Paul Waclawski, DO
NPI 1386273696 · Family Medicine Physician · New Berlin, WI
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paul Waclawski, DO is a Family Medicine Physician provider in New Berlin, WI (NPI 1386273696).
Provider details
- NPI number
- 1386273696
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
6 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
283 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 116 | $119 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 108 | $85 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 27 | $122 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 18 | $169 |
| Automated Urinalysis Test81003 | 14 | $2 |
Typical Medicare-allowed amounts for these services range $2–$169 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, 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 · 27 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 51 | 27 |
| Amlodipine Besylate | 42 | 17 |
| Prednisone | 32 | 30 |
| Lisinopril | 28 | 13 |
| Gabapentin | 28 | 13 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 27 | 19 |
| Pantoprazole Sodium |
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-04-07
- Last updated
- 2023-08-30
- Certified
- 2023-08-30
Frequently asked questions
- What is Paul Waclawski's NPI number?
- Paul Waclawski's National Provider Identifier (NPI) is 1386273696, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Paul Waclawski's specialty?
- Paul Waclawski is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Paul Waclawski located?
- Paul Waclawski's practice location on file with NPPES is 4805 S Moorland Rd, New Berlin, WI 53151-7401.
- What is Paul Waclawski's phone number?
- The practice phone number listed in the NPPES registry for Paul Waclawski is (262) 798-7200.
- Does Paul Waclawski accept Medicare?
- Paul Waclawski is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Paul Waclawski's NPI active?
- Yes — Paul Waclawski's NPI (1386273696) is active in the NPPES registry as of the last update on 2023-08-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.