Dr. Gautam Paul, MD

  • Florence, KY
  • Hospitalist
NPI1629334099PAC ID5294046082
Medicare services, 2024
1,491
Medicare patients, 2024
391
Part D claims, 2024
635
MIPS score, 2024
93
Hospital affiliations
3
Practice address
4900 Houston Road, Florence, KY 41042
Practice phone
Call (859) 212-5220
Professional email
Get professional email
Personal email
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Mobile number
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Social profiles

Primary practice

St. Elizabeth Healthcare Florence Hospital

Hospital · Florence, Kentucky

See all 4 affiliations

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Dr. Gautam Paul is a hospitalist in Florence, Kentucky

Dr. Paul practices at St. Elizabeth Healthcare Florence Hospital in Florence, Kentucky, part of Diocese of Covington.

Dr. Paul's NPI, 1629334099, was assigned on April 10, 2012. Dr. Paul holds Kentucky license 48312.

NPI and contact details
Medicare PAC ID
5294046082
NPI enumeration date
April 10, 2012
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(859) 212-5220
Professional email
Get email
Personal email
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Mobile number
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Sex
Male
Estimated age
50
Medical school graduation
2002

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Gautam Paul practices at St. Elizabeth Healthcare Florence Hospital in Florence, Kentucky

Dr. Paul's primary practice is St. Elizabeth Healthcare Florence Hospital, at 4900 Houston Road, Florence, KY 41042 in Boone County. The practice phone is (859) 212-5220.

Source: Dmand AI Affiliation Data

Dr. Gautam Paul is affiliated with 3 sites of care and 1 medical group

Dr. Paul's primary practice is St. Elizabeth Healthcare Florence Hospital in Florence, Kentucky, part of Diocese of Covington. Dr. Paul is also affiliated with St. Elizabeth Healthcare Edgewood Hospital. The medical group on file is St. Elizabeth Physicians. Dmand AI also links Dr. Paul to 1 more hospital, named with a free account.

See all 4 affiliations for Dr. Paul

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Gautam Paul's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Paul practices, 3 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
St. Elizabeth Healthcare Florence HospitalAvailable with a free account
+2 more affiliated sitesAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Gautam Paul is one of 303 hospitalists in Kentucky

Hospitalist is Dr. Paul's primary specialty in the NPI Registry, under taxonomy code 208M00000X. Dr. Paul is licensed in Kentucky.

Specialties and state licenses

  • Hospitalist, KentuckyPrimaryLicense TP284 · taxonomy 208M00000X

Hospitalists near Dr. Paul

Counts of hospitalists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Gautam Paul billed Medicare for 1,491 services in 2024

CMS data shows 1,491 Medicare services from Dr. Paul across 8 procedure codes in 2024, for 391 Medicare patients. Medicare paid $128,420 for them. Every service was in a facility, such as a hospital, rather than an office.

Medicare services, 20241,491
Medicare patients391
Paid by Medicare$128,420
Procedure codes8

Dr. Paul's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 1,6302024: 1,4919%

Dr. Paul compared with the Kentucky median for hospitalists, 2024

  • Dr. Paul
  • Kentucky median
Medicare services
1,491vs 4063.7 times
Medicare patients
391vs 20492% above
Part D claims
362vs 665.5 times

Medians across 286 hospitalists in Kentucky with Dmand AI profiles that report each measure.

Dr. Paul's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Paul

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Gautam Paul treated 391 Medicare patients in 2024, average age 76

CMS counts 391 Medicare patients who saw Dr. Paul in 2024. The largest group is 65 to 74, with 146 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 27% are also on Medicaid. Their average risk score is 2.60, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Paul's median patient age at 73, with 57% women.

Medicare patients, 2024391
Average age76
Average risk score2.60
Also on Medicaid27%

Dr. Paul's Medicare patients by age, 2024

Dr. Paul's Medicare patients by sex, 2024

  • Women22457%
  • Men16743%

Chronic conditions among Dr. Paul's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Arthritis66%
  4. Chronic kidney disease55%
  5. Mood disorders55%
  6. Anxiety52%
  7. Depression52%
  8. Ischemic heart disease50%

Share of Medicare patients with each condition. A patient can have several.

Dr. Paul's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 73

Patient panel by sex, all payers

  • Women57%
  • Men42%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Gautam Paul wrote 635 Medicare Part D claims in 2024

In 2024, Dr. Paul wrote 635 Medicare Part D claims for 311 patients. 89% of them were for generic drugs. CMS names the drug for 362 of them, across 16 drugs with 11 or more claims each, at $18,005 in total drug cost. In 2023, CMS named 416 claims across 20 drugs.

Part D claims, 2024635
Drugs named by CMS16
Total drug cost$18,005
Part D patients311

Dr. Paul's Part D claims by kind of drug, 2024

  • Generic563 claims89%
  • Brand-name and other72 claims11%

Dr. Paul's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Paul's Part D claims, 2024

  • Opioids6%41 of 635 claims
  • Antibiotics25%161 of 635 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 4162024: 36213%

Drugs named by CMS: 16 in 2024, 20 in 2023.

See all prescribing by Dr. Paul

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Gautam Paul scored 93 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 93 out of 100 for Dr. Paul for performance year 2024, reported through an alternative payment model (APM). Dr. Paul accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Dr. Paul's MIPS scores, performance year 2024

  • 93of 100Final score
  • 86of 100Quality
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Sources for Dr. Gautam Paul's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Gautam Paul

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Gautam Paul's NPI number?

Dr. Gautam Paul's NPI number is 1629334099. It was assigned on April 10, 2012, and it is active in the NPI Registry.

What kind of doctor is Dr. Gautam Paul?

Dr. Gautam Paul is a hospitalist in Florence, Kentucky. The primary specialty in the NPI Registry is Hospitalist Physician (taxonomy code 208M00000X).

Where does Dr. Gautam Paul practice?

Dr. Paul practices at 4900 Houston Road, Florence, KY 41042. Dr. Paul's primary practice is St. Elizabeth Healthcare Florence Hospital in Florence, Kentucky, part of Diocese of Covington. Dmand AI also links Dr. Paul to 1 hospital.

What is Dr. Gautam Paul's office phone number?

The practice phone on file for Dr. Paul is (859) 212-5220.

What is Dr. Gautam Paul's medical license number?

Dr. Paul holds Kentucky license 48312.

Which hospitals is Dr. Gautam Paul affiliated with?

Dr. Paul practices at St. Elizabeth Healthcare Florence Hospital in Florence, Kentucky. Dr. Paul is also affiliated with St. Elizabeth Healthcare Edgewood Hospital. Dmand AI links Dr. Paul to 1 more hospital.

What medical group is Dr. Gautam Paul part of?

Dr. Paul is linked to St. Elizabeth Physicians.

Does Dr. Gautam Paul accept Medicare?

Yes. CMS data shows Dr. Paul billed Medicare for 1,491 services in 2024, and Dr. Paul accepts Medicare assignment.

What is Dr. Gautam Paul's MIPS score?

Dr. Paul's MIPS final score for performance year 2024 is 93 out of 100, reported through an alternative payment model (APM).

How many Medicare patients does Dr. Gautam Paul see?

CMS counts 391 Medicare patients who saw Dr. Paul in 2024, with an average age of 76.

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What services does Dr. Gautam Paul bill to Medicare?

In 2024, Dr. Paul's most billed Medicare services were hospital inpatient care (99232), hospital inpatient care (99233) and hospital inpatient care (99239).

What drugs does Dr. Gautam Paul prescribe most?

In 2024 Medicare Part D data, Dr. Paul's most prescribed drugs by claims were Prednisone, Doxycycline Hyclate and Amoxicillin-Clavulanate Potass.

How long has Dr. Gautam Paul been practicing?

Dr. Paul graduated from medical school in 2002, 24 years ago.

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