DR. JOHN WILLIAM PAULISH (DO) – Internal Medicine Physician, NPI 1114922663

DR. JOHN WILLIAM PAULISH (DO) is a healthcare provider. based in Clarks green, Pennsylvania. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. OS005887L (PA). The NPI Number for DR. JOHN WILLIAM PAULISH (DO) is 1114922663

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN WILLIAM PAULISH (DO)
NPI
1114922663
Phone
(570) 587-2464
Address
122 BELMONT AVE
Enumeration Date
20 June 2005
Last Update Date
3 March 2021

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5702656164
Graduation Year
1985 (41 years ago)
PAC ID
3870500721
Group Practice PAC ID
6002728656
Professional Enrollment ID
I20060317000051
Address ID
PA188489702TO91XXXDRXX300

Contacts

Secure Messaging
jpaulisj60054@direct-guthrie.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

9,962 INTERNAL MEDICINE in PA

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Provider Addresses for DR. JOHN WILLIAM PAULISH (DO)

  • Belmont Avenue, McDonald Orchard, Clarks Green, Lackawanna County, Pennsylvania, 18411, United States

    CLARKS GREEN, PA 18411

    Phone: (570) 587-2464

    Fax: (570) 340-3448

    Type: Mailing

  • Moses Taylor Hospital, 700, Quincy Avenue, The Hill Section, Scranton, Lackawanna County, Pennsylvania, 18510, United States

    SCRANTON, PA 185101724

    Phone: (866) 519-0457

    Fax: (570) 770-5263

    Type: Location

  • 1 GUTHRIE SQ

    SAYRE, PA 188401625

    Phone: (570) 888-5858

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-03-17

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060317000051IInternal MedicinePATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes285159$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes10599$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes8559$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes5854$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3939$0
View full utilization report →

Insurance plans in this area (ZIP 18411)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002728656View full group profile
NameSpecialtyState
-NY
Diagnostic RadiologyMO
Diagnostic RadiologyKY
Diagnostic RadiologyMA
Nurse PractitionerPA
-NY
Nurse PractitionerPA
Registered Dietitian Or Nutrition ProfessionalPA
Gastroenterology, Internal MedicinePA
-PA

Reviews

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Frequently asked questions

How do payers reference DR. JOHN WILLIAM PAULISH (DO)?
For DR. JOHN WILLIAM PAULISH (DO), use NPI 1114922663 as the unique 10-digit identifier.
Active or inactive — what applies to DR. JOHN WILLIAM PAULISH (DO)?
You should see DR. JOHN WILLIAM PAULISH (DO) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. JOHN WILLIAM PAULISH (DO)?
At a glance, DR. JOHN WILLIAM PAULISH (DO) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. JOHN WILLIAM PAULISH (DO)?
Travel planning: use Clarks Green, Pennsylvania as the reference point for DR. JOHN WILLIAM PAULISH (DO), then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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