Deactivated NPI 1457379182 Deactivated / Inactive NPI Male Practitioner

Dr. Paul E Mondolfi , MD

Plastic Surgery • Victoria, TX

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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. Paul Mondolfi has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 18, 2006

NPI Deactivation Date December 13, 2023

Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Paul Mondolfi, MD was a registered Plastic Surgery practicing in Victoria, TX. Throughout an active medical career spanning 17 years, Dr. Mondolfi provided care at the practice location at 605 E SAN ANTONIO until profile deactivation on 2023-12-13.

Historical Medicare Part B clinical services included new patient outpatient office visit, established patient outpatient office visit, incision of tendon covering. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

605 E San Antonio
#450e

Victoria, TX 77901

Telephone 3615801574

Fax 3615703709

Associated Practice Facility / Clinic

🏢 Victoria Kidney & Dialysis Associates Facility NPI 1770545873

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Victoria, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 42.0 Yrs

State Avg: 29.2 Yrs

Regional Practice Density

2 Specialists

Practicing in Victoria, TX (399 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.5% 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 (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$207.00	$73.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	32	$124.46	$43.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$303.75	$104.17
99213 Established patient office or other outpatient visit, typically 15 minutes	22	22	$196.64	$71.46
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$201.95	$73.35
26055 Incision of tendon covering	15	12	$2959.53	$488.30
11104 Punch biopsy, first skin growth	11	11	$372.09	$113.10
J1020 Injection, methylprednisolone acetate, 20 mg	11	11	$24.00	$3.79

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	39	39	$255.00	$101.13
99213 Established patient office or other outpatient visit, typically 15 minutes	30	28	$153.00	$68.38
99202 New patient office or other outpatient visit, typically 20 minutes	29	29	$175.00	$70.36
J1020 Injection, methylprednisolone acetate, 20 mg	23	19	$24.00	$5.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	20	$108.00	$41.18
11100 Biopsy of single growth of skin and/or tissue	20	19	$228.00	$93.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$376.00	$154.46
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	$474.00	$195.06
20605 Aspiration and/or injection of medium joint or joint capsule	11	11	$222.00	$36.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	36	$108.00	$40.04
99213 Established patient office or other outpatient visit, typically 15 minutes	36	33	$153.00	$67.41
99202 New patient office or other outpatient visit, typically 20 minutes	29	29	$175.00	$68.95
J1020 Injection, methylprednisolone acetate, 20 mg	28	24	$24.00	$5.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$255.00	$99.62
26055 Incision of tendon covering	14	12	$2987.00	$434.71
20605 Aspiration and/or injection of medium joint or joint capsule	14	12	$237.86	$45.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$376.00	$152.82

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License PA 1670

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners

Lynda Bieber , NP

Nurse Practitioner

NPI 1730129339

Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events

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NPI Profile Deactivated December 13, 2023

Record deactivated on December 13, 2023

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2019

Plastic Surgery (License #1670 in PA)

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NPI Profile Active July 23, 2012

NPI status registered as active in NPPES database

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Updated Practice Location July 23, 2012

Registered at 605 E SAN ANTONIO, #450E, VICTORIA, TX 77901 (Tel: 3615801574)

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Updated Business Mailing Address July 23, 2012

Registered at 605 E SAN ANTONIO, #450E, VICTORIA, TX 77901 (Tel: 3615801574)

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Provider Name / Credentials Updated July 23, 2012

Recorded as PAUL MONDOLFI, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2012

Plastic Surgery (License #1670 in PA)

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Initial NPI Registration & Enumeration July 18, 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: 1457379182

Entity Type:

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

Enumeration Date: July 18, 2006

Last Update: July 23, 2012

Deactivation Date: December 13, 2023

Update or Correct Profile

Mailing Address

605 E San Antonio, #450e

Victoria, TX 77901

Phone: 3615801574

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.