Paul S Biedenbach, D.O.
Individual provider Active NPI Otolaryngology Physician · Clyde, OH
NPI 1790739811 · NPPES record last updated Sep 18, 2018
Key facts
- NPI
- 1790739811
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Otolaryngology Physician 207Y00000X
- License
- 34005929 (OH)
- Practice address
- 112 Independence Way Ste 130
Clyde, OH 43410-9812 - Phone
- (419) 483-4488
- Fax
- (419) 483-6276
- NPI assigned
- May 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Otolaryngology
- Education
- Ohio University, College of Osteopathic Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northern Ohio Medical Specialists,LLC
Practice addresses (Care Compare)
278 Benedict Ave
Suite 900
Norwalk, OH 44857-2722
Phone (419) 663-9010
Hospital & facility affiliations
- Firelands Regional Medical Center
- Fisher-Titus Hospital
- Magruder Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.23 of 100
- Quality
- 59.13
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 75.81
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050224000228 | OH | Practitioner - Otolaryngology | 9436053881 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34005929 | OH | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Ohio Medical Specialists LLC | Otolaryngology | Current |
Accepting new patients |
| Northern Ohio Medical Specialists, LLC | Current |
Accepting new patients | |
| Northern Ohio Medical Specialists, LLC | Past | Accepting new patients | |
| Northern Ohio Medical Specialists, LLC | Past | Accepting new patients |
Locations
112 Independence Way
Ste 130
Clyde, OH 43410
Phone (419) 483-4488
278 Benedict Ave
Ste 900
Norwalk, OH 44857
Phone (419) 660-1895
611 Fulton St
Ste G
Port Clinton, OH 43452
Phone (419) 660-0099
3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841
2800 Hayes Ave
Bldg F
Sandusky, OH 44870
Phone (419) 626-1331
Interoperability endpoints
- pbiedenbach19970@nomshealthcare.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 34005929 | OH | Yes |
Addresses
Primary practice location
112 Independence Way Ste 130
Clyde, OH 43410-9812
Mailing address
PO Box 378
Sandusky, OH 44871-0378
Phone (419) 609-1112
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040016134 | Other | OH | MEDICARE RAILROAD |
| 2020397 | Medicaid | OH |
Other providers in Clyde, OH
- Paula Baker
- Kaitlyn Balzer
- BDD of Ohio, Aric Kuehner, Inc.
- Jessica Belcher
- Daniel B Berry
- Karen Birkholz
- Kyle Birkholz
- Sara Mae Bishop
- Dawn Christine Bolen
- Mark Alan Borsick
All providers in Clyde, OH · Otolaryngology Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2018. 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.