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DR. PAULO A PACHECO M.D.
NPI 1265474431
Internal Medicine - Gastroenterology in New York, NY

Active since June 12, 2006Opted out of Medicare · through Apr 16, 2028
60 E 56TH ST, 7TH FLOOR, NEW YORK, NY 10022(212) 326-8999(212) 326-8986 Get Directions Write a Review

NPPES record last updated: February 25, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Paulo A Pacheco M.d. NPPES

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

DR. PAULO A PACHECO M.D. (NPI 1265474431) is an individual gastroenterology provider in New York, New York, licensed in New York (197946) and active in the NPI registry since June 2006. He has opted out of Medicare through April 16, 2028 and remains eligible to order and refer and is a graduate of Warren Alpert Medical School Of Brown University (1993).

NPPES Registry Identity

NPI1265474431
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. PAULO A PACHECOCredential: M.D.
Location Address60 E 56TH ST, 7TH FLOORNew York, NY 10022-3204
Mailing AddressPo Box 9167Uniondale, NY 11555-9167 · (845) 634-6500 · Fax (845) 634-9424
Phone(212) 326-8999
Fax(212) 326-8986
Sole ProprietorYes
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 1993
Enumeration DateJune 12, 2006
Last NPPES UpdateFebruary 25, 2014
✔ NPI 1265474431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 197946
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
60 E 56TH ST, New York, NY 10022
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Other Identifiers 3

Medicaid01961288NY
Medicare UPING59934
Medicare ID-Type Unspecified80X671

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Paulo A Pacheco M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 16, 2026 through April 16, 2028.

Opt-Out Effective DateApril 16, 2026
Opt-Out In Effect ThroughApril 16, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 7

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
87 services67 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.
75 services63 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
59 services58 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
55 services55 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
40 services39 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.
25 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10022 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Other Providers at the Same Location NPPES 18

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

YAEL HALAAS M.D. PLLC
Otolaryngology (Facial Plastic Surgery)
60 E 56TH ST, THIRD FLOOR
NEW YORK, NY 10022
New York County (212) 688-5955
CARL MCDOUGALL MD
Internal Medicine (Gastroenterology)
60 E 56TH ST, 7TH FLOOR
NEW YORK, NY 10022
New York County (212) 891-6555
NEW YORK PHYSICAL AND OCCUPATIONAL THERAPY, PLLC
Clinic/Center (Physical Therapy)
60 E 56TH ST, 5TH FLOOR
NEW YORK, NY 10022
New York County (212) 688-6095
MS. MARIANNE PISTILLI P.A.
Physician Assistant (Surgical)
60 E 56TH ST
NEW YORK, NY 10022
New York County (212) 688-5882
GOTHAM SURGICAL, PLLC
Clinic/Center (Ambulatory Surgical)
60 E 56TH ST
NEW YORK, NY 10022
New York County (212) 750-7100
DR. NICHOLAS VENDEMIA M.D.
Plastic Surgery
60 E 56TH ST, 7TH FLOOR
NEW YORK, NY 10022
New York County (212) 249-0815
GOTHAM PLASTIC SURGERY, PLLC
Clinic/Center (Ambulatory Surgical)
60 E 56TH ST, 3RD FL
NEW YORK, NY 10022
New York County (212) 750-7100
MR. KENNETH M FERRANTI RPA-C
Physician Assistant (Medical)
60 E 56TH ST
NEW YORK, NY 10022
New York County (212) 688-5882

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 Paulo Pacheco's NPI number?

The NPI number for Paulo Pacheco is 1265474431. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Paulo Pacheco located?

Paulo Pacheco practices at 60 E 56th St 7th Floor, New York, NY 10022. The listed phone number is (212) 326-8999.

What is Paulo Pacheco's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Paulo Pacheco enrolled in Medicare?

No. Paulo Pacheco has opted out of Medicare through April 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Paulo Pacheco was last updated on February 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.