Paul Jerome Custodio, M.D.
NPI 1093997280 · Endocrinology, Diabetes & Metabolism Physician · New Kensington, PA
Enrolled with Medicare as Practitioner - Endocrinology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paul Jerome Custodio, M.D. is a Endocrinology, Diabetes & Metabolism Physician provider in New Kensington, PA (NPI 1093997280).
Provider details
- NPI number
- 1093997280
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD456308 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
75 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Initial Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99221 | 28 | $86 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 25 | $51 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 22 | $82 |
Typical Medicare-allowed amounts for these services range $51–$86 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 21 | 12 |
| Insulin Glargine,hum.rec.anlogbrand: Lantus Solostar | 18 | 11 |
| Empagliflozinbrand: Jardiance | 15 | — |
| Semaglutidebrand: Ozempic | 14 | — |
| Metformin Hclbrand: Metformin Hcl Er | 13 | 12 |
| Metformin Hcl | 12 | — |
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-11-29
- Last updated
- 2020-10-08
- Certified
- 2020-10-08
Frequently asked questions
- What is Paul Jerome Custodio's NPI number?
- Paul Jerome Custodio's National Provider Identifier (NPI) is 1093997280, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Paul Jerome Custodio's specialty?
- Paul Jerome Custodio is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Paul Jerome Custodio located?
- Paul Jerome Custodio's practice location on file with NPPES is 356 Freeport St, New Kensington, PA 15068-6071.
- What is Paul Jerome Custodio's phone number?
- The practice phone number listed in the NPPES registry for Paul Jerome Custodio is (724) 367-2400.
- Does Paul Jerome Custodio accept Medicare?
- Paul Jerome Custodio is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Paul Jerome Custodio's NPI active?
- Yes — Paul Jerome Custodio's NPI (1093997280) is active in the NPPES registry as of the last update on 2020-10-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.