Paul Braaton, MD
NPI 1538117056 · Orthopaedic Surgery Physician · Modesto, CA
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paul Braaton, MD is a Orthopaedic Surgery Physician provider in Modesto, CA (NPI 1538117056).
Provider details
- NPI number
- 1538117056
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 00G840660 (CA)
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
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
584 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 228 | $129 |
| X-Ray of Foot, Minimum of 3 Views73630 | 78 | $34 |
| X-Ray of Ankle, 2 Views73600 | 69 | $31 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 52 | $170 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 42 | $183 |
| X-Ray of Ankle, Minimum of 3 Views73610 | 40 | $37 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 14 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Terbinafine Hcl | 58 | 19 |
| Esomeprazole Magnesium | 50 | 22 |
| Abaloparatidebrand: Tymlos | 44 | 11 |
| Pregabalin | 43 | 14 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 39 | 26 |
| Ondansetronbrand: Ondansetron Odt | 36 | 25 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$4,196 across 20 records (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
Registry dates
- Enumerated
- 2006-05-05
- Last updated
- 2013-03-11
Frequently asked questions
- What is Paul Braaton's NPI number?
- Paul Braaton's National Provider Identifier (NPI) is 1538117056, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Paul Braaton's specialty?
- Paul Braaton is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Paul Braaton located?
- Paul Braaton's practice location on file with NPPES is 1335 Coffee Road, Modesto, CA 95355-3192.
- What is Paul Braaton's phone number?
- The practice phone number listed in the NPPES registry for Paul Braaton is (209) 524-4438.
- Does Paul Braaton accept Medicare?
- Paul Braaton is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Paul Braaton's NPI active?
- Yes — Paul Braaton's NPI (1538117056) is active in the NPPES registry as of the last update on 2013-03-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.