Paul Lambert
NPI 1265886949 · Otolaryngology Physician · Summit, WI
Enrolled with Medicare as Practitioner - Otolaryngology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paul Lambert is a Otolaryngology Physician provider in Summit, WI (NPI 1265886949).
Provider details
- NPI number
- 1265886949
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 75642 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
10 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
715 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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 | 217 | $84 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 105 | $101 |
| Removal of Impacted Ear Wax69210 | 103 | $41 |
| Diagnostic Exam of Voice Box Using a Flexible Endoscope31575 | 100 | $117 |
| Diagnostic Exam of Nasal Passages Using an Endoscope31231 | 58 | $169 |
| Exam of Ear Using a Microscope92504 | 45 | $25 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone Propionate | 69 | 24 |
| Ipratropium Bromide | 60 | 19 |
| Pantoprazole Sodium | 32 | 18 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 19 | 17 |
| Prednisone | 17 | 14 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$50 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 601 Elmwood Ave Box 629Rochester, NY 14642-8629Phone: (585) 276-5181
Registry dates
- Enumerated
- 2016-04-19
- Last updated
- 2024-08-12
- Certified
- 2024-08-12
Frequently asked questions
- What is Paul Lambert's NPI number?
- Paul Lambert's National Provider Identifier (NPI) is 1265886949, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Paul Lambert's specialty?
- Paul Lambert is listed in the NPPES registry with a primary specialty of Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Paul Lambert located?
- Paul Lambert's practice location on file with NPPES is 36500 Aurora Dr, Summit, WI 53066-4899.
- What is Paul Lambert's phone number?
- The practice phone number listed in the NPPES registry for Paul Lambert is (262) 434-1000.
- Does Paul Lambert accept Medicare?
- Paul Lambert is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Paul Lambert's NPI active?
- Yes — Paul Lambert's NPI (1265886949) is active in the NPPES registry as of the last update on 2024-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.