Individual provider Active NPI

Paul Francis Ostby, P.A.-C.

  • Physician Assistant
  • Fort Madison, IA
National Provider Identifier
1649262890
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
01355 Issued in IA
Practice address
5409 Avenue O
Fort Madison, IA 52627-9601
Phone
(319) 376-2134
Fax
(319) 376-2188
NPI assigned
Aug 15, 2005
Last updated
Dec 11, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 01355 IA Primary

Addresses

Primary practice location

5409 Avenue O
Fort Madison, IA 52627-9601

Mailing address

5409 Avenue O
Fort Madison, IA 52627-9601
Phone (319) 376-2134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040721000425 IA Practitioner - Physician Assistant 1850371998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1221 S Gear Ave
West Burlignton, IA 52655-1679
Phone (319) 768-1000

5409 Ave O
Suite 113
Fort Madison, IA 52627-9610
Phone (319) 376-1135

5445 Ave O
Fort Madison, IA 52627-9611
Phone (319) 376-2134

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.06 of 100Reported as group
Quality
64.36
Promoting interoperability
81
Improvement activities
40
Cost
75.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
01355IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Iowa Regional Medical Center, Inc. CurrentSince Jul 1, 2021 Accepting new patients
Southeast Iowa Regional Medical Center, Inc. Past Accepting new patients

Locations

5409 Avenue O
Fort Madison, IA 52627
Phone (319) 372-6530

5409 Avenue O
Ste 1
Fort Madison, IA 52627
Phone (319) 376-2134

5409 Avenue O
Ste 113
Fort Madison, IA 52627
Phone (319) 372-6530

3285 Main St
Keokuk, IA 52632
Phone (319) 524-6274

1221 S Gear Ave
West Burlington, IA 52655
Phone (319) 768-3622

1223 S Gear Ave
West Burlington, IA 52655
Phone (319) 753-5352

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1649262890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5409 AVENUE O",
            "city": "FORT MADISON",
            "state": "IA",
            "postal_code": "526279601",
            "telephone_number": "319-376-2134",
            "fax_number": "319-376-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 AVENUE O",
            "city": "FORT MADISON",
            "state": "IA",
            "postal_code": "526279601",
            "telephone_number": "319-376-2134",
            "fax_number": "319-376-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTBY",
        "first_name": "PAUL",
        "middle_name": "FRANCIS",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "01355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Madison, IA

Sources for this page

Verify at the official NPI Registry.