Paul Jerome Palafox Custodio, M.D.
Endocrinology, Diabetes & Metabolism Physician · New Kensington, PA
Paul Jerome Palafox Custodio, M.D. is an endocrinology, diabetes & metabolism physician with a practice address in New Kensington, Pennsylvania, and NPI 1093997280, issued on Nov 29, 2007. Check the license (Pennsylvania MD456308, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.
- Name
- Paul Jerome Palafox Custodio
- Credential
- M.D.
- Primary taxonomy
- Endocrinology, Diabetes & Metabolism Physician 207RE0101X
- License number
- MD456308 PA
Self-reported in NPPES; status is on the state search - Practice location
- 356 Freeport St, New Kensington, PA 15068
- Phone
- (724) 367-2400
- Enumerated
- Nov 29, 2007
- Record last updated
- Oct 8, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (724) 367-2401
- Medicare enrollment
- Enrolled (PECOS I20161026002469); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest endocrinology, diabetes & metabolism physician records → All 485 in Pennsylvania → Look up another NPI →
Also registered at 356 Freeport St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Scarlett AustinInternal Medicine Physician1902367949
- Abigail Carr, RDNRegistered Dietitian1275270381
- Chelsea Loughner, DOEndocrinology, Diabetes & Metabolism Physician1417536889
- Sandra MajochaFamily Nurse Practitioner1073887618
- Mandy Perveiler, RDN, LDN, CDCESRegistered Dietitian1194202903
- Donald Schowalter, MDSpecialist1790750669
Verify Paul Jerome Palafox Custodio in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
Search for license MD456308Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
93% fewer Medicare Part D claims than the average endocrinology, diabetes & metabolism physician in 2024
193 Medicare Part D claims for 103 beneficiaries, against an average of 2,630 among the 8,223 providers of this specialty who prescribed in Part D. Brand-name drugs were 56% of claims.
Most prescribed
- Levothyroxine Sodium21 claims
- Lantus Solostar18 claims
- Jardiance15 claims
- Ozempic14 claims
- Metformin Hcl Er13 claims
- Metformin Hcl12 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 93.8 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Bills Medicare through 3 group practices
- Fornance Physician Services IncEast Norriton, PA
- Summa Physicians LLCAkron, OH
- Susquehanna Physician ServicesWilliamsport, PA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Paul Jerome Palafox Custodio among 485 endocrinology, diabetes & metabolism physician records in Pennsylvania
Paul Jerome Palafox Custodio, M.D. is one of 485 endocrinology, diabetes & metabolism physician records with a practice address in Pennsylvania. 84% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 41% of them.
- NPI issued2007 · 41% of these records are older, 45% newer
- In a Medicare fileYes · 84% of these records are
- In the CMS Doctors and Clinicians fileYes · 69% of these records are
- Graduated2005 · median 2004 among the 334 with a school on file
- Record last updated2020 · 62% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RE0101X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
3 endocrinology, diabetes & metabolism physician records list a practice address in New Kensington
They are 3 of the 261 NPPES records with a practice address in New Kensington, and 485 endocrinology, diabetes & metabolism physician records in Pennsylvania.
All 485 in Pennsylvania → Every provider in New Kensington → Endocrinology, Diabetes & Metabolism Physician nationwide →
The 8 endocrinology, diabetes & metabolism physician records with the nearest ZIP codes
- Chelsea Loughner, DONew Kensington, PA 150681417536889
- Nishit VaghasiaNew Kensington, PA 150681194016808
- Kamala Rajupet, M.D.Natrona Heights, PA 150651467470229
- Silvana Yovanof, M.D.Monongahela, PA 150631770561375
- Elisabeth Bergman, MDWexford, PA 150901871605527
- Roy Guinto, D.O.Wexford, PA 150901427378884
- Farhad Hasan, M.D.Wexford, PA 150901396995437
- Jennifer Pennock, MDWexford, PA 150901962475681
Common questions
What is Paul Jerome Palafox Custodio, M.D.'s NPI number?
Paul Jerome Palafox Custodio, M.D.'s National Provider Identifier (NPI) is 1093997280, issued on Nov 29, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Paul Jerome Palafox Custodio, M.D. located?
The NPPES record lists a practice address at 356 Freeport St, New Kensington, PA, 15068. Phone: (724) 367-2400. Providers update this record themselves, so call before visiting.
How can I verify Paul Jerome Palafox Custodio, M.D.'s license?
NPPES lists Pennsylvania license number MD456308, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Paul Jerome Palafox Custodio, M.D. prescribe under Medicare Part D?
In 2024, Paul Jerome Palafox Custodio, M.D. had 193 Medicare Part D claims for 103 beneficiaries; the average among endocrinology, diabetes & metabolism physician prescribers was 2,630. Part D covers Medicare prescriptions only.
What is Paul Jerome Palafox Custodio, M.D.'s MIPS final score?
The 2023 MIPS final score is 93.8 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.