PAUL NUMSEN DO
NPI 1982636098
Emergency Medicine in Grand Junction, CO


Quality Rating: 91.01 out of 100 score

NPI Status: Active since July 07, 2006

Contact Information

2021 N 12TH ST
GRAND JUNCTION, CO
ZIP 81501
Phone: (970) 242-0920

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  • Individual
  • Male
  • Emergency Medicine
  • Accepts Insurance
  • PECOS Enrolled

About PAUL NUMSEN

This page provides the complete NPI Profile along with additional information for Paul Numsen, a provider established in Grand Junction, Colorado with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1982636098 assigned on July 2006. The practitioner's primary taxonomy code is 207P00000X with license number DR-40717 (CO). The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI
1982636098
Provider Name
PAUL NUMSEN DO
Gender
Male
Entity Type
Individual
Location Address
2021 N 12TH ST GRAND JUNCTION, CO 81501
Location Phone
(970) 242-0920
Mailing Address
2021 N 12TH ST GRAND JUNCTION, CO 81501
Mailing Phone
(970) 242-0920
Is Sole Proprietor?
No
Enumeration Date
07-07-2006
Last Update Date
06-15-2016
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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

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
License No.
DR-40717
License State
CO
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207PE0004XAllopathic & Osteopathic Physicians

Emergency Medicine
Emergency Medical Services

40717 (CO)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 4 - HMO
  • Bronze 8 - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 12 - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • Silver 9 - 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
39785327MEDICAID (05)CO 
COA102109MEDICARE PIN (08)CO 
H40992MEDICARE UPIN (02) 

Medicare Participation & PECOS Enrollment Status

Paul Numsen 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

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Oxygen and Supplies (DC000N)

    Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)

    3 DME suppliers used 33 Medicare Claims 33 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    4 DME suppliers used 54 Medicare Claims 54 Services Paid

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.

Critical care, first 30-74 minutes

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

This service was performed 48 times for 47 patients

Emergency department visit for life threatening or functioning severity

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 128 times for 125 patients

Emergency department visit for problem of high severity

An 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 80 patients

Emergency department visit for problem of moderate severity

An 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 50 times for 48 patients

Physician 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 81501 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $89.43
  • Minimum New Patient Price $58.06
  • Maximum New Patient Price $174.82
  • Average New Patient Copayment $22.35
  • Minimum New Patient Copayment $14.51
  • Maximum New Patient Copayment $43.7

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $102.03
  • Minimum Established Patient Price $18.88
  • Maximum Established Patient Price $142.79
  • Average Established Patient Copayment $25.5
  • Minimum Established Patient Copayment $4.72
  • Maximum Established Patient Copayment $35.69

* 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.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 91.01, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 91.01 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 87.97

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: N/A

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Reviews for PAUL NUMSEN DO

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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.
1982636098
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2916212312018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 6 + 2 + 1 + 2 + 3 + 1 + 2 + 0 + 1 + 8 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1982636098 is valid because the calculated check digit 8 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
1932190873 ROBERT A KURTZMAN DO
Individual
Pathology (Anatomic Pathology)2021 N 12TH ST
GRAND JUNCTION, CO 81501
(970) 256-6463
1942281498 TARA L MARSHALL MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)2021 N 12TH ST COMMUNITY HOSPITAL
GRAND JUNCTION, CO 81501
(970) 256-6463
1972585784COLORADO WEST HEALTHCARE SYSTEM
Organization
Home Health2021 N 12TH ST
GRAND JUNCTION, CO 81501
(970) 256-6225
1528048303 PATRICIA B WEBER MD
Individual
Radiology (Diagnostic Radiology)2021 N 12TH ST
GRAND JUNCTION, CO 81501
(888) 256-0323
1063492841 JOHN TERRY LEEVER MD
Individual
Radiology (Diagnostic Radiology)2021 N 12TH ST
GRAND JUNCTION, CO 81501
(970) 256-6440
1497715759 SIGMA R ALPHA MD
Individual
Anesthesiology2021 N 12TH ST
GRAND JUNCTION, CO 81501
(970) 242-0920
1760442024 JOSEPH F WATAHA MD
Individual
Anesthesiology2021 N 12TH ST
GRAND JUNCTION, CO 81501
(970) 242-0920
1578523767 ERNEST J HOECKEL MD
Individual
Anesthesiology2021 N 12TH ST
GRAND JUNCTION, CO 81501
(970) 242-0920
1922062371 WILLIAM CHARLES MARTIN MD
Individual
Anesthesiology2021 N 12TH ST
GRAND JUNCTION, CO 81501
(970) 254-1686
1033148721 JACK YANAKI MD
Individual
Anesthesiology2021 N 12TH ST
GRAND JUNCTION, CO 81501
(970) 242-0920
1790715290 JUAN F BARBERO MD
Individual
Emergency Medicine (Emergency Medical Services)2021 N 12TH ST
GRAND JUNCTION, CO 81501
(970) 242-0920
1578588646 JULIE MARIE MILLS DO
Individual
Emergency Medicine2021 N 12TH ST
GRAND JUNCTION, CO 81501
(970) 256-6400
1376628388 KENNETH S LANE MD
Individual
Anesthesiology2021 N 12TH ST
GRAND JUNCTION, CO 81501
(970) 242-0920
1801008610HANA TEISSLER MDPC
Organization
Anesthesiology2021 N 12TH ST
GRAND JUNCTION, CO 81501
(970) 254-2669
1518158054 KAYCE ANN IMMING DPT
Individual
Physical Therapist2021 N 12TH ST
GRAND JUNCTION, CO 81501
(970) 256-6380
1659512135 SHAN MIXON MA, LPC
Individual
Counselor (Professional)2021 N 12TH ST
GRAND JUNCTION, CO 81501
(970) 257-6214
1306077748 DONALD L NICOLAY MD
Individual
Surgery2021 N 12TH ST
GRAND JUNCTION, CO 81501
(970) 257-6200
1013011386DR. TAMARA KAHN RICE MD
Individual
Anesthesiology2021 N 12TH ST
GRAND JUNCTION, CO 81501
(970) 242-0920
1528022365 MICHAEL J ASH MD
Individual
Anesthesiology2021 N 12TH ST
GRAND JUNCTION, CO 81501
(970) 242-0920
1710985528 SARA JANE GAGLIONE M.D.
Individual
Radiology (Diagnostic Radiology)2021 N 12TH ST COMMUNITY HOSPITAL
GRAND JUNCTION, CO 81501
(970) 242-0920

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982636098, enumerated in the NPI registry as an "individual" on July 07, 2006

The provider is located at 2021 N 12th St Grand Junction, Co 81501 and the phone number is (970) 242-0920

The provider's speciality is Emergency Medicine with taxonomy code 207P00000X

The provider might be accepting Accepts: Molina Healthcare, Medicare and Medicaid. 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.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.

Medicare beneficiaries should expect a typical cost of $89.43 with an average copayment of $22.35 for new patient appointments. Established patients should expect a typical charge of $102.03 and an average copayment of 25.5. 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: Critical care, first 30-74 minutes, Emergency department visit for life threatening or functioning severity, Emergency department visit for problem of high severity and Emergency department visit for problem of moderate severity.

This NPI record was last updated on July 07, 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.