PAUL HULTMAN (PA) – Physician Assistant, NPI 1285679951
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,853 PHYSICIAN ASSISTANT in MO
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Provider Addresses for PAUL HULTMAN (PA)
Joplin Post Office, 2nd Avenue East, Joplin, Liberty County, Montana, 59531, United States
JOPLIN, MO 64803
Phone: (417) 347-4662
Type: Mailing
1905, West 32nd Street, Gregg, Joplin, Newton County, Missouri, 64804, United States
STE 403
JOPLIN, MO 64804
Phone: (417) 782-5500
Fax: (417) 782-8516
Type: Location
3401 MCINTOSH CIR STE 100
JOPLIN, MO 648043651
Phone: (417) 347-7200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $21.
Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.
Last reported payment date: 2024-02-23 • Largest payer in this snapshot: Medtronic, Inc. ($21).
Total Amount
$21
General + Research + Ownership
Payments
1
Total payment records
General Amount
$21
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $21 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-02-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080229000396 | I | Physician Assistant | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 67 | 57 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 36 | 35 | $0 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 35 | 20 | $0 |
| 22614 | Fusion of additional segment of spine | 16 | 13 | $0 |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 15 | 15 | $0 |
Insurance plans in this area (ZIP 64803)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MO | 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 20 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| - | MO | |
| - | MO | |
| Nurse Practitioner | KS | |
| U R O L O G Y | MO | |
| R H E U M A T O L O G Y | MO | |
| Nurse Practitioner | MO | |
| H E M A T O L O G Y/ O N C O L O G Y | MO | |
| - | MO | |
| Sleep Medicine, Pulmonary Disease, Critical Care (Intensivists) | MO |
Reviews
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