DR. DOUGLAS EDMUND PADGETT MD
NPI 1063523553
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in New York, NY
About Dr. Douglas Edmund Padgett Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DOUGLAS EDMUND PADGETT MD (NPI 1063523553) is an individual adult reconstructive orthopaedic surgery provider in New York, New York, licensed in New York (162802) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Hospital For Special Surgery, and is a graduate of New York Medical College (1982).
NPPES Registry Identity
Specialties & Licenses
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. Douglas Edmund Padgett 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.
Medicare Billing Reassignment
Medicare enrollment records show Douglas Padgett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 196 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 7
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hospital For Special Surgery
Acute Care Hospitals · New York, NYMedicare 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.
Reported Quality Measures
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.
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 Douglas Padgett's NPI number?
The NPI number for Douglas Padgett is 1063523553. It was assigned to this individual provider in the NPPES registry on August 31, 2006.
Where is Douglas Padgett located?
Douglas Padgett practices at 535 E 70th St, New York, NY 10021. The listed phone number is (212) 606-1642.
What is Douglas Padgett's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.
Is Douglas Padgett enrolled in Medicare?
Yes. Douglas Padgett 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 organization bills Medicare for Douglas Padgett's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Padgett reassigns Medicare benefits to Ny Society For The Relief Of Ruptured & Crippled Maintaining (New York, NY). The 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 Douglas Padgett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Douglas Padgett affiliated with any hospitals?
According to CMS data, Douglas Padgett is affiliated with Hospital For Special Surgery.
When was this NPI record last updated?
The NPPES record for Douglas Padgett was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.
# Dr. Douglas Edmund Padgett, MD · NPI 1063523553
Adult Reconstructive Orthopaedic Surgery physician in New York, New York. Individual provider, active in the CMS NPPES registry since August 31, 2006.
## Identity
- **NPI:** 1063523553 (Entity type: Individual)
- **Enumerated:** August 31, 2006
- **Primary specialty:** Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery · taxonomy 207XS0114X
- **State license:** 162802 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 535 E 70TH ST, New York, NY 10021-4872
- **Phone:** (212) 606-1642 · **Fax:** (212) 606-1917
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ny Society For The Relief Of Ruptured & Crippled Maintaining (NPI 1902243488, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York Medical College, class of 1982
## Record status
- **NPPES last updated:** October 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1063523553) · Data from the CMS NPPES public registry.