DR. PAUL MATTHEW LAMBERTI MD
NPI 1053420893
Orthopaedic Surgery in Wailuku, HI

Active since August 29, 2006PECOS EnrolledAccepts Medicare Assignment
84.57/100
CMS Quality Rating
2180 MAIN ST, WAILUKU, HI 96793(808) 242-6464 Get Directions Write a Review

NPPES record last updated: April 26, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Paul Matthew Lamberti Md NPPES

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

DR. PAUL MATTHEW LAMBERTI MD (NPI 1053420893) is an individual orthopaedic surgery provider in Wailuku, Hawaii, licensed in Hawaii (MD17225) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with John H Stroger Jr Hospital, and is a graduate of Washington University School Of Medicine (1997).

NPPES Registry Identity

NPI1053420893
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. PAUL MATTHEW LAMBERTICredential: MD
Location Address2180 MAIN STWailuku, HI 96793-1625
Mailing Address2180 Main StWailuku, HI 96793-1625 · (808) 242-6464
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1997
Enumeration DateAugust 29, 2006
Last NPPES UpdateApril 26, 2021
NPPES CertifiedApril 26, 2021
✔ NPI 1053420893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in HI · MD17225✔ Licensed in IL · 036102138
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X · License 036102138 (IL)
2180 MAIN ST, Wailuku, HI 96793

Other Identifiers 2

Other2233290IL · Bcbs
Medicaid036102138IL

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 Matthew Lamberti 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 ID1658318225
PECOS Enrollment IDI20050414000837
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 Lamberti reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
1 ILLINI DR
Peoria, IL 61605
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
4,184 mi
Primary Care
3250 N ARLINGTON HEIGHTS RD
Arlington Heights, IL 60004
  • Reassigned Medicare billing, Illinois enrollment
  • 1,047 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.

Hospital Affiliations CMS Care Compare

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

John H Stroger Jr Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140124
Location1901 W Harrison StChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96793 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
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
Most-billed visit code 99213
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.

84.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.25
Promoting Interoperability100
Improvement Activities40
Cost67

Other Providers at the Same Location NPPES 20

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

Physician Assistant (Medical)
2180 MAIN ST
WAILUKU, HI 96793
Nurse Practitioner (Family)
2180 MAIN ST
WAILUKU, HI 96793
Otolaryngology
2180 MAIN ST
WAILUKU, HI 96793
Massage Therapist
2180 MAIN ST
WAILUKU, HI 96793
Radiology (Diagnostic Radiology)
2180 MAIN ST
WAILUKU, HI 96793
Physician Assistant (Surgical)
2180 MAIN ST
WAILUKU, HI 96793
Internal Medicine
2180 MAIN ST
WAILUKU, HI 96793
Physician Assistant (Medical)
2180 MAIN ST
WAILUKU, HI 96793

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 Lamberti's NPI number?

The NPI number for Paul Lamberti is 1053420893. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Paul Lamberti located?

Paul Lamberti practices at 2180 Main St, Wailuku, HI 96793. The listed phone number is (808) 242-6464.

What is Paul Lamberti's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Paul Lamberti enrolled in Medicare?

Yes. Paul Lamberti 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 Lamberti's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Lamberti reassigns Medicare benefits to 2 organizations: Board Of Trustees Of The University Of Illinois (Peoria, IL) and Cook County (Arlington Heights, IL). 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 Lamberti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Paul Lamberti affiliated with any hospitals?

According to CMS data, Paul Lamberti is affiliated with John H Stroger Jr Hospital.

When was this NPI record last updated?

The NPPES record for Paul Lamberti was last updated on April 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.