Paul Albert Skudder Jr., MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

55871 Issued in MA

Practice address

100 Camp St
Hyannis, MA 02601

Phone

(508) 775-1984

Fax

(508) 790-1987

NPI assigned

Oct 14, 2005

Last updated

Jul 26, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medical Affiliates of Cape Cod, Inc.

  • Internal Medicine Physician
  • Hyannis, MA
  • NPI 1770534927

  Family Medicine

  Medicare reassignment NPD
• Physicians of Falmouth Hospital

  • Internal Medicine Physician
  • Falmouth, MA
  • NPI 1821363698
  Medicare reassignment NPD
• Vascular Care Group LLC

  • Vascular Surgery Physician
  • Hyannis, MA
  • NPI 1538775481
  Medicare reassignment NPD
• Vohra Post Acute Care Physicians of the Northeast PA

  • Family Medicine Physician
  • Bryn Mawr, PA
  • NPI 1275969131

  MA

  Medicare reassignment NPD
• Southeastern Vascular, P.C.

  • Vascular Surgery Physician
  • Hyannis, MA
  • NPI 1205866274
  Medicare reassignment
• Medical Affiliates of Cape Cod, Inc.

  • Ambulatory Surgical Clinic/Center
  • Mashpee, MA
  • NPI 1306391206
  NPD
• Stephen J. Hoenig, MD, PC

  • Vascular Surgery Physician
  • Leominster, MA
  • NPI 1578561569
  NPD (past)
• The Vascular Group PLLC

  • Vascular Surgery Physician
  • Kingston, NY
  • NPI 1366659518
  NPD (past)

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1861481657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CAMP ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013063",
            "telephone_number": "508-775-1984",
            "fax_number": "508-790-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CAMP ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "02601",
            "telephone_number": "508-775-1984",
            "fax_number": "508-790-1987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Falmouth Rd",
            "address_purpose": "LOCATION",
            "city": "Mashpee",
            "state": "MA",
            "postal_code": "026493303",
            "country_code": "US",
            "telephone_number": "508-775-1984",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Indian Hill Rd.",
            "address_2": "Martha's Vineyard",
            "address_purpose": "LOCATION",
            "city": "West Tisbury",
            "state": "MA",
            "postal_code": "02568",
            "country_code": "US",
            "telephone_number": "508-775-1984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKUDDER",
        "first_name": "PAUL",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "55871",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "MA",
            "license": "55871",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MA",
            "license": "55871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01144650",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Simonelli, RN
• Stephanie A Simpson, LICSW
• Daniel Simson
• Theran Singleton
• Ann R Skopek, M.D.
• Phyllis Skutnik, LICSW
• Lorraine Lewis Slason
• Scott Andrew Slater, MD
• Sleepmed Therapies, Inc
• Karin A Sloan, M.D.

• Vascular Surgery Physician in Hyannis, MA
• Providers in Hyannis, MA by specialty
• Vascular Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.