Active NPI
Wayne C Paullus, MD
- Neurological Surgery Physician
- Amarillo, TX
National Provider Identifier
1386745321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- N9277
- Practice address
- 705 Quail Creek Dr
Amarillo, TX 79106-4137 - Phone
- (806) 353-6400
- Fax
- (806) 358-6766
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | N9277 | TX | Primary |
Addresses
Primary practice location
705 Quail Creek Dr
Amarillo, TX 79106-4137
Mailing address
705 Quail Creek Dr
Amarillo, TX 79106-4137
Phone (806) 353-6400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2847592 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110815000752 | TX | Practitioner - Neurosurgery | 2466621164 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Texas Tech University Health Science Center School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mark Malone MD PASouthwest Neuroscience and Spine Center PA
Practice addresses (Care Compare)
1901 Medi Park Dr
Suite 2
Amarillo, TX 79106-2105
Phone (806) 350-7918
705 Quail Creek Dr
Amarillo, TX 79124-1608
Phone (806) 353-6400
Hospital & facility affiliations
- Quail Creek Surgical Hospital
- Bsa Hospital
- Northwest Texas Hospital
- Hereford Regional Medical Center
- Ochiltree General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 23.51 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 78.36
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 226 |
| Laminectomy or laminotomy (partial removal of spine bones) | 71 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark Malone, MD PA | Current | Accepting new patients | |
| Southwest Neuroscience and Spine Center PA | Neurological Surgery | Current | Accepting new patients |
| Mark Malone MD PA | Current | Accepting new patients |
Locations
1901 Medi Park Dr
Ste 2
Amarillo, TX 79106
Phone (806) 350-7918
705 Quail Creek Dr
Amarillo, TX 79124
Phone (806) 353-6400
11 Medical Dr
Amarillo, TX 79106
Phone (806) 353-6400
6000 S Mopac Expy
Ste 100
Austin, TX 78749
1106 College St
Ste C
Bastrop, TX 78602
Phone (512) 244-2895
Interoperability endpoints
- wayne.paullus.1@24201.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurological Surgery Physician
- Amarillo, TX
- NPI 1366557506
Neurological Surgery, TX
-
- Pain Medicine (Anesthesiology) Physician
- Waco, TX
- NPI 1710522859
-
- Pain Medicine (Anesthesiology) Physician
- Killeen, TX
- NPI 1982581427
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hereford, TX
- NPI 1568454403
Hospital
-
- General Acute Care Hospital
- Amarillo, TX
- NPI 1467442418
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576195200000",
"number": "1386745321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 QUAIL CREEK DR",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791064137",
"telephone_number": "806-353-6400",
"fax_number": "806-358-6766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 QUAIL CREEK DR",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791064137",
"telephone_number": "806-353-6400",
"fax_number": "806-358-6766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULLUS",
"first_name": "WAYNE",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2019-12-13",
"certification_date": "2019-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "TX",
"license": "N9277",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2847592",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.