Paul Niedbala
NPI 1194474122 · Family Nurse Practitioner · Pawcatuck, CT
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paul Niedbala is a Family Nurse Practitioner provider in Pawcatuck, CT (NPI 1194474122).
Provider details
- NPI number
- 1194474122
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 10296 (CT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
4 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
740 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 439 | $80 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 94 | $99 |
| Respiratory Infectious Agent Detection By Rna for Severe Acute Respiratory Syndrome Coronavirus 2 (covid 19), Influenza A, Influenza B, and Respiratory Syncytial Virus, Upper Respiratory Specimen, Each Reported As Detected Or Not Detected0241U | 70 | $138 |
| Urinalysis, Manual Test81002 | 47 | $3 |
| Detection Test By Nucleic Acid for Strep (streptococcus, Group A), Amplified Probe Technique87651 | 29 | $34 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 19 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 254 | 239 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 98 | 88 |
| Doxycycline Hyclate | 74 | 71 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 45 | 44 |
| Cephalexin | 42 | 39 |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro | 38 | 37 |
| Azithromycin |
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-03-18
- Last updated
- 2022-03-18
- Certified
- 2022-03-18
Frequently asked questions
- What is Paul Niedbala's NPI number?
- Paul Niedbala's National Provider Identifier (NPI) is 1194474122, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Paul Niedbala's specialty?
- Paul Niedbala is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Paul Niedbala located?
- Paul Niedbala's practice location on file with NPPES is 91 Voluntown Rd, Pawcatuck, CT 06379-1389.
- What is Paul Niedbala's phone number?
- The practice phone number listed in the NPPES registry for Paul Niedbala is (860) 599-5477.
- Does Paul Niedbala accept Medicare?
- Paul Niedbala is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Paul Niedbala's NPI active?
- Yes — Paul Niedbala's NPI (1194474122) is active in the NPPES registry as of the last update on 2022-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.