DR. PAUL B CHAPMAN MD
NPI 1053354936
Internal Medicine - Medical Oncology in New York, NY

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
89.61/100
CMS Quality Rating
1305 YORK AVE FL 12, NEW YORK, NY 10021(646) 962-6444 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 21, 2025, May 11, 2023 (2 updates tracked since 2023).

About Dr. Paul B Chapman Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PAUL B CHAPMAN MD (NPI 1053354936) is an individual medical oncology provider in New York, New York, licensed in New York (174210) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of State University Of New York Downstate Medical Center (1981).

NPPES Registry Identity

NPI1053354936
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameDR. PAUL B CHAPMANCredential: MD
Location Address1305 YORK AVE FL 12New York, NY 10021-5663
Mailing Address1305 York Ave Fl 12New York, NY 10021-5663 · (646) 962-6444
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1981
Enumeration DateJune 14, 2006
Last NPPES UpdateMay 21, 20252 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
✔ NPI 1053354936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in NY · 174210
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
1305 YORK AVE FL 12, New York, NY 10021

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Paul B Chapman Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143230524
PECOS Enrollment IDI20060429000002
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Paul Chapman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hematology & Oncology
525 E 68TH ST
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • 68 clinicians in this Medicare group
Internal Medicine
1275 YORK AVE
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • 514 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
52 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.89
Improvement Activities40

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1305 YORK AVE FL 12
NEW YORK, NY 10021
Nurse Practitioner (Family)
1305 YORK AVE FL 12
NEW YORK, NY 10021
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
1305 YORK AVE FL 12
NEW YORK, NY 10021
Nurse Practitioner (Family)
1305 YORK AVE FL 12
NEW YORK, NY 10021
Internal Medicine (Hematology & Oncology)
1305 YORK AVE FL 12
NEW YORK, NY 10021
Internal Medicine (Hematology & Oncology)
1305 YORK AVE FL 12
NEW YORK, NY 10021
Internal Medicine (Medical Oncology)
1305 YORK AVE FL 12
NEW YORK, NY 10021
Internal Medicine (Hematology & Oncology)
1305 YORK AVE FL 12
NEW YORK, NY 10021

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Chapman's NPI number?

The NPI number for Paul Chapman is 1053354936. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Paul Chapman located?

Paul Chapman practices at 1305 York Ave Fl 12, New York, NY 10021. The listed phone number is (646) 962-6444.

What is Paul Chapman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Paul Chapman enrolled in Medicare?

Yes. Paul Chapman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Paul Chapman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Chapman reassigns Medicare benefits to 2 organizations: Weill Medical College Of Cornell (New York, NY) and Memorial Solid Tumor Group (New York, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Chapman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Paul Chapman affiliated with any hospitals?

According to CMS data, Paul Chapman is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Paul Chapman was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.