PAUL PAILY MD
NPI 1144480302
Physical Medicine & Rehabilitation in Houston, TX

Active since June 11, 2008PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
7200 CAMBRIDGE ST FL 10, HOUSTON, TX 77030(713) 798-7246 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 1, 2025, Nov 20, 2020 (2 updates tracked since 2020).

About Paul Paily Md NPPES

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

PAUL PAILY MD (NPI 1144480302) is an individual physical medicine & rehabilitation provider in Houston, Texas, licensed in Texas (N2707) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1144480302
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NamePAUL PAILYCredential: MD
Location Address7200 CAMBRIDGE ST FL 10Houston, TX 77030-4202
Mailing Address3919 E Auden CirMissouri City, TX 77459-3285 · (713) 797-9191 · Fax (713) 394-2702
Sole ProprietorYes
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2004
Enumeration DateJune 11, 2008
Last NPPES UpdateApril 1, 20252 updates tracked since enumeration
NPPES CertifiedApril 1, 2025
✔ NPI 1144480302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
Licenses✔ Licensed in TX · N2707✔ Licensed in NY · 247471
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
7200 CAMBRIDGE ST FL 10, Houston, TX 77030

Secondary Practice Location 1

Location 11200 Binz St, Suite 800Houston, TX 77004-6900 · Phone (713) 797-9191 · Fax (713) 394-2702

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 Paily 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 ID9133291172
PECOS Enrollment IDI20090824000604
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

3

Medicare enrollment records show Paul Paily reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Genetics, Ph.D. Medical Genetics
7200 CAMBRIDGE ST FL 10
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,554 clinicians in this Medicare group
Pediatrics
6621 FANNIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Texas Childrens Physician Group
  • 2,498 clinicians in this Medicare group
Internal Medicine
6620 MAIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,296 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 13

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
857 services27 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.
750 services82 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.
223 services151 patients
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose J7321
Hyaluronan or derivatives like Hyalgan, Supartz, or Visco-3, are used in intra-articular injections for joint pain relief. They help by improving joint lubrication, reducing inflammation, and promoting tissue healing. Each dose is administered directly into the joint space.
176 services32 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.
107 services55 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
104 services45 patients

Hospital Affiliations CMS Care Compare 5

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

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450193
Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County
Emergency services

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Houston Physicians' Hospital

Acute Care Hospitals · Webster, TX
OwnershipPhysician
CMS Certification Number670008
Location333 N Texas AvenueWebster, TX 77598 · Harris County
Emergency services

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.

91.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.64
Promoting Interoperability89.13
Improvement Activities40

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.

Psychiatry & Neurology (Neurology)
7200 CAMBRIDGE ST FL 10
HOUSTON, TX 77030
Nurse Anesthetist, Certified Registered
7200 CAMBRIDGE ST FL 10
HOUSTON, TX 77030
Nurse Anesthetist, Certified Registered
7200 CAMBRIDGE ST FL 10
HOUSTON, TX 77030
Transplant Surgery
7200 CAMBRIDGE ST FL 10
HOUSTON, TX 77030
Surgery (Surgical Oncology)
7200 CAMBRIDGE ST FL 10
HOUSTON, TX 77030
Nurse Anesthetist, Certified Registered
7200 CAMBRIDGE ST FL 10
HOUSTON, TX 77030
Hospitalist
7200 CAMBRIDGE ST FL 10
HOUSTON, TX 77030
Nurse Practitioner (Critical Care Medicine)
7200 CAMBRIDGE ST FL 10
HOUSTON, TX 77030

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 Paily's NPI number?

The NPI number for Paul Paily is 1144480302. It was assigned to this individual provider in the NPPES registry on June 11, 2008.

Where is Paul Paily located?

Paul Paily practices at 7200 Cambridge St Fl 10, Houston, TX 77030. The listed phone number is (713) 798-7246.

What is Paul Paily's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Paul Paily enrolled in Medicare?

Yes. Paul Paily 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 Paily's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Paily reassigns Medicare benefits to 3 organizations: Baylor College Of Medicine (Houston, TX), Texas Children's Physician Group (Houston, TX) and Baylor College Of Medicine (Houston, TX). 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 Paily's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Paily accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Paul Paily 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 Paily affiliated with any hospitals?

According to CMS data, Paul Paily is affiliated with Memorial Hermann - Texas Medical Center, Memorial Hermann Hospital System, Chi St Luke's Health Baylor College Of Medicine Me, Houston Methodist Hospital and Houston Physicians' Hospital.

When was this NPI record last updated?

The NPPES record for Paul Paily was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.