtucket, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Alfred Paul, MD is a certified Ophthalmology practicing in Pawtucket, RI. With approximately 38 years of clinical experience since graduating from University Of Michigan Medical School in 1988, Dr. Paul delivers high-quality medical care to the local community at 465 EAST AVE.

Dr. Paul is affiliated with Alfred A Paul, Md And Lin Chou, Md, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, established patient problem focused exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

465 East Ave

Pawtucket, RI 028605217

Telephone 4017289350
Fax 4017281320
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Michigan Medical School

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Pawtucket, RI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
38 Yrs +2.0 yrs vs City Avg
City Avg: 36.0 Yrs
State Avg: 33.9 Yrs
Regional Practice Density
4 Specialists

Practicing in Pawtucket, RI (92 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
51.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Paul (38 Years) 38 Yrs
Pawtucket Specialty Average (36.0 Years) 36.0 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
92014 Established patient complete exam of visual system
434 421 $195.00 $132.22
99213 Established patient office or other outpatient visit, typically 15 minutes
157 128 $120.00 $92.88
92012 Established patient problem focused exam of visual system
143 139 $150.00 $93.18
92133 Imaging of optic nerve
124 123 $160.00 $38.13
92083 Exam of visual field with extended testing
123 120 $135.00 $67.04
92134 Imaging of retina
98 87 $160.00 $42.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
38 32 $90.00 $59.06
92020 Examination of cornea and iris using lens device and slit lamp
20 20 $60.00 $28.84
65855 Laser repair to improve eye fluid flow
14 11 $700.00 $257.34
92004 New patient complete exam of visual system
14 14 $225.00 $155.82

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License RI MD10487

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
9026310 (RI)
Commercial Insurance / Payer ID State Medical License #
MD10487 (RI)
Commercial Insurance / Payer ID United Healthcare
0800782
Commercial Insurance / Payer ID Aetna U.s. Healthcare- Master
2450368
Commercial Insurance / Payer ID Railroad Medicare
P00201594
Commercial Insurance / Payer ID Tufts Halth Plan
010487
Commercial Insurance / Payer ID Blue Shield Of Rhode Island
0000026310
Commercial Insurance / Payer ID Blue Chip
407997

Hospital & Practice Group Affiliations

Alfred A Paul, Md And Lin Chou, Md, Inc.

465 E Ave, Pawtucket, RI 028605217

Phone: 4017289350

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Lin Chou , MD

Ophthalmology

NPI 1063505311

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 02, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location June 02, 2008

Registered at 465 EAST AVE, PAWTUCKET, RI 028605217 (Tel: 4017289350)

📍
Updated Business Mailing Address June 02, 2008

Registered at 465 EAST AVE, PAWTUCKET, RI 028605217 (Tel: 4017289350)

👤
Provider Name / Credentials Updated June 02, 2008

Recorded as ALFRED PAUL, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2008

Ophthalmology (License #MD10487 in RI)

🟢
Initial NPI Registration & Enumeration October 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: 1235222597
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 01, 2006
Last Update: June 02, 2008
Sole Proprietor: No

Mailing Address

465 East Ave

Pawtucket, RI 028605217

Phone: 4017289350

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.