Active NPI 1831351790 Individual Practitioner Male Practitioner

Dr. Paul Anthony Critelli , MD

Surgery • Tyler, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Paul Critelli, MD is a certified Surgery practicing in Tyler, TX. With approximately 18 years of clinical experience since graduating from University Of Texas Medical School At Houston in 2008, Dr. Critelli delivers high-quality medical care to the local community at 11937 US HIGHWAY 271.

Dr. Critelli maintains professional affiliations with University Of Texas Health Science Center At Tyler-Facilty-Physician, Etmc Physician Group, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11937 Us Highway 271

Tyler, TX 757083154

Telephone 9038778790

Associated Practice Facility / Clinic

🏢 University Of Texas Health Science Center At Tyler Facility NPI 1417941295

Medicare Profile & Education

Medical School

University Of Texas Medical School At Houston

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Tyler, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -7.5 yrs vs City Avg

City Avg: 25.5 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

32 Specialists

Practicing in Tyler, TX (2342 Statewide)

Telehealth Adoption Rate

3.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Critelli (18 Years) 18 Yrs

Tyler Specialty Average (25.5 Years) 25.5 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	21	16	$159.52	$86.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$225.00	$78.03
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$150.00	$62.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$246.53	$106.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	11	$315.83	$123.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	17	13	$150.00	$63.56
99213 Established patient office or other outpatient visit, typically 15 minutes	16	14	$156.88	$86.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$225.00	$79.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	11	$347.17	$125.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$235.50	$107.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$228.97	$78.40
99213 Established patient office or other outpatient visit, typically 15 minutes	20	16	$150.00	$64.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	17	$75.00	$34.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$382.00	$130.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$394.23	$130.23
99213 Established patient office or other outpatient visit, typically 15 minutes	31	24	$150.00	$66.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$243.69	$81.78
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$556.14	$172.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$408.96	$128.52
99213 Established patient office or other outpatient visit, typically 15 minutes	23	22	$150.00	$51.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$75.00	$25.59
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$495.00	$168.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	30	24	$153.33	$50.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$225.00	$75.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$373.96	$127.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	14	$75.00	$25.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	17	$231.89	$77.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	49	21	$298.52	$111.15
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	43	22	$162.88	$67.68
99213 Established patient office or other outpatient visit, typically 15 minutes	32	22	$150.00	$49.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$225.00	$74.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	184	63	$294.09	$104.36
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	123	51	$161.58	$65.50
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	39	12	$557.10	$217.50
11042 Removal of skin and tissue, 20.0 sq cm or less	34	25	$264.61	$55.09
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	33	19	$104.32	$42.44
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	30	23	$213.90	$86.43

Medical Specialties & State Licenses

CMS Verified: 2022-06-21

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX Q6618

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery - Plastic and Reconstructive Surgery

NUCC Taxonomy Code: 2086S0122X

State License TX Q6618

A surgeon who specializes in plastic and reconstructive surgery.

Hospital & Practice Group Affiliations

Etmc Physician Group, Inc.

700 Olympic Plaza Cir, Tyler, TX 757011952

University Of Texas Health Science Center At Tyler-Facilty-Physician

11937 Us Hwy 271, Tyler, TX 757083154

Phone: 9038777200

Etmc Physician Group, Inc.

18118 Fm 344, Flint, TX 757626010

Phone: 9038253292

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Tyler Davis , DO

Surgery - Trauma Surgery

NPI 1003439803

Doctor of Osteopathic Medicine (D.O.)

Patricia Shackelford

Pharmacist

NPI 1003463712

Dr. Jennifer Mathew , DO

Student in an Organized Health Care Education/Training Program

NPI 1003504499

Doctor of Osteopathic Medicine (D.O.)

Dr. Jasmine Gamboa , MD

Student in an Organized Health Care Education/Training Program

NPI 1003609629

Doctor of Medicine (M.D.)

Dr. Sadie Walter , DO

Student in an Organized Health Care Education/Training Program

NPI 1003631599

Doctor of Osteopathic Medicine (D.O.)

Rendall Northcutt , FNP

Nurse Practitioner - Primary Care

NPI 1013325638

Family Nurse Practitioner

Career & Practice History Timeline

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

10 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2022

Surgery (License #Q6618 in TX)

📍

Updated Practice Location September 16, 2021

Registered at 11937 US HIGHWAY 271, TYLER, TX 757083154 (Tel: 9038778790)

📍

Updated Business Mailing Address September 16, 2021

Registered at 11937 US HIGHWAY 271, TYLER, TX 757083154 (Tel: 9038778790)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2021

Surgery (License #Q6618 in TX)

✅

NPI Profile Active July 01, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location July 01, 2008

Registered at 1441 N BECKLEY AVENUE, DALLAS, TX 75203 (Tel: 2149472300)

📍

Updated Business Mailing Address July 01, 2008

Registered at 1441 N BECKLEY AVENUE, DALLAS, TX 75203 (Tel: 2149472300)

👤

Provider Name / Credentials Updated July 01, 2008

Recorded as PAUL CRITELLI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2008

Surgery (License #BP10030971 in TX)

🟢

Initial NPI Registration & Enumeration July 01, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Paul Critelli. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1831351790

Entity Type:

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

Enumeration Date: July 01, 2008

Last Update: June 21, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

11937 Us Highway 271

Tyler, TX 757083154

Phone: 9038778790

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.