DR. JOHN A PAGLIA MD
NPI 1326048067
Orthopaedic Surgery in E Stroudsburg, PA

Q: What is John Paglia's NPI number?

The NPI number for John Paglia is 1326048067. It was assigned to this individual provider in the NPPES registry on July 22, 2005.

Q: What is John Paglia's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for John Paglia was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since July 22, 2005PECOS EnrolledAccepts Medicare Assignment

77.82/100

CMS Quality Rating

600 PLAZA CT, E STROUDSBURG, PA 18301(570) 421-7020(570) 421-7091 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. John A Paglia Md NPPES

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

DR. JOHN A PAGLIA MD (NPI 1326048067) is an individual orthopaedic surgery provider in E Stroudsburg, Pennsylvania, licensed in Pennsylvania (MD048991L) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Bon Secours Community Hospital, and is a graduate of Georgetown University School Of Medicine (1988).

NPPES Registry Identity

NPI1326048067

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. JOHN A PAGLIACredential: MD

Location Address600 PLAZA CTE Stroudsburg, PA 18301-8263

Mailing Address600 Plaza CtE Stroudsburg, PA 18301-8263 · (570) 421-7020 · Fax (570) 421-7091

Phone(570) 421-7020

Fax(570) 421-7091

Sole ProprietorNo

Medical School CMSGeorgetown University School Of MedicineGraduated 1988

Enumeration DateJuly 22, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1326048067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in PA · MD048991L

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

600 PLAZA CT, E Stroudsburg, PA 18301

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Other Identifiers 3

Other480703KCAPA · Blue Shield

Medicare ID-Type Unspecified668323PA

Medicare UPINF48767PA

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

Dr. John A Paglia 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 ID4486791704

PECOS Enrollment IDI20091019000601

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

Mountain Valley Orthopedics, P.C.

Same address

Orthopaedic Surgery

600 PLAZA CT, SUITE C
East Stroudsburg, PA 18301

Reassigned Medicare billing, Pennsylvania enrollment
Medicare enrollment name: Mountain Valley Orthopedics PC
26 clinicians in this Medicare group

NPI 1538226519 (570) 421-7020

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 30

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.

2,175 services21 patients

Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg J7332

Triluron is a treatment involving injections of a substance called hyaluronan into your joints. It helps to lubricate and cushion the joint, which can reduce pain and improve movement, especially in conditions like osteoarthritis. Each injection contains 1 mg of hyaluronan.

1,702 services22 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.

614 services304 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.

214 services101 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.

165 services165 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.

145 services109 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.

139 services116 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

89 services71 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

84 services84 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

74 services35 patients

X-ray of shoulder blade 73010

An X-ray of the shoulder blade is a quick, painless test that produces images of the bones in your shoulder area. It helps identify fractures, infections, or other abnormalities. You'll need to stay still while a machine sends a small amount of radiation through your shoulder to capture the image.

73 services64 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.

70 services59 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

57 services22 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

55 services42 patients

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

37 services37 patients

X-ray of upper spine, 6 or more views 72052

An X-ray of the upper spine with 6 or more views involves capturing multiple images of your neck and upper back. This non-invasive procedure helps doctors visualize the bones and joints, aiding in diagnosing conditions such as arthritis, fractures, or spinal deformities.

36 services35 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.

36 services35 patients

Mri scan of arm joint without contrast 73221

An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.

35 services32 patients

Mri scan of leg joint without contrast 73721

An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.

35 services34 patients

X-ray of elbow, minimum of 3 views 73080

An elbow X-ray with a minimum of 3 views is a non-invasive imaging test. It helps visualize the bones of the elbow from different angles. This aids in diagnosing conditions like fractures or arthritis. The procedure is quick, painless, and usually takes around 15 minutes.

29 services19 patients

Mri scan of lower spinal canal without contrast 72148

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

26 services26 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

25 services22 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

25 services11 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

20 services17 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

19 services13 patients

X-ray of finger, minimum of 2 views 73140

An X-ray of the finger involves capturing images of your finger from at least two different angles. This non-invasive procedure helps in visualizing the bones and joints, aiding in the diagnosis of fractures, infections, or other abnormalities. Minimal discomfort may be experienced.

14 services11 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

14 services14 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

13 services13 patients

X-ray of middle spine, 2 views 72070

An X-ray of the middle spine, or thoracic spine, involves capturing two different images of the area. This non-invasive procedure uses small amounts of radiation to visualize the bones and tissues in your back, helping to identify any abnormalities or injuries.

12 services11 patients

Mri scan of upper spinal canal without contrast 72141

An MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Bon Secours Community Hospital

Acute Care Hospitals · Port Jervis, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330135

Location160 East Main StreetPort Jervis, NY 12771 · Orange County

Emergency services

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390049

Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County

Emergency services Birthing friendly

Wayne Memorial Hospital

Acute Care Hospitals · Honesdale, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390125

Location601 Park StreetHonesdale, PA 18431 · Wayne County

Emergency services Birthing friendly

Lehigh Valley Hospital - Pocono

Acute Care Hospitals · East Stroudsburg, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390201

Location206 East Brown StreetEast Stroudsburg, PA 18301 · Monroe County

Emergency services Birthing friendly

St Luke's Hospital - Monroe Campus

Acute Care Hospitals · Stroudsburg, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390330

Location100 St Luke's LaneStroudsburg, PA 18360 · Monroe County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18301 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

77.82/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

60.22

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

64%523 patients3/55-star benchmark: 87%

Controlling High Blood Pressure

12%73 patients1/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

94%32 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

100%3,370 patients5/55-star benchmark: 100%

e-Prescribing

99%470 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

28%1,268 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

1%3,112 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 23% · 1,189 patients

Patients screened: 25% · 1,189 patients

26%38 patients2/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

77%1,015 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

82%50 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 1% · 599 patients

Patients totalRate: 3% · 599 patients

3%599 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 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers14 claims14 services$17.86 avg. paid by Medicare

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908

DME-Orthotic Devices · category DF000N

1 supplier11 claims13 services$51.42 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 19

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

MISS SAMANTHA ROTTINI ATC

Specialist/Technologist (Athletic Trainer)

600 PLAZA CT, SUITE C
EAST STROUDSBURG, PA 18301

Monroe County (570) 421-7020

POCONO MEDICAL CENTER

Orthopaedic Surgery

600 PLAZA CT, SUITE C
EAST STROUDSBURG, PA 18301

Monroe County (570) 839-1355

NICHOLAS ELLIOTT DPT

Physical Therapist

600 PLAZA CT
EAST STROUDSBURG, PA 18301

Monroe County (570) 517-0511

DR. BRIAN A POWERS MD

Orthopaedic Surgery

600 PLAZA CT
E STROUDSBURG, PA 18301

Monroe County (570) 421-7020

DR. MAURIZIO CIBISCHINO MD

Orthopaedic Surgery

600 PLAZA CT
E STROUDSBURG, PA 18301

Monroe County (570) 421-7020

MS. KRISTINA AMORESE KINER OTR/L

Occupational Therapist

600 PLAZA CT
EAST STROUDSBURG, PA 18301

Monroe County (570) 517-0511

SUSAN MARA RUBIN

Physician Assistant

600 PLAZA CT
EAST STROUDSBURG, PA 18301

Monroe County (570) 421-7020

LINDSAY CASSANDRA BRANTINGSON DPT

Physical Therapist

600 PLAZA CT
EAST STROUDSBURG, PA 18301

Monroe County (570) 421-7020

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 John Paglia's NPI number?

The NPI number for John Paglia is 1326048067. It was assigned to this individual provider in the NPPES registry on July 22, 2005.

Where is John Paglia located?

John Paglia practices at 600 Plaza Ct, E Stroudsburg, PA 18301. The listed phone number is (570) 421-7020.

What is John Paglia's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is John Paglia enrolled in Medicare?

Yes. John Paglia 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 organization bills Medicare for John Paglia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Paglia reassigns Medicare benefits to Mountain Valley Orthopedics, P.C. (East Stroudsburg, PA). 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 John Paglia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is John Paglia affiliated with any hospitals?

According to CMS data, John Paglia is affiliated with Bon Secours Community Hospital, St Luke's Hospital Bethlehem, Wayne Memorial Hospital, Lehigh Valley Hospital - Pocono and St Luke's Hospital - Monroe Campus.

When was this NPI record last updated?

The NPPES record for John Paglia was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.