Dr. Paul W Biddinger , MD
Pathology - Anatomic Pathology • Augusta, GA
1120 15th St
Augusta, GA 30912
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Paul Biddinger is listed in NPPES under Pathology - Anatomic Pathology.
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NPI assigned on July 3, 2006; this date does not establish years in practice.
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Published CMS data list 844 Original Medicare Part B services in 2019.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019. Published rows only; this is not a quality measure.
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Published Part B service records, 2019:
- 88305 — Pathology examination of tissue using a microscope, intermediate complexity: 428 service units.
- 88307 — Pathology examination of tissue using a microscope, moderately high complexity: 120 service units.
- 88342 — Special stained specimen slides to examine tissue, initial procedure: 101 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2018 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2019). CPT notice
See all 8 records in the table · Guide: How to read Medicare Part B data
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Medicare Part B services went from 831 in 2017 to 844 in 2019.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017–2019.
Practice Location & Contact Primary Location
1120 15th St
Augusta, GA 30912
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Pathology - Anatomic Pathology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $41,063 in 2019
The total amount Medicare approved for these services in 2019. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019.
Paid by Medicare
About $31,611 in 2019
The part of the Medicare-allowed amount that Medicare itself paid in 2019, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019–2025.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Augusta and Georgia
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Biddinger are from 2019.
8 active clinicians are listed under Pathology - Anatomic Pathology with a practice address in Augusta, GA (67 in Georgia).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services stayed about the same: 831 in 2017 and 844 in 2019.
- 2017: 831
- 2018: 930
- 2019: 844
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Medicare-allowed amount
Medicare-allowed amount increased 10% from $37,440 in 2017 to $41,063 in 2019.
- 2017: $37,440
- 2018: $41,839
- 2019: $41,063
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Paid by Medicare
Paid by Medicare stayed about the same: $29,203 in 2017 and $31,611 in 2019.
- 2017: $29,203
- 2018: $32,139
- 2019: $31,611
Sources: CMS Medicare Physician & Other Practitioners (2019), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2018 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2019; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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88305
Pathology examination of tissue using a microscope, intermediate complexity
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428 | 239 | $175.00 | $38.19 |
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88307
Pathology examination of tissue using a microscope, moderately high complexity
|
120 | 66 | $270.00 | $83.47 |
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88342
Special stained specimen slides to examine tissue, initial procedure
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101 | 92 | $146.00 | $35.94 |
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88331
Pathology examination of specimen during surgery, first tissue block
|
86 | 35 | $239.00 | $61.92 |
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88341
Special stained specimen slides to examine tissue, each additional procedure
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47 | 21 | $53.00 | $28.91 |
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88321
Surgical pathology consultation and report on referred slides prepared elsewhere
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25 | 25 | $309.00 | $81.90 |
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88304
Pathology examination of tissue using a microscope, moderately low complexity
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23 | 19 | $110.00 | $11.53 |
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88309
Pathology examination of tissue using a microscope, high complexity
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14 | 13 | $391.00 | $148.23 |
Source: CMS Part B by Provider and Service, 2019; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 207ZP0101X
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
NUCC Taxonomy Code: 207ZP0101X
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Additional State Medicaid & Healthcare Payer Identifiers
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Pathology - Anatomic Pathology & Clinical Pathology
Doctor of Medicine (M.D.)
Pathology - Anatomic Pathology & Clinical Pathology
Doctor of Medicine (M.D.)
Pathology - Anatomic Pathology
Doctor of Medicine (M.D.)
Pathology - Anatomic Pathology & Clinical Pathology
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated July 03, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Pathology - Anatomic Pathology Specialists in Augusta
Healthcare providers in AugustaMailing Address
1499 Walton Way, Ste 1400
Augusta, GA 309012650
Phone: 7068288401