Paul Casper, PA
Individual provider Active NPI Physician Assistant · Pratt, KS
NPI 1669840286 · NPPES record last updated Apr 24, 2020
Key facts
- NPI
- 1669840286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 15-01829 (KS)
- Practice address
- 200 Commodore St
Pratt, KS 67124-2903 - Phone
- (620) 450-1148
- Fax
- (620) 450-1741
- NPI assigned
- Sep 14, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 8
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospital District No 1 of Rice Co
Practice addresses (Care Compare)
619 S Clark Ave
Lyons, KS 67554-3003
Phone (620) 257-5173
Hospital & facility affiliations
- Pratt Regional Medical Center
- Hospital District #1 of Rice County
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.83 of 100
- Quality
- 82.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 83.38
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151118000991 | KS | Practitioner - Physician Assistant | 3577863885 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pratt Regional Medical Center Corporation | Current |
Accepting new patients | |
| Hospital District No 1 of Rice Co | Current |
Accepting new patients | |
| Pratt Regional Medical Center Corporation | Single Specialty | Current | Accepting new patients |
| Hospital District No 1 of Rice Co | Single Specialty | Current |
Accepting new patients |
| Satanta District Hospital and Long-Term Care | Past | Accepting new patients | |
| Medical Center, P.a. | Past | Accepting new patients |
Locations
619 S Clark Ave
Lyons, KS 67554
Phone (620) 257-5173
1221 W Noble St
Lyons, KS 67554
Phone (620) 257-5124
200 Commodore St
Pratt, KS 67124
Phone (620) 672-6476
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant |
363A00000X | 091585 | IA | |
| Physician Assistant | 363A00000X | 15-01829 | KS | Yes |
Addresses
Primary practice location
200 Commodore St
Pratt, KS 67124-2903
Mailing address
200 Commodore St
Pratt, KS 67124-2903
Phone (620) 450-1148
Other practice location 1
1030 N 7th St
Chariton, IA 50049
Phone (641) 217-9115
Other practice location 2
1030 N 7th St
Chariton, IA 50049
Phone (641) 217-9115
Other providers in Pratt, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.