Paul Kenji Metzger, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G64314 Issued in CA

Practice address

817 S State Highway 49
Jackson, CA 95642-2622

Phone

(209) 223-2610

Fax

(209) 257-1463

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

31.62 of 100Reported as individual

Quality

7.27

Improvement activities

0

Cost

95.7

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Folsom Orthopaedic Surgery & Sports Injury Medical Clinic, Inc.

  • Orthopaedic Surgery Physician
  • Folsom, CA
  • NPI 1821058934
  Medicare reassignment NPD
• Surgical Affiliates of California

  • Surgery Physician
  • Los Banos, CA
  • NPI 1932440781
  Medicare reassignment NPD
• Acute Care Surgery Medical Group, Inc.

  • Surgery Physician
  • Westminster,, CO
  • NPI 1477239267
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508927088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 503",
            "city": "SUTTER CREEK",
            "state": "CA",
            "postal_code": "956850503",
            "telephone_number": "209-267-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 S STATE HIGHWAY 49",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956422622",
            "telephone_number": "209-223-2610",
            "fax_number": "209-257-1463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZGER",
        "first_name": "PAUL",
        "middle_name": "KENJI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G64314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miguel Dupree McGaughy
• Ashley McGee, PHARMD
• Benjamin Robert McPherson, FNP
• David Myatt Melniczek, MD
• Sandra Ann Mendoza
• Patti Annette Miller, RDH
• Aye Myat Moe, M.D.
• Mohammed Siddiqui, M.D. a Professional Corporation
• Shawnna Molina
• Robert George Monie, M.D.

• Specialist in Jackson, CA
• Providers in Jackson, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.