DR. PAUL SOUSA M.D.
NPI 1275915332
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Buckeye, AZ

Active since June 25, 2015PECOS EnrolledAccepts Medicare Assignment
82.49/100
CMS Quality Rating
21250 W ROOSEVELT ST, SUITE 106, BUCKEYE, AZ 85326(602) 648-5444(602) 772-3801 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 25, 2025, Apr 5, 2025, Apr 23, 2018 (3 updates tracked since 2018).

About Dr. Paul Sousa M.d. NPPES

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

DR. PAUL SOUSA M.D. (NPI 1275915332) is an individual adult reconstructive orthopaedic surgery provider in Buckeye, Arizona, licensed in Arizona (62644) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Goodyear, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1275915332
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NameDR. PAUL SOUSACredential: M.D.
Location Address21250 W ROOSEVELT ST, SUITE 106Buckeye, AZ 85326
Mailing AddressPo Box 80217Phoenix, AZ 85060-0217 · (602) 385-2115 · Fax (480) 418-3323
Fax(602) 772-3801
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 25, 2015
Last NPPES UpdateJune 25, 20253 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
NPI 1275915332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
License Licensed in AZ · 62644
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
21250 W ROOSEVELT ST, Buckeye, AZ 85326

Secondary Practice Location 1

Location 115698 W Harvard StGoodyear, AZ 85395-7558 · Phone (973) 960-3745

Accepted Insurance

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

Dr. Paul Sousa 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 ID4486969870
PECOS Enrollment IDI20210818002474
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 29

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.

Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg J7329
Trivisc is a treatment involving injections of a substance called hyaluronan into your joint, typically the knee. This substance is similar to a natural fluid in your joints that helps cushion and lubricate them. Trivisc can help reduce pain and improve joint movement.
3,750 services65 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.
2,429 services257 patients
Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318
Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.
1,610 services22 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.
826 services595 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.
468 services317 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
466 services361 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.

82.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.09
Promoting Interoperability100
Improvement Activities40
Cost68.54

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
59%712 patients3/55-star benchmark: 87%
Controlling High Blood Pressure
5%22 patients1/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
95%21 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
94%3,401 patients4/55-star benchmark: 100%
e-Prescribing
98%501 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%1,791 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
98%2,409 patients5/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%3,187 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 2,100 patients
Patients screened: 100% · 2,100 patients
98%122 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
97%1,581 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
72%54 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,850 patients
Patients totalRate: 1% · 1,850 patients
1%1,850 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.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
3 suppliers18 claims18 services$42.48 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 3

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

Orthopaedic Surgery
21250 W ROOSEVELT ST, SUITE 106
BUCKEYE, AZ 85326
Physician Assistant
21250 W ROOSEVELT ST
BUCKEYE, AZ 85326
Family Medicine (Sports Medicine)
21250 W ROOSEVELT ST
BUCKEYE, AZ 85326

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 Sousa's NPI number?

The NPI number for Paul Sousa is 1275915332. It was assigned to this individual provider in the NPPES registry on June 25, 2015.

Where is Paul Sousa located?

Paul Sousa practices at 21250 W Roosevelt St Suite 106, Buckeye, AZ 85326. The listed phone number is (602) 648-5444.

What is Paul Sousa's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Paul Sousa enrolled in Medicare?

Yes. Paul Sousa 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.

What insurance does Paul Sousa accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Paul Sousa 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.

When was this NPI record last updated?

The NPPES record for Paul Sousa was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.