NPPES file of Aug 9, 2026

Pradeep S. Paul, M.D.

Hospitalist Physician · Bangor, ME

Pradeep S. Paul, M.D. is a hospitalist physician with a practice address in Bangor, Maine, and NPI 1073558821, issued on Jun 17, 2006. Check the license (Maine MD16897, as entered in NPPES) on the Maine Board of Licensure in Medicine; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1073558821
Name
Pradeep S. Paul
Credential
M.D.
Primary taxonomy
Hospitalist Physician 208M00000X
License number
MD16897 ME
Self-reported in NPPES; status is on the state search
Practice location
360 Broadway, Bangor, ME 04401
Phone
(207) 907-3215
Enumerated
Jun 17, 2006
Record last updated
Jan 23, 2012 (not updated in 14 years: call before relying on the address or phone)
Fax
(207) 907-1795
Medicaid ID
431970799 ME
Medicare enrollment
Enrolled (PECOS I20150430000392); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 360 Broadway

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Christian Andersen, MDEmergency Medicine Physician1124185103
  2. Sandra Bartlett, PHARMD, BCPS, BCCCPPharmacotherapy Pharmacist1811489156
  3. Marian Benner, MDUndersea and Hyperbaric Medicine (Emergency Medicine) Physician1316018260
  4. Tracy Bennett, P.A.-CPhysician Assistant1457560419
  5. Royce Blackwood, PA-CSurgical Physician Assistant1992286546
  6. Joseph Borer, MDEmergency Medicine Physician1386605095

Verify Pradeep S. Paul in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMaine Board of Licensure in Medicine
    Search for license MD16897
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Maine license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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91% fewer Medicare Part D claims than the average hospitalist physician in 2024

48 Medicare Part D claims for 21 beneficiaries, against an average of 521 among the 21,613 providers of this specialty who prescribed in Part D. Brand-name drugs were 23% of claims.

  1. Pradeep Paul48
  2. Specialty average521

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 practice group's MIPS final score for 2023 (Medicare payment program): 80.2 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score76.7
  2. Costout of 100 · 30%53.5
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Medstar Medical Group II LLCWashington, DC

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Pradeep S. Paul among 245 hospitalist physician records in Maine

Pradeep S. Paul, M.D. is one of 245 hospitalist physician records with a practice address in Maine. 90% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 3% of them.

  • NPI issued2006 · 3% of these records are older, 71% newer
  • In a Medicare fileYes · 90% of these records are
  • In the CMS Doctors and Clinicians fileYes · 84% of these records are
  • Graduated1998 · median 2012 among the 206 with a school on file
  • Record last updated2012 · 42% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208M00000X and a Maine practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

49 hospitalist physician records list a practice address in Bangor

They are 49 of the 3,103 NPPES records with a practice address in Bangor, and 245 hospitalist physician records in Maine.

The 8 hospitalist physician records with the nearest ZIP codes

  1. Terry Allen, M.D.Bangor, ME 044011447290572
  2. Loren Ballestas, DOBangor, ME 044011881614691
  3. Mohamed Hameed, MDBangor, ME 044011457360067
  4. Ehab Hanna, MDBangor, ME 044011912916487
  5. Victor Kelmenson, MDBangor, ME 044011861401341
  6. Macario Lichauco, MDBangor, ME 044011821026055
  7. James McCarthy, MDBangor, ME 044011033128525
  8. Denise Merritt, MDBangor, ME 044011891704391

Common questions

What is Pradeep S. Paul, M.D.'s NPI number?

Pradeep S. Paul, M.D.'s National Provider Identifier (NPI) is 1073558821, issued on Jun 17, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Pradeep S. Paul, M.D. located?

The NPPES record lists a practice address at 360 Broadway, Bangor, ME, 04401. Phone: (207) 907-3215. Providers update this record themselves, so call before visiting.

How can I verify Pradeep S. Paul, M.D.'s license?

NPPES lists Maine license number MD16897, as entered by the provider. Search the Maine Board of Licensure in Medicine at https://www.maine.gov/md/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Pradeep S. Paul, M.D. prescribe under Medicare Part D?

In 2024, Pradeep S. Paul, M.D. had 48 Medicare Part D claims for 21 beneficiaries; the average among hospitalist physician prescribers was 521. Part D covers Medicare prescriptions only.

What is Pradeep S. Paul, M.D.'s MIPS final score?

The 2023 MIPS final score is 80.2 of 100, reported for the practice group. 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.