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

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: August 02, 2026.

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
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

Other Identifiers 3

Other480703KCAPA · Blue Shield
Medicare ID-Type Unspecified668323PA
Medicare UPINF48767PA

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. 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.

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

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

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh 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
Quality60.22
Promoting Interoperability99
Improvement Activities40

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.

Specialist/Technologist (Athletic Trainer)
600 PLAZA CT, SUITE C
EAST STROUDSBURG, PA 18301
Orthopaedic Surgery
600 PLAZA CT, SUITE C
EAST STROUDSBURG, PA 18301
Physical Therapist
600 PLAZA CT
EAST STROUDSBURG, PA 18301
Orthopaedic Surgery
600 PLAZA CT
E STROUDSBURG, PA 18301
Orthopaedic Surgery
600 PLAZA CT
E STROUDSBURG, PA 18301
Occupational Therapist
600 PLAZA CT
EAST STROUDSBURG, PA 18301
Physician Assistant
600 PLAZA CT
EAST STROUDSBURG, PA 18301
Physical Therapist
600 PLAZA CT
EAST STROUDSBURG, PA 18301

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.

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, Lehigh Valley 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.