Paul Nieves, DO
NPI 1427084045 · Obstetrics & Gynecology Physician · Union City, TN
Enrolled with Medicare as Practitioner - Obstetrics/Gynecology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paul Nieves, DO is a Obstetrics & Gynecology Physician provider in Union City, TN (NPI 1427084045).
Provider details
- NPI number
- 1427084045
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 33328 (IA)
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
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
118 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) |
|---|---|---|
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 46 | $106 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 45 | $88 |
| Cervical Or Vaginal Cancer Screening; Pelvic and Clinical Breast ExaminationG0101 | 15 | $38 |
| Biopsy of Lining of Uterus And/Or Removal of Polyp Using an Endoscope58558 | 12 | $211 |
Typical Medicare-allowed amounts for these services range $38–$211 (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 · 3 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Estradiol | 164 | 56 |
| Estradiolbrand: Yuvafem | 57 | 21 |
| Progesterone, Micronizedbrand: Progesterone | 31 | 13 |
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.
Practice location
Mailing address
Additional practice locations (1)
- 105 W Stone Dr Ste 2bKingsport, TN 37660-3365Phone: (423) 247-7500Fax: (423) 247-7556
Registry dates
- Enumerated
- 2006-06-24
- Last updated
- 2019-01-08
Frequently asked questions
- What is Paul Nieves's NPI number?
- Paul Nieves's National Provider Identifier (NPI) is 1427084045, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Paul Nieves's specialty?
- Paul Nieves is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Paul Nieves located?
- Paul Nieves's practice location on file with NPPES is 1312 Bishop St, Union City, TN 38261-5406.
- What is Paul Nieves's phone number?
- The practice phone number listed in the NPPES registry for Paul Nieves is (731) 885-5100.
- Does Paul Nieves accept Medicare?
- Paul Nieves is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Paul Nieves's NPI active?
- Yes — Paul Nieves's NPI (1427084045) is active in the NPPES registry as of the last update on 2019-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.