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MEGAN CARROLL PAULUS M.D.
NPI 1205151768
Orthopaedic Surgery - Foot and Ankle Surgery in East Setauket, NY

Active since March 28, 2010PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
14 TECHNOLOGY DR, SUITE 11, EAST SETAUKET, NY 11733(631) 444-4233(631) 444-4217 Get Directions Write a Review

NPPES record last updated: August 29, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 29, 2016, Aug 11, 2016, Jan 2, 2016 (3 updates tracked since 2016).

About Megan Carroll Paulus M.d. NPPES

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

MEGAN CARROLL PAULUS M.D. (NPI 1205151768) is an individual foot and ankle surgery provider in East Setauket, New York, licensed in New York (282261) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of Georgetown University School Of Medicine (2010).

NPPES Registry Identity

NPI1205151768
Entity TypeIndividualFemale
Primary Taxonomy207XX0004X
Provider Legal NameMEGAN CARROLL PAULUSCredential: M.D.
Location Address14 TECHNOLOGY DR, SUITE 11East Setauket, NY 11733-3472
Mailing Address14 Technology Dr, Suite 11East Setauket, NY 11733-3472 · (631) 444-4233 · Fax (631) 444-4217
Phone(631) 444-4233
Fax(631) 444-4217
Sole ProprietorYes
Medical School CMSGeorgetown University School Of MedicineGraduated 2010
Enumeration DateMarch 28, 2010
Last NPPES UpdateAugust 29, 20163 updates tracked since enumeration
✔ NPI 1205151768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Foot and Ankle SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XX0004X
License✔ Licensed in NY · 282261
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
14 TECHNOLOGY DR, East Setauket, NY 11733
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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

Megan Carroll Paulus M.d. 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 ID6608179007
PECOS Enrollment IDI20160819000303
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 9

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.
437 services320 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.
250 services201 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.
210 services55 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.
111 services111 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.
91 services91 patients
Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes 97760
This service involves learning to use an orthopedic device for your arm, leg, or trunk. The training lasts for 15 minutes and helps you understand how to properly use the device to support your recovery and enhance mobility.
76 services71 patients

Hospital Affiliations CMS Care Compare

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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

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.

Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf L1902
DME-Orthotic Devices · category DF003N
2 suppliers38 claims38 services$73.94 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.

DR. NICHOLAS DIVARIS
Orthopaedic Surgery (Orthopaedic Trauma)
14 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Suffolk County (631) 444-4233
DR. JAMES NICHOLSON M.D.
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
14 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Suffolk County (631) 444-4233
MARIA JOANA RIZZA RELEVO ROSAS PA-C
Physician Assistant
14 TECHNOLOGY DR, SUITE 11, 12, 15
EAST SETAUKET, NY 11733
Suffolk County (631) 444-4233
NARDEEN MICKAIL MD
Internal Medicine
14 TECHNOLOGY DR, SUITE 10
EAST SETAUKET, NY 11733
Suffolk County (631) 689-5400
MS. JENNIFER CASTELLI P.A.
Physician Assistant
14 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Suffolk County (631) 444-4233
DR. STEPHEN KOTTMEIER M.D.
Orthopaedic Surgery (Sports Medicine)
14 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Suffolk County (631) 444-4233
DR. STEVEN SAMPSON M.D.
Orthopaedic Surgery
14 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Suffolk County (631) 444-4233
DR. JONATHAN ADAM KROHN M.D.
Internal Medicine (Infectious Disease)
14 TECHNOLOGY DR, SUITE 10
EAST SETAUKET, NY 11733
Suffolk County (631) 689-5400

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 Megan Paulus's NPI number?

The NPI number for Megan Paulus is 1205151768. It was assigned to this individual provider in the NPPES registry on March 28, 2010.

Where is Megan Paulus located?

Megan Paulus practices at 14 Technology Dr Suite 11, East Setauket, NY 11733. The listed phone number is (631) 444-4233.

What is Megan Paulus's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Foot and Ankle Surgery, with taxonomy code 207XX0004X.

Is Megan Paulus enrolled in Medicare?

Yes. Megan Paulus 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.

Is Megan Paulus affiliated with any hospitals?

According to CMS data, Megan Paulus is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Megan Paulus was last updated on August 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.