DR. EDWARD SCOTT PAXTON JR. MD
NPI 1083805675
Orthopaedic Surgery in Providence, RI

Q: What is Edward Paxton's NPI number?

The NPI number for Edward Paxton is 1083805675. It was assigned to this individual provider in the NPPES registry on August 7, 2007.

Q: What is Edward Paxton's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Edward Paxton was last updated on July 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since August 07, 2007PECOS EnrolledAccepts Medicare Assignment

75.39/100

CMS Quality Rating

2 DUDLEY ST, PROVIDENCE, RI 02905(401) 457-2157(401) 457-2141 Get Directions Write a Review

NPPES record last updated: July 25, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Edward Scott Paxton Jr. Md NPPES

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

DR. EDWARD SCOTT PAXTON JR. MD (NPI 1083805675) is an individual orthopaedic surgery provider in Providence, Rhode Island, licensed in Rhode Island (14290) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and is a graduate of Washington University School Of Medicine (2007).

NPPES Registry Identity

NPI1083805675

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. EDWARD SCOTT PAXTON JR.Credential: MD

Location Address2 DUDLEY STProvidence, RI 02905-3236

Mailing AddressPo Box 1119Providence, RI 02901-1119 · (401) 457-2157 · Fax (401) 457-2141

Phone(401) 457-2157

Fax(401) 457-2141

Sole ProprietorYes

Medical School CMSWashington University School Of MedicineGraduated 2007

Enumeration DateAugust 7, 2007

Last NPPES UpdateJuly 25, 2013

✔ NPI 1083805675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in RI · 14290✔ Licensed in MO · 2007017133

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.

2 DUDLEY ST, Providence, RI 02905

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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. Edward Scott Paxton Jr. 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 ID8325280548

PECOS Enrollment IDI20130816000511, I20220324002251

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 Reassignment

Medicare enrollment records show Edward Paxton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Orthopedics, Inc.

1.2 mi

Orthopaedic Surgery

2 DUDLEY ST STE 200
Providence, RI 02905

Reassigned Medicare billing, Rhode Island and Massachusetts enrollments
Also billed through NPI 1013557727 (Massachusetts)
222 clinicians in this Medicare group

NPI 1235181041 (401) 457-1500

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 16

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.

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

537 services308 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

408 services75 patients

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.

203 services158 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

101 services72 patients

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.

101 services92 patients

X-ray of elbow, 2 views 73070

An elbow X-ray, 2 views, is a quick, painless imaging test. It uses a small amount of radiation to produce detailed images of your elbow from two different angles. This helps in diagnosing conditions like fractures, infection, or arthritis. It's a safe and effective way to monitor your elbow health.

47 services27 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

32 services32 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.

32 services32 patients

Anchoring of biceps tendon 23430

Anchoring of the biceps tendon is a surgical procedure aimed at restoring stability to your arm. The surgeon secures your biceps tendon to the bone using special anchors, which helps to reduce pain and improve arm function.

23 services23 patients

X-ray of upper arm, minimum of 2 views 73060

An X-ray of the upper arm with a minimum of 2 views involves capturing images of your arm from different angles. This helps in assessing the bones and surrounding tissues for any abnormalities or injuries. It's a quick, painless procedure.

19 services11 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

18 services18 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

16 services16 patients

Removal of extensive shoulder joint tissue using an endoscope 29823

This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.

15 services15 patients

Closed treatment of broken top of upper arm bone 23600

Closed treatment of a broken top of the upper arm bone involves non-surgical methods to heal the fracture. This may include immobilization with a cast or brace, pain management, and physical therapy exercises to restore movement and strength once healing begins.

14 services13 patients

Release of tendon connecting biceps muscle and shoulder using an endoscope 29828

This procedure involves using a small camera, known as an endoscope, to view and release the tendon connecting your biceps muscle and shoulder. It can help reduce pain and improve mobility. The procedure is minimally invasive, promoting quicker recovery.

12 services12 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Rhode Island Hospital

Acute Care Hospitals · Providence, RI

3/5 CMS rating

OwnershipTribal

CMS Certification Number410007

Location593 Eddy StreetProvidence, RI 02903 · Providence County

Emergency services

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02905 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

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.

75.39/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

59.78

Promoting Interoperability

Improvement Activities

Cost

62.35

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

25%813 patients2/55-star benchmark: 87%

Documentation of Current Medications in the Medical Record

100%3,529 patients5/55-star benchmark: 100%

e-Prescribing

100%131 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

26%868 patients2/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

24%2,268 patients1/55-star benchmark: 98%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 90% · 1,753 patients

Patients screened: 98% · 1,753 patients

16%179 patients1/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

60%938 patients3/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 944 patients

Patients totalRate: 2% · 946 patients

1%946 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf L3660

DME-Orthotic Devices · category DF000N

2 suppliers56 claims56 services$101.63 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

LARS STANGENBERG MD

Surgery (Vascular Surgery)

2 DUDLEY ST, SUITE 470
PROVIDENCE, RI 02905

Providence County (401) 553-8318

ALICIA P CAPRIO

Student in an Organized Health Care Education/Training Program

2 DUDLEY ST
PROVIDENCE, RI 02905

Providence County (401) 274-1100

CHARLENE A TATE MD

Psychiatry & Neurology (Neurology)

2 DUDLEY ST, SUITE 555
PROVIDENCE, RI 02905

Providence County (401) 444-6168

DR. PHILLIP R LUCAS M.D.

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

2 DUDLEY ST
PROVIDENCE, RI 02905

Providence County (401) 457-2102

J DONALD EASTON MD

Psychiatry & Neurology (Neurology)

2 DUDLEY ST, SUITE 555
PROVIDENCE, RI 02905

Providence County (401) 444-6168

MRS. AMY POTTER PILOTTE APN, BC

Nurse Practitioner (Adult Health)

2 DUDLEY ST, SUITE 470
PROVIDENCE, RI 02905

Providence County (401) 228-0595

NANCY ELEANOR STONE NP

Nurse Practitioner

2 DUDLEY ST
PROVIDENCE, RI 02905

Providence County (401) 453-4500

EDWARD J. MARCACCIO JR. MD

Surgery (Vascular Surgery)

2 DUDLEY ST, SUITE 470
PROVIDENCE, RI 02905

Providence County (401) 553-8318

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 Edward Paxton's NPI number?

The NPI number for Edward Paxton is 1083805675. It was assigned to this individual provider in the NPPES registry on August 7, 2007.

Where is Edward Paxton located?

Edward Paxton practices at 2 Dudley St, Providence, RI 02905. The listed phone number is (401) 457-2157.

What is Edward Paxton's specialty?

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

Is Edward Paxton enrolled in Medicare?

Yes. Edward Paxton 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 Edward Paxton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Paxton reassigns Medicare benefits to University Orthopedics, Inc. (Providence, RI). 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 Edward Paxton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Edward Paxton affiliated with any hospitals?

According to CMS data, Edward Paxton is affiliated with Rhode Island Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Edward Paxton was last updated on July 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.