Active NPI 1154311462 Individual Practitioner Male Practitioner

Dr. Istvan Pulai , MD

Anesthesiology • Springfield, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Istvan Pulai, MD is a certified Anesthesiology practicing in Springfield, MA. With approximately 38 years of clinical experience since completing medical education in 1988, Dr. Pulai delivers high-quality medical care to the local community at 908 ALLEN ST.

Dr. Pulai is affiliated with Pulse Anesthesia Consultants Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection of anesthetic agent, brachial (arm) nerve bundle, anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand, injection of anesthetic agent and/or steroid into upper arm and shoulder nerve (axillary nerve). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

908 Allen St

Springfield, MA 011182533

Telephone 4137967494

Fax 4137967498

Associated Practice Facility / Clinic

🏢 Springfield Anesthesia Service, Inc. Facility NPI 1093768830

Medicare Profile & Education

Medical School

Other

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Springfield, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +15.9 yrs vs City Avg

City Avg: 22.1 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

77 Specialists

Practicing in Springfield, MA (2146 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

93.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pulai (38 Years) 38 Yrs

Springfield Specialty Average (22.1 Years) 22.1 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
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	62	61	$650.00	$66.64
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand	51	49	$1365.20	$74.12
64417 Injection of anesthetic agent and/or steroid into upper arm and shoulder nerve (axillary nerve)	49	48	$650.00	$62.96
64999 Other procedure on nervous system	48	47	$650.00	$34.63
01630 Anesthesia for open or endoscopic procedure at upper arm and shoulder joint including	42	42	$1923.74	$110.53
01400 Anesthesia for other procedure or exam of knee joint using an endoscope	38	38	$1364.35	$72.73
64450 Injection of anesthetic agent, other peripheral nerve or branch	33	29	$650.00	$37.77
01830 Anesthesia for open or endoscopic procedure on bones of forearm, wrist, or hand	29	28	$1680.41	$97.33
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	27	27	$650.00	$58.22
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	24	24	$1529.70	$86.89
01402 Anesthesia for procedure for total knee joint replacement	24	24	$2610.56	$155.81
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	23	23	$275.00	$29.69
01638 Anesthesia for open or endoscopic total shoulder joint replacement	18	18	$2994.54	$180.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00812 Anesthesia for exam of colon using an endoscope	23	23	$680.22	$91.85
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	22	22	$806.59	$96.29
00811 Anesthesia for procedure on large bowel using an endoscope	19	19	$845.53	$112.63
00630 Anesthesia for other procedure on lower spine	11	11	$1899.55	$244.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	115	113	$188.00	$31.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	54	$271.00	$98.93
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	48	46	$304.21	$64.50
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	31	31	$298.00	$47.14
62323 Injection of substance into lower spine canal using imaging guidance	28	18	$720.00	$102.14
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand	23	23	$595.43	$64.99
01400 Anesthesia for other procedure or exam of knee joint using an endoscope	22	22	$659.86	$76.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$446.00	$132.96
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	18	15	$649.33	$99.16
01638 Anesthesia for open or endoscopic total shoulder joint replacement	17	17	$1546.06	$185.58
01830 Anesthesia for open or endoscopic procedure on bones of forearm, wrist, or hand	17	17	$964.76	$106.90
01630 Anesthesia for open or endoscopic procedure at upper arm and shoulder joint including	17	17	$1050.18	$122.58
01402 Anesthesia for procedure for total knee joint replacement	16	16	$1720.31	$212.61
64417 Injection of anesthetic agent and/or steroid into upper arm and shoulder nerve (axillary nerve)	16	16	$248.00	$57.86
01214 Anesthesia for total hip replacement	13	13	$1596.62	$191.12
64445 Injection of anesthetic agent and/or steroid into lower back and leg nerve (sciatic nerve)	12	11	$368.00	$55.27
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	11	11	$1178.45	$132.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	105	100	$188.00	$32.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	46	$271.00	$100.39
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	38	38	$298.00	$65.63
01400 Anesthesia for other procedure or exam of knee joint using an endoscope	28	28	$669.07	$81.67
01630 Anesthesia for open or endoscopic procedure at upper arm and shoulder joint including	25	25	$994.12	$123.07
62323 Injection of substance into lower spine canal using imaging guidance	22	14	$720.00	$103.50
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand	22	22	$614.27	$69.25
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	21	20	$298.00	$37.96
01830 Anesthesia for open or endoscopic procedure on bones of forearm, wrist, or hand	18	18	$876.44	$108.04
64417 Injection of anesthetic agent and/or steroid into upper arm and shoulder nerve (axillary nerve)	17	17	$248.00	$63.14
99442 Telephone medical discussion with physician, 11-20 minutes	16	15	$150.00	$67.60
64445 Injection of anesthetic agent and/or steroid into lower back and leg nerve (sciatic nerve)	15	14	$368.00	$56.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$446.00	$131.69
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$175.00	$69.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	123	115	$188.00	$33.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	57	$271.00	$82.52
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	39	36	$305.64	$68.26
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand	34	30	$611.56	$71.10
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	26	25	$298.00	$43.61
01400 Anesthesia for other procedure or exam of knee joint using an endoscope	25	25	$633.36	$77.12
01830 Anesthesia for open or endoscopic procedure on bones of forearm, wrist, or hand	19	19	$989.05	$125.77
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	19	12	$666.42	$102.69
64417 Injection of anesthetic agent and/or steroid into upper arm and shoulder nerve (axillary nerve)	18	17	$372.78	$66.54
64445 Injection of anesthetic agent and/or steroid into lower back and leg nerve (sciatic nerve)	16	16	$368.00	$57.62
01402 Anesthesia for procedure for total knee joint replacement	15	15	$1395.87	$174.18
62323 Injection of substance into lower spine canal using imaging guidance	14	11	$720.00	$105.67
01630 Anesthesia for open or endoscopic procedure at upper arm and shoulder joint including	14	14	$963.21	$120.72
20610 Aspiration and/or injection of fluid from large joint	13	11	$211.85	$52.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$271.00	$79.09
01214 Anesthesia for total hip replacement	11	11	$1455.27	$185.99
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	11	11	$833.09	$106.47
99442 Telephone medical discussion with physician, 11-20 minutes	11	11	$60.00	$53.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	151	143	$188.00	$33.06
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand	69	66	$604.59	$78.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	54	$271.00	$81.61
64417 Injection of anesthetic agent and/or steroid into upper arm and shoulder nerve (axillary nerve)	46	46	$248.00	$71.94
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	41	37	$298.00	$65.86
01400 Anesthesia for other procedure or exam of knee joint using an endoscope	35	33	$615.94	$79.11
01830 Anesthesia for open or endoscopic procedure on bones of forearm, wrist, or hand	32	30	$879.61	$111.71
62323 Injection of substance into lower spine canal using imaging guidance	31	23	$720.00	$104.57
01630 Anesthesia for open or endoscopic procedure at upper arm and shoulder joint including	22	22	$1061.48	$138.80
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	18	16	$676.39	$102.29
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	18	17	$298.00	$56.25
64445 Injection of anesthetic agent and/or steroid into lower back and leg nerve (sciatic nerve)	15	14	$368.00	$74.12
00400 Anesthesia for procedure on skin of arms, legs, or trunk	14	14	$815.30	$112.45
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	14	14	$687.17	$83.32
20553 Injection of trigger points, 3 or more muscles	12	11	$352.00	$45.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	210	190	$188.00	$33.53
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand	89	84	$551.83	$73.12
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	61	57	$302.89	$68.19
64417 Injection of anesthetic agent and/or steroid into upper arm and shoulder nerve (axillary nerve)	60	58	$248.00	$73.93
01830 Anesthesia for open or endoscopic procedure on bones of forearm, wrist, or hand	54	52	$796.89	$110.72
01400 Anesthesia for other procedure or exam of knee joint using an endoscope	50	50	$583.00	$77.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	36	$271.00	$81.44
01630 Anesthesia for open or endoscopic procedure at upper arm and shoulder joint including	34	33	$932.52	$123.44
62323 Injection of substance into lower spine canal using imaging guidance	26	18	$720.00	$104.69
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	25	25	$298.00	$45.98
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	21	21	$691.54	$94.49
64445 Injection of anesthetic agent and/or steroid into lower back and leg nerve (sciatic nerve)	20	20	$368.00	$76.50
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	17	12	$744.82	$111.58
00400 Anesthesia for procedure on skin of arms, legs, or trunk	17	16	$550.94	$73.28
64450 Injection of anesthetic agent, other peripheral nerve or branch	13	12	$408.15	$28.54
01610 Anesthesia for procedure on nerves, muscles, tendons, fascia, and bursae of shoulder and underarm	13	13	$986.34	$140.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	203	195	$186.28	$32.36
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand	82	80	$566.98	$76.66
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	68	68	$294.62	$63.80
64417 Injection of anesthetic agent and/or steroid into upper arm and shoulder nerve (axillary nerve)	52	51	$246.90	$70.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	44	$270.56	$77.91
01400 Anesthesia for other procedure or exam of knee joint using an endoscope	48	48	$581.21	$76.06
01830 Anesthesia for open or endoscopic procedure on bones of forearm, wrist, or hand	45	44	$763.64	$104.07
01630 Anesthesia for open or endoscopic procedure at upper arm and shoulder joint including	41	41	$937.12	$124.22
62323 Injection of substance into lower spine canal using imaging guidance	32	22	$645.31	$102.20
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	28	28	$294.71	$40.24
64445 Injection of anesthetic agent and/or steroid into lower back and leg nerve (sciatic nerve)	23	23	$363.13	$72.80
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	14	$250.00	$72.31
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	21	21	$754.10	$102.61
64450 Injection of anesthetic agent, other peripheral nerve or branch	18	13	$417.89	$32.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$446.00	$129.75

Medical Specialties & State Licenses

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License MA 153950

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Anesthesiology - Pain Medicine

NUCC Taxonomy Code: 207LP2900X

State License MA 153950

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Hospital & Practice Group Affiliations

Pulse Anesthesia Consultants Pc

50 Wason Ave, Springfield, MA 011071280

Phone: 4137941800

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Poornachandran Manikantan , MD

Anesthesiology - Pain Medicine

NPI 1003806308

Doctor of Medicine (M.D.)

Dr. Andrew Gainski , MD

Anesthesiology

NPI 1043201775

Doctor of Medicine (M.D.)

Dr. Peter Vieira , MD

Anesthesiology - Pain Medicine

NPI 1053302828

Doctor of Medicine (M.D.)

William Larareo , ORNA

Nurse Anesthetist, Certified Registered

NPI 1073578266

Carl Bordas , CRNA

Nurse Anesthetist, Certified Registered

NPI 1083656631

Certified Registered Nurse Anesthetist

Dr. Christopher Dow , MD

Anesthesiology

NPI 1093829780

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 June 03, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location June 03, 2008

Registered at 908 ALLEN ST, SPRINGFIELD, MA 011182533 (Tel: 4137967494)

📍

Updated Business Mailing Address June 03, 2008

Registered at 908 ALLEN ST, SPRINGFIELD, MA 011182533 (Tel: 4137967494)

👤

Provider Name / Credentials Updated June 03, 2008

Recorded as ISTVAN PULAI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2008

Anesthesiology (License #153950 in MA)

🟢

Initial NPI Registration & Enumeration October 27, 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: 1154311462

Entity Type:

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

Enumeration Date: October 27, 2005

Last Update: June 03, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

908 Allen St

Springfield, MA 011182533

Phone: 4137967494

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.