Active NPI 1316928286 Individual Practitioner Male Practitioner

Dr. Paul A Sergi , MD

Surgery • Brockton, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Paul Sergi, MD is a certified Surgery practicing in Brockton, MA. With approximately 58 years of clinical experience since graduating from New York Medical College in 1968, Dr. Sergi delivers high-quality medical care to the local community at 1 PEARL ST.

Dr. Sergi accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of skin and tissue, 20.0 sq cm or less, established patient outpatient office visit, removal of skin and tissue. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Pearl St
Suite 2700

Brockton, MA 023012864

Telephone 5085844104

Fax 5085844106

Associated Practice Facility / Clinic

🏢 National Athletic Training & Fitness Institute Inc Facility NPI 1467430629

Medicare Profile & Education

Medical School

New York Medical College

Graduation Year

1968

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Brockton, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

58 Yrs +34.3 yrs vs City Avg

City Avg: 23.7 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

21 Specialists

Practicing in Brockton, MA (1077 Statewide)

Telehealth Adoption Rate

4.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sergi (58 Years) 58 Yrs

Brockton Specialty Average (23.7 Years) 23.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	134	45	$330.00	$54.37
99213 Established patient office or other outpatient visit, typically 15 minutes	98	55	$265.50	$65.28
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	82	16	$105.00	$24.61
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	60	14	$300.00	$72.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	29	$220.00	$34.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$325.00	$80.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	116	42	$330.00	$58.12
99213 Established patient office or other outpatient visit, typically 15 minutes	116	54	$230.17	$66.53
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	94	14	$105.00	$25.28
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	91	24	$300.00	$83.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	68	34	$159.78	$35.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$307.81	$83.23
97597 Removal of tissue from wound, 20.0 sq cm or less	15	13	$210.00	$33.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	186	72	$330.00	$60.84
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	119	17	$105.00	$26.68
99213 Established patient office or other outpatient visit, typically 15 minutes	96	60	$225.42	$68.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	82	45	$142.56	$37.20
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	80	18	$300.00	$83.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$293.60	$85.53
97597 Removal of tissue from wound, 20.0 sq cm or less	17	14	$210.00	$37.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$480.00	$138.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	43	22	$354.00	$68.86
99213 Established patient office or other outpatient visit, typically 15 minutes	35	31	$224.00	$55.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	20	$136.00	$27.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	263	81	$354.00	$65.08
99213 Established patient office or other outpatient visit, typically 15 minutes	258	138	$224.00	$52.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	155	81	$136.00	$25.82
99183 Management and supervision of oxygen chamber therapy per session	145	13	$678.00	$113.73
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	120	17	$130.00	$27.10
11042 Removal of skin and tissue, 20.0 sq cm or less	95	23	$200.00	$65.88
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	84	23	$497.00	$98.17
99213 Established patient office or other outpatient visit, typically 15 minutes	75	34	$165.00	$53.78
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	50	23	$468.00	$83.56
97597 Removal of tissue from wound, 20.0 sq cm or less	30	22	$220.00	$23.97
17250 Application of chemical to stop tissue regrowth in wound	18	13	$259.00	$37.46

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MA 31915

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2038757 (MA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners

Dr. Philip Cohen , MD

Surgery

NPI 1043200892

Doctor of Medicine (M.D.)

Dr. Richard Paulson , MD

Surgery

NPI 1194794875

Doctor of Medicine (M.D.)

Dr. Robert Becher , MD

Surgery

NPI 1235108085

Doctor of Medicine (M.D.)

Dr. Christopher Corey , MD

Surgery

NPI 1306815071

Doctor of Medicine (M.D.)

Dr. Sara La Grange , MD

Surgery

NPI 1477873792

Doctor of Medicine (M.D.)

Dr. Peter Augustinos , MD

Family Medicine

NPI 1518936327

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active May 24, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location May 24, 2012

Registered at 1 PEARL ST, SUITE 2700, BROCKTON, MA 023012864 (Tel: 5085844104)

📍

Updated Business Mailing Address May 24, 2012

Registered at 1 PEARL ST, SUITE 2700, BROCKTON, MA 023012864 (Tel: 5085844104)

👤

Provider Name / Credentials Updated May 24, 2012

Recorded as PAUL SERGI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2012

Surgery (License #31915 in MA)

🟢

Initial NPI Registration & Enumeration November 08, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316928286

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 08, 2005

Last Update: May 24, 2012

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1 Pearl St, Suite 2700

Brockton, MA 023012864

Phone: 5085844104

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.