DR. PAUL L BARON MD
NPI 1083661094
Surgery in New York, NY

Active since May 27, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
210 E 64TH ST FL 3, NEW YORK, NY 10065(212) 434-6900(212) 434-6950 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Paul L Baron Md NPPES

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

DR. PAUL L BARON MD (NPI 1083661094) is an individual surgery provider in New York, New York, licensed in South Carolina (14892) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Lenox Hill Hospital, and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1083661094
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. PAUL L BARONCredential: MD
Location Address210 E 64TH ST FL 3New York, NY 10065-7471
Mailing Address210 E 64th St Fl 3New York, NY 10065-7471 · (843) 324-7137 · Fax (849) 724-2440
Fax(212) 434-6950
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1982
Enumeration DateMay 27, 2006
Last NPPES UpdateMay 1, 2023
NPPES CertifiedMarch 22, 2023
NPI 1083661094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in SC · 14892
Definition
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.
Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X · License 14892 (SC)
210 E 64TH ST FL 3, New York, NY 10065

Secondary Practice Location 1

Location 11790 Broadway Fl 8New York, NY 10019-1412 · Phone (212) 664-9323

Other Identifiers 1

Medicaid148922SC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Paul L Baron 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 ID3476573668
PECOS Enrollment IDI20190409001485
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.

Areas of Expertise CMS Part B claims 6

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
211 services180 patients
Measurement of lymphedema extracellular fluid 93702
The measurement of lymphedema extracellular fluid is a non-invasive procedure used to assess fluid buildup in tissues, often due to lymphatic system issues. It helps to monitor and manage conditions like lymphedema effectively.
40 services31 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
28 services27 patients
X-ray of surgical specimen 76098
An X-ray of a surgical specimen involves taking detailed images of the tissue or organ removed during surgery. This helps in examining the specimen more closely to understand the disease better. It's a safe, non-invasive procedure, providing valuable insights to your healthcare team.
23 services23 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
17 services17 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Lenox Hill Hospital

Acute Care Hospitals · New York, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330119
Location100 East 77th StreetNew York, NY 10021 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10065 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Family Medicine
210 E 64TH ST FL 3
NEW YORK, NY 10065
Psychologist
210 E 64TH ST FL 3
NEW YORK, NY 10065
Nurse Practitioner (Family)
210 E 64TH ST FL 3
NEW YORK, NY 10065
Clinical Neuropsychologist
210 E 64TH ST FL 3
NEW YORK, NY 10065
Internal Medicine (Medical Oncology)
210 E 64TH ST FL 3
NEW YORK, NY 10065

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 Baron's NPI number?

The NPI number for Paul Baron is 1083661094. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Paul Baron located?

Paul Baron practices at 210 E 64th St Fl 3, New York, NY 10065. The listed phone number is (212) 434-6900.

What is Paul Baron's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Paul Baron enrolled in Medicare?

Yes. Paul Baron 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.

What insurance does Paul Baron accept?

Health plans from First Choice Next list Paul Baron 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.

Is Paul Baron affiliated with any hospitals?

According to CMS data, Paul Baron is affiliated with Lenox Hill Hospital.

When was this NPI record last updated?

The NPPES record for Paul Baron was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.