PAUL LOUIS PILEGI AGACNP-BC
NPI 1073979498
Nurse Practitioner - Acute Care in Springfield, MA

Active since January 14, 2016PECOS EnrolledAccepts Medicare Assignment
271 CAREW ST, SPRINGFIELD, MA 01104(413) 748-9000 Get Directions Write a Review

NPPES record last updated: January 14, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Paul Louis Pilegi Agacnp-bc NPPES

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

PAUL LOUIS PILEGI AGACNP-BC (NPI 1073979498) is an individual acute care provider in Springfield, Massachusetts, licensed in Massachusetts (RN2289481) and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1073979498
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NamePAUL LOUIS PILEGICredential: AGACNP-BC
Location Address271 CAREW STSpringfield, MA 01104-2377
Mailing Address271 Carew StSpringfield, MA 01104-2377 · (413) 748-9000
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 14, 2016
✔ NPI 1073979498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MA · RN2289481
271 CAREW ST, Springfield, MA 01104

Accepted Insurance

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

Paul Louis Pilegi Agacnp-bc 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 ID9335448406
PECOS Enrollment IDI20160425001931
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

4

Medicare enrollment records show Paul Pilegi reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
271 CAREW ST
Springfield, MA 01104
  • Reassigned Medicare billing, Massachusetts enrollment
  • 168 clinicians in this Medicare group
Internal Medicine
271 CAREW ST
Springfield, MA 01104
  • Reassigned Medicare billing, Massachusetts enrollment
  • 298 clinicians in this Medicare group
Family Medicine
30 LOCUST ST
Northampton, MA 01060
  • Reassigned Medicare billing, Massachusetts enrollment
  • 539 clinicians in this Medicare group
General Practice
945 CONCORD STREET
Framingham, MA 01701
  • Reassigned Medicare billing, Massachusetts enrollment
  • 15 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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
139 services137 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01104 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%215 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Specialist
271 CAREW ST
SPRINGFIELD, MA 01104
Nurse Practitioner (Family)
271 CAREW ST
SPRINGFIELD, MA 01104
Nurse Anesthetist, Certified Registered
271 CAREW ST
SPRINGFIELD, MA 01104
Physician Assistant (Surgical)
271 CAREW ST
SPRINGFIELD, MA 01104
General Acute Care Hospital
271 CAREW ST
SPRINGFIELD, MA 01104
Physician Assistant
271 CAREW ST
SPRINGFIELD, MA 01104
Internal Medicine
271 CAREW ST
SPRINGFIELD, MA 01104
Hospitalist
271 CAREW ST
SPRINGFIELD, MA 01104

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 Pilegi's NPI number?

The NPI number for Paul Pilegi is 1073979498. It was assigned to this individual provider in the NPPES registry on January 14, 2016.

Where is Paul Pilegi located?

Paul Pilegi practices at 271 Carew St, Springfield, MA 01104. The listed phone number is (413) 748-9000.

What is Paul Pilegi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Paul Pilegi enrolled in Medicare?

Yes. Paul Pilegi 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 Pilegi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Pilegi reassigns Medicare benefits to 4 organizations: Mercy Inpatient Medical Associates Inc. (Springfield, MA), Riverbend Medical Group, Inc. (Springfield, MA), Mass General Brigham Medical Group Western Massachusetts Inc (Northampton, MA) and Wound Care Specialists Of Ma, LLC (Framingham, MA). 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 Pilegi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Pilegi accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Paul Pilegi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paul Pilegi was last updated on January 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.