PAUL THOMAS MARSH DO
NPI 1255374534
Radiology - Diagnostic Radiology in Fort Worth, TX
NPI Status: Active since June 14, 2006
Contact Information
1500 S MAIN ST
FORT WORTH, TX
ZIP 76104
Phone: (817) 738-6571
Fax: (817) 738-6573
- Individual
- Male
- Radiology
- Diagnostic Radiology
- Accepts Insurance
- PECOS Enrolled
About PAUL MARSH
This page provides the complete NPI Profile along with additional information for Paul Marsh, a provider established in Fort Worth, Texas with a medical specialization in Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1255374534 assigned on June 2006. The practitioner's primary taxonomy code is 2085R0202X with license number H9545 (TX). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1255374534
- Provider Name
- PAUL THOMAS MARSH DO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1500 S MAIN ST FORT WORTH, TX 76104
- Location Phone
- (817) 738-6571
- Location Fax
- (817) 738-6573
- Mailing Address
- PO BOX 1888 GREENVILLE, TX 75403
- Mailing Phone
- (800) 945-2455
- Mailing Fax
- (817) 738-6573
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-14-2006
- Last Update Date
- 05-14-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- H9545
- License State
- TX
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
F57328 | MEDICARE UPIN (02) | ||
P00283059 | MEDICARE PIN (08) | TX | |
101479706 | MEDICAID (05) | TX | |
8F0962 | MEDICARE PIN (08) | TX |
Medicare Participation & PECOS Enrollment Status
Paul Marsh is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Mri scan of arm joint without contrast
Mri scan of brain without contrast
Mri scan of leg joint without contrast
Mri scan of leg without contrast
Mri scan of lower spinal canal without contrast
Mri scan of middle spinal canal without contrast
Mri scan of upper spinal canal without contrast
An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.
This service was performed 79 times for 72 patientsAn MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
This service was performed 50 times for 49 patientsAn MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.
This service was performed 128 times for 113 patientsAn MRI scan of the leg without contrast is a non-invasive imaging procedure. It uses a magnetic field and radio waves to create detailed images of the structures in your leg, such as bones, muscles, and blood vessels. No contrast dye is used.
This service was performed 29 times for 29 patientsAn MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
This service was performed 153 times for 153 patientsAn MRI scan of the middle spinal canal without contrast is a non-invasive imaging test. It uses magnetic fields and radio waves to create detailed images of your spine. This helps doctors identify any abnormalities or issues in your spinal canal. No dye is used in this procedure.
This service was performed 24 times for 23 patientsAn MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.
This service was performed 58 times for 57 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 76104 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $87.2
- Minimum New Patient Price $56.47
- Maximum New Patient Price $171.07
- Average New Patient Copayment $21.8
- Minimum New Patient Copayment $14.11
- Maximum New Patient Copayment $42.76
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $70.45
- Minimum Established Patient Price $18.18
- Maximum Established Patient Price $139.68
- Average Established Patient Copayment $17.61
- Minimum Established Patient Copayment $4.54
- Maximum Established Patient Copayment $34.92
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 2 | 5 | 5 | 3 | 7 | 4 | 5 | 3 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 10 | 5 | 6 | 7 | 8 | 5 | 6 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 1 + 0 + 5 + 6 + 7 + 8 + 5 + 6 + 24 = 66 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 66 = 4 | 4 |
The NPI number 1255374534 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1649270109 | LIANCUN WU Individual | Anesthesiology | 1500 S MAIN ST JPS HOSIPITAL, DEPARTMENT OF ANESTHESIOLOGY FORT WORTH, TX 76104 (817) 927-1417 |
1184619082 | JPS PHYSICIAN GROUP INC Organization | General Acute Care Hospital | 1500 S MAIN ST PHYSICIAN SERVICES FORT WORTH, TX 76104 (817) 852-8440 |
1457340010 | DR. DANIEL FREDERICK CASEY M.D. Individual | Family Medicine | 1500 S MAIN ST FORT WORTH FORT WORTH, TX 76104 (817) 927-1395 |
1174512719 | DR. BARBARA LYNN SLEE M.D. Individual | Family Medicine | 1500 S MAIN ST FAMILY HEALTH CENTER FORT WORTH, TX 76104 (817) 927-1200 |
1003805706 | DR. JOANE BAUMER M.D. Individual | Family Medicine | 1500 S MAIN ST FAMILY MEDICINE CENTER FORT WORTH, TX 76104 (817) 335-1034 |
1902895386 | DR. SANDRA G MORENO M.D. Individual | Family Medicine | 1500 S MAIN ST FORT WORTH, TX 76104 (817) 920-7160 |
1316936701 | DR. WILLIAM BART PATE M.D. Individual | Family Medicine | 1500 S MAIN ST DEPT. OF FAMILY MEDICINE FORT WORTH, TX 76104 (817) 927-3593 |
1023098662 | LOREN S LASATER MD Individual | Family Medicine | 1500 S MAIN ST FORT WORTH, TX 76104 (817) 702-1200 |
1164476040 | DR. HUGH NOLE WEST MD Individual | Radiology (Diagnostic Radiology) | 1500 S MAIN ST FORT WORTH, TX 76104 (469) 757-1119 |
1619923364 | DR. DONALD G PHILLIPS D.O. Individual | Emergency Medicine | 1500 S MAIN ST FORT WORTH, TX 76104 (817) 927-1500 |
1699721878 | MS. EDNA JILL ENGLISH N.P. Individual | Nurse Practitioner (Family) | 1500 S MAIN ST FORT WORTH, TX 76104 (817) 921-3421 |
1760438162 | KATHERINE ADELE FUCHSHUBER NP Individual | Nurse Practitioner | 1500 S MAIN ST FORT WORTH, TX 76104 (817) 927-1200 |
1831134683 | DR. LUZMINDA B CONCEPCION MD Individual | Pediatrics | 1500 S MAIN ST FORT WORTH, TX 76104 (817) 921-3431 |
1366487472 | GLENN E HAMILTON NP Individual | Nurse Practitioner | 1500 S MAIN ST FORT WORTH, TX 76104 (817) 921-3431 |
1033146436 | DR. SUZANNE B KELLEY MD Individual | Pediatrics | 1500 S MAIN ST FORT WORTH, TX 76104 (817) 921-3431 |
1528095924 | DR. RIAZ U KHAN MD Individual | Internal Medicine | 1500 S MAIN ST FORT WORTH, TX 76104 (817) 921-3431 |
1881622405 | DOUGLAS S MILLER MD Individual | Dermatology | 1500 S MAIN ST FORT WORTH, TX 76104 (817) 921-3431 |
1710918594 | DR. SANGAMESHWAR REDDY MD Individual | Internal Medicine (Gastroenterology) | 1500 S MAIN ST FORT WORTH, TX 76104 (817) 921-3431 |
1417980285 | DR. NEIL F LOVITT MD Individual | Family Medicine | 1500 S MAIN ST FORT WORTH, TX 76104 (817) 921-3431 |
1689607459 | MS. MARCIA D LUCUS NNP Individual | Nurse Practitioner (Neonatal) | 1500 S MAIN ST FORT WORTH, TX 76104 (817) 921-3431 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255374534, enumerated in the NPI registry as an "individual" on June 14, 2006
The provider is located at 1500 S Main St Fort Worth, Tx 76104 and the phone number is (817) 738-6571
The provider's speciality is Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $87.2 with an average copayment of $21.8 for new patient appointments. Established patients should expect a typical charge of $70.45 and an average copayment of 17.61. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Mri scan of arm joint without contrast, Mri scan of brain without contrast, Mri scan of leg joint without contrast, Mri scan of leg without contrast, Mri scan of lower spinal canal without contrast, Mri scan of middle spinal canal without contrast and Mri scan of upper spinal canal without contrast.
This NPI record was last updated on June 14, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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