Active NPI 1821032590 Individual Practitioner Male Practitioner

Dr. Jose T. Paul , MD

Surgery • Flushing, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jose Paul, MD is a certified Surgery practicing in Flushing, NY. With approximately 44 years of clinical experience since completing medical education in 1982, Dr. Paul delivers high-quality medical care to the local community at 140-15 SANFORD AVE.

Dr. Paul is affiliated with North Shore-Lij Medical Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

140-15 Sanford Ave

Flushing, NY 11355

Telephone 7186706400

Fax 7186406479

Associated Practice Facility / Clinic

🏢 Qlimg Flushing North Medical Office Facility NPI 1811083512

Medicare Profile & Education

Medical School

Other

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Flushing, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

44 Yrs +16.7 yrs vs City Avg

City Avg: 27.3 Yrs

State Avg: 27.8 Yrs

Regional Practice Density

44 Specialists

Practicing in Flushing, NY (2269 Statewide)

Telehealth Adoption Rate

2.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Paul (44 Years) 44 Yrs

Flushing Specialty Average (27.3 Years) 27.3 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
99213 Established patient office or other outpatient visit, typically 15 minutes	68	49	$495.88	$103.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	52	19	$322.00	$86.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$622.00	$127.90
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$605.00	$144.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	122	40	$322.00	$90.55
99213 Established patient office or other outpatient visit, typically 15 minutes	73	54	$494.00	$104.24
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	54	51	$605.00	$149.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$622.00	$130.21
99238 Hospital discharge day management, 30 minutes or less	11	11	$338.00	$92.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	95	35	$322.00	$84.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	53	50	$605.00	$161.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$622.00	$136.34
99213 Established patient office or other outpatient visit, typically 15 minutes	46	36	$494.00	$110.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	55	22	$322.00	$85.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	28	$605.00	$163.74
99213 Established patient office or other outpatient visit, typically 15 minutes	25	18	$383.00	$111.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$492.00	$139.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	100	40	$322.00	$85.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	52	50	$605.00	$165.79
99213 Established patient office or other outpatient visit, typically 15 minutes	34	28	$383.00	$90.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$492.00	$131.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	88	32	$322.00	$83.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$492.00	$127.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$605.00	$157.47
99213 Established patient office or other outpatient visit, typically 15 minutes	25	20	$383.00	$86.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$879.00	$231.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$736.00	$191.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	49	27	$322.00	$83.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$492.00	$127.24
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	28	14	$460.00	$119.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	15	$475.00	$124.66
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	14	$182.00	$45.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$605.00	$157.68
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$430.00	$118.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$356.32	$127.09

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 187523

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

01504732 (NY)

Hospital & Practice Group Affiliations

North Shore-Lij Medical Pc

300 Community Dr, Manhasset, NY 110303816

Phone: 5165623058

Practice Associates & Co-Workers

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

22 Associated Practitioners

Dr. Omid Sanaei , MD

Internal Medicine - Gastroenterology

NPI 1023513033

Doctor of Medicine (M.D.)

Dr. Francisco Torres , MD

Internal Medicine

NPI 1033149679

Doctor of Medicine (M.D.)

Dr. Bijoy Mehta , MD

Internal Medicine - Cardiovascular Disease

NPI 1063452068

Doctor of Medicine (M.D.)

Dr. Rosie Reejsinghani , MD

Pediatrics

NPI 1174579635

Doctor of Medicine (M.D.)

Heather Angelillo , RD, CDN

Dietitian, Registered

NPI 1205029956

Registered Dietitian, CDN

Dr. Roshan Qureshi , MD

Internal Medicine

NPI 1235178534

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 March 30, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 30, 2016

Registered at 140-15 SANFORD AVE, FLUSHING, NY 11355 (Tel: 7186706400)

📍

Updated Business Mailing Address March 30, 2016

Registered at 441 9TH AVE FL 3, NEW YORK, NY 100011623 (Tel: 6466802888)

👤

Provider Name / Credentials Updated March 30, 2016

Recorded as JOSE PAUL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2016

Surgery (License #187523 in NY)

🟢

Initial NPI Registration & Enumeration June 15, 2006

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: 1821032590

Entity Type:

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

Enumeration Date: June 15, 2006

Last Update: March 30, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

441 9th Ave Fl 3

New York, NY 100011623

Phone: 6466802888

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.