PAUL HART MD
NPI 1629021415
Hospitalist in Niceville, FL
NPI Status: Active since May 19, 2006
Contact Information
2190 HIGHWAY 85 N
NICEVILLE, FL
ZIP 32578
Phone: (850) 729-9407
Fax: (850) 729-9418
- Individual
- Male
- Hospitalist
- Accepts Insurance
- PECOS Enrolled
About PAUL HART
This page provides the complete NPI Profile along with additional information for Paul Hart, a provider established in Niceville, Florida with a medical specialization in Hospitalist. The healthcare provider is registered in the NPI registry with number 1629021415 assigned on May 2006. The practitioner's primary taxonomy code is 208M00000X with license number ME80968 (FL). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1629021415
- Provider Name
- PAUL HART MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2190 HIGHWAY 85 N NICEVILLE, FL 32578
- Location Phone
- (850) 729-9407
- Location Fax
- (850) 729-9418
- Mailing Address
- 2190 HIGHWAY 85 N NICEVILLE, FL 32578
- Mailing Phone
- (850) 729-9407
- Mailing Fax
- (850) 729-9418
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-19-2006
- Last Update Date
- 07-08-2007
- 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
Hospitalist
- Taxonomy Code
- 208M00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME80968
- License State
- FL
- Taxonomy Description
- Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue HSA Bronze - PPO
- Blue Protect - PPO
- Blue Saver Bronze - PPO
- Blue Value Gold - PPO
- Blue Value Silver - PPO
- Blue Access Gold for Business - PPO
- Blue Choice Platinum for Business - PPO
- Blue HSA Silver for Business - PPO
- Blue Saver Bronze for Business - PPO
- Blue Saver Gold for Business - PPO
- Blue Secure Gold for Business - PPO
- Blue Secure Silver for Business - PPO
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 |
|---|---|---|---|
| H31919 | MEDICARE UPIN (02) | FL |
Medicare Participation & PECOS Enrollment Status
Paul Hart 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.
Emergency department visit for life threatening or functioning severity
Emergency department visit for problem of high severity
Emergency department visit for problem of moderate severity
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
This service was performed 149 times for 144 patientsAn emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
This service was performed 83 times for 78 patientsAn emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
This service was performed 32 times for 32 patientsA routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
This service was performed 82 times for 79 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 32578 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $130.04
- Minimum New Patient Price $56
- Maximum New Patient Price $171.84
- Average New Patient Copayment $32.51
- Minimum New Patient Copayment $14
- Maximum New Patient Copayment $42.96
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $99.16
- Minimum Established Patient Price $17.57
- Maximum Established Patient Price $139.16
- Average Established Patient Copayment $24.79
- Minimum Established Patient Copayment $4.39
- Maximum Established Patient Copayment $34.79
* 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 | 6 | 2 | 9 | 0 | 2 | 1 | 4 | 1 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 4 | 9 | 0 | 2 | 2 | 4 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 4 + 9 + 0 + 2 + 2 + 4 + 2 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1629021415 is valid because the calculated check digit 5 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 |
|---|---|---|---|
| 1881675544 | MR. LOUIS VAGIAS II MD Individual | Family Medicine | 2190 HIGHWAY 85 N NICEVILLE, FL 32578 (850) 729-9407 |
| 1902857972 | 4MD2 PHYSICIAN SERVICES OF NICEVILLE LLC Organization | Emergency Medicine | 2190 HIGHWAY 85 N NICEVILLE, FL 32578 (850) 729-9490 |
| 1205889524 | DR. PATRICK F CONRAD MD Individual | Emergency Medicine | 2190 HIGHWAY 85 N NICEVILLE, FL 32578 (850) 729-9490 |
| 1659477461 | BAYSHORE ANESTHESIA P A Organization | Anesthesiology (Pain Medicine) | 2190 HIGHWAY 85 N NICEVILLE, FL 32578 (352) 867-8898 |
| 1922104678 | DR. ARTHUR PAUL BROADERICK MD Individual | Anesthesiology (Pain Medicine) | 2190 HIGHWAY 85 N NICEVILLE, FL 32578 (352) 867-8898 |
| 1407030471 | KATRINA L TRINGAS MD Individual | Anesthesiology | 2190 HIGHWAY 85 N NICEVILLE, FL 32578 (850) 678-4131 |
| 1841435476 | EMERALD COAST EMERGENCY PHYSICIANS LLP Organization | Emergency Medicine | 2190 HIGHWAY 85 N NICEVILLE, FL 32578 (850) 678-4131 |
| 1366713372 | JACKSONVILLE EMERGENCY CONSULTANTS Organization | Emergency Medicine | 2190 HIGHWAY 85 N NICEVILLE, FL 32578 (877) 281-3001 |
| 1205107141 | TITAN HOSPITALIST GROUP LLC Organization | Hospitalist | 2190 HIGHWAY 85 N NICEVILLE, FL 32578 (877) 281-3001 |
| 1831456060 | PATRICIA THOMAS ARNP Individual | Nurse Practitioner (Family) | 2190 HIGHWAY 85 N NICEVILLE, FL 32578 (850) 315-7962 |
| 1497199731 | TWIN CITIES ANESTHESIA ASSOCIATES, PL Organization | Anesthesiology | 2190 HIGHWAY 85 N NICEVILLE, FL 32578 (850) 678-4131 |
| 1831522614 | VALE OF PARADISE EMERGENCY PHYSICIANS, LLC Organization | Emergency Medicine | 2190 HIGHWAY 85 N NICEVILLE, FL 32578 (850) 678-4131 |
| 1780026542 | TROUT LAKE INPATIENT SERVICES, LLC Organization | Hospitalist | 2190 HIGHWAY 85 N NICEVILLE, FL 32578 (850) 678-4131 |
| 1548633464 | EARNEST EMERGENCY PHYSICIANS, LLC Organization | Emergency Medicine | 2190 HIGHWAY 85 N NICEVILLE, FL 32578 (469) 401-2386 |
| 1851764724 | SENTRY EMERGENCY PHYSICIANS, LLC Organization | Emergency Medicine | 2190 HIGHWAY 85 N NICEVILLE, FL 32578 (469) 401-2386 |
| 1902255946 | FL-I MEDICAL SERVICES LLC Organization | Emergency Medicine | 2190 HIGHWAY 85 N NICEVILLE, FL 32578 (469) 401-2386 |
| 1144215195 | STERLING EMERGENCY SERVICES OF FLORIDA, PA Organization | Emergency Medicine | 2190 HIGHWAY 85 N NICEVILLE, FL 32578 (850) 678-4131 |
| 1376976217 | FLORIDA EM-I MEDICAL SERVICES, PA Organization | Emergency Medicine | 2190 HIGHWAY 85 N NICEVILLE, FL 32578 (850) 678-4131 |
| 1477962462 | FLAT TOP INPATIENT SERVICES LLC Organization | Internal Medicine | 2190 HIGHWAY 85 N NICEVILLE, FL 32578 (850) 729-9468 |
| 1669881330 | FLAGSTONE PEAK EMERGENCY PHYSICIANS LLC Organization | Emergency Medicine | 2190 HIGHWAY 85 N NICEVILLE, FL 32578 (469) 401-2386 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629021415, enumerated in the NPI registry as an "individual" on May 19, 2006
The provider is located at 2190 Highway 85 N Niceville, Fl 32578 and the phone number is (850) 729-9407
The provider's speciality is Hospitalist with taxonomy code 208M00000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama, Medicare. 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 $130.04 with an average copayment of $32.51 for new patient appointments. Established patients should expect a typical charge of $99.16 and an average copayment of 24.79. 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: Emergency department visit for life threatening or functioning severity, Emergency department visit for problem of high severity, Emergency department visit for problem of moderate severity and Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only.
This NPI record was last updated on May 19, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.