Dr. Joshua Alan Paulick , MD
Surgery • Hamilton, OH
1380 Nw Washington Blvd
Hamilton, OH 450131208
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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NPI assigned on October 18, 2007; this date does not establish years in practice.
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Published CMS data list 470 Original Medicare Part B services in 2017.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017. Published rows only; this is not a quality measure.
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Published Part B service records, 2017:
- 99231 — Subsequent hospital care with straightforward or low level of medical decision making, per day: 89 service units.
- G0500 — Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito: 87 service units.
- 99214 — Established patient outpatient office visit: 70 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2016 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2017). CPT notice
See all 13 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 11 Medicare Part D prescriptions, including refills, in 2018.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2018. Published rows only; this is not a quality measure.
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Published Part D records, 2018:
- Pantoprazole Sodium — 11 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2018. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table · Guide: How to read Medicare Part D prescriber data
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Medicare Part D prescriptions went from 163 in 2014 to 11 in 2018.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2014–2018.
Practice Location & Contact Primary Location
1380 Nw Washington Blvd
Hamilton, OH 450131208
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Cambridge, OH. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Unity Healthcare Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
University Of Cincinnati College Of Medicine
2007
What Public CMS Data Show
Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $39,487 in 2017
The total amount Medicare approved for these services in 2017. 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, 2017.
Paid by Medicare
About $29,378 in 2017
The part of the Medicare-allowed amount that Medicare itself paid in 2017, 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, 2017.
30-day fills
11 standardized 30-day fills in 2018
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$55 in 2018
The total cost of these prescriptions in 2018, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2018.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019–2025.
Years since graduation
19 years (graduated 2007)
CMS Doctors and Clinicians data list 2007 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2007
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.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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.
Enrolled in Medicare (PECOS)
Dr. Paulick has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Paulick as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Hamilton and Ohio
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Paulick are from 2017.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Paulick are from 2018.
9 active clinicians are listed under Surgery with a practice address in Hamilton, OH (1,249 in Ohio).
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
CMS data for Medicare Part B services are available for 2017 only.
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Medicare-allowed amount
CMS data for Medicare-allowed amount are available for 2017 only.
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Paid by Medicare
CMS data for Medicare payment amount are available for 2017 only.
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 93% from 163 in 2014 to 11 in 2018.
- 2014: 163
- 2015: 179
- 2016: 90
- 2017: 110
- 2018: 11
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30-day fills
30-day fills decreased 94% from 181 in 2014 to 11 in 2018.
- 2014: 181
- 2015: 193
- 2016: 98
- 2017: 128
- 2018: 11
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Part D drug cost
Part D drug cost decreased 100% from $11,729 in 2014 to $55 in 2018.
- 2014: $11,729
- 2015: $6,260
- 2016: $716
- 2017: $1,096
- 2018: $55
Sources: CMS Medicare Physician & Other Practitioners (2017), CMS Medicare Part D Prescribers (2018), 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 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; 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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99231
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
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89 | 39 | $100.00 | $37.01 |
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G0500
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito
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87 | 81 | $15.00 | $5.34 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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70 | 56 | $210.00 | $99.39 |
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43239
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
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37 | 37 | $750.00 | $97.26 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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34 | 29 | $150.00 | $67.59 |
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99236
Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes
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34 | 30 | $350.00 | $205.39 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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28 | 28 | $350.00 | $153.08 |
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45380
Biopsy of large bowel using a flexible endoscope
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18 | 18 | $850.00 | $85.42 |
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99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
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17 | 17 | $275.00 | $129.50 |
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45385
Removal of polyps or growths of large bowel using an endoscope with mechanical snare
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16 | 16 | $800.00 | $236.88 |
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43235
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope
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15 | 15 | $650.00 | $107.55 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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13 | 11 | $85.00 | $40.00 |
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45378
Diagnostic exam of large bowel using a flexible endoscope
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12 | 12 | $650.00 | $161.87 |
Source: CMS Part B by Provider and Service, 2017; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2018.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Pantoprazole Sodium | Pantoprazole Sodium | 11 | 330 | $55.07 | — |
Source: CMS Part D by Provider and Drug, 2018; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-07-22NUCC Taxonomy Code: 208600000X
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
NUCC Taxonomy Code: 208600000X
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - GENERAL SURGERY
I20241126000693
IN
9032365549
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Unity Healthcare Llc
3900 St Francis Way, Lafayette, IN 479054925
Phone: 7654000204
Secondary Practice Locations
100 Clark Ct
Cambridge, OH 437259395
Phone: 9377762256
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Surgery - Surgical Critical Care
Doctor of Medicine (M.D.)
Surgery
Doctor of Osteopathic Medicine (D.O.)
Surgery
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1380 NW WASHINGTON BLVD, HAMILTON, OH 450131208 (Tel: 5137373690)
Registered at 1 PRESTIGE PL STE 550, MIAMISBURG, OH 453426115 (Tel: 9377621306)
Surgery (license number reported to NPPES: OH 35.093930)
NPI status registered as active in NPPES database
Registered at 100 CLARK CT, CAMBRIDGE, OH 437259395 (Tel: 9377762256)
Registered at 3932 LEONORA DR, KETTERING, OH 454201239 (Tel: 9377762256)
Recorded as JOSHUA PAULICK, M.D.
Surgery (license number reported to NPPES: OH 57.013263)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Surgery Specialists in Hamilton
- Dr. Deanne Jacobs, MD
- Dr. Ryan Grote, DO
- Dr. Nathaniel Han, DO
- Dr. Zechariah Rhodes, MD, MIPH
- Dr. Douglas Hingsbergen, MD FACS
- Dr. John Pressler, MD
Mailing Address
1 Prestige Pl Ste 550
Miamisburg, OH 453426115
Phone: 9377621306