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PAUL D. FADALE M.D.
NPI 1275580714
Orthopaedic Surgery - Sports Medicine in Providence, RI

Active since May 30, 2006PECOS Enrolled
75.39/100
CMS Quality Rating
2 DUDLEY ST, STE 200, PROVIDENCE, RI 02905(401) 457-1535 Get Directions Write a Review

NPPES record last updated: June 3, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Paul D. Fadale M.d. NPPES

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

PAUL D. FADALE M.D. (NPI 1275580714) is an individual sports medicine provider in Providence, Rhode Island, licensed in Rhode Island (06744) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275580714
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NamePAUL D. FADALECredential: M.D.
Location Address2 DUDLEY ST, STE 200Providence, RI 02905-3236
Mailing AddressPo Box 1119Providence, RI 02901-1119 · (401) 457-1535
Phone(401) 457-1535
Sole ProprietorYes
Enumeration DateMay 30, 2006
Last NPPES UpdateJune 3, 2014
✔ NPI 1275580714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in RI · 06744
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
2 DUDLEY ST, Providence, RI 02905
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified007006570RI
Medicare UPINB34278
Medicaid9000399RI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul D. Fadale M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Paul Fadale reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Orthopedics, Inc.
1.3 mi
Orthopaedic Surgery
2 DUDLEY ST STE 200
Providence, RI 02905
  • Reassigned Medicare billing, Rhode Island enrollment
  • 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 4

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.
33 services23 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
25 services25 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.
21 services19 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.
13 services13 patients

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
Quality59.78
Promoting Interoperability95
Improvement Activities40
Cost62.35

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
44%392 patients3/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
100%2,372 patients5/55-star benchmark: 100%
e-Prescribing
100%410 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
19%104 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
23%1,240 patients1/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 91% · 999 patients
Patients screened: 99% · 999 patients
14%94 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
55%458 patients3/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 131 patients
Patients totalRate: 0% · 131 patients
0%131 patients5/55-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.

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 Paul Fadale's NPI number?

The NPI number for Paul Fadale is 1275580714. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Where is Paul Fadale located?

Paul Fadale practices at 2 Dudley St Ste 200, Providence, RI 02905. The listed phone number is (401) 457-1535.

What is Paul Fadale's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Paul Fadale enrolled in Medicare?

Yes. Paul Fadale is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Paul Fadale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Fadale 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 Paul Fadale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Paul Fadale was last updated on June 3, 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.