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DR. PAUL CHRISTOPHER LAFFAY D.O.
NPI 1447469697
Surgery in Sandusky, OH

Active since May 22, 2007PECOS EnrolledAccepts Medicare Assignment
86.09/100
CMS Quality Rating
703 TYLER ST STE 150, SANDUSKY, OH 44870(419) 625-8436 Get Directions Write a Review

NPPES record last updated: September 25, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Paul Christopher Laffay D.o. NPPES

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

DR. PAUL CHRISTOPHER LAFFAY D.O. (NPI 1447469697) is an individual surgery provider in Sandusky, Ohio, licensed in Michigan (5101015719) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Firelands Regional Medical Center, and is a graduate of Michigan State University College Of Osteopathic Medicine (2003).

NPPES Registry Identity

NPI1447469697
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. PAUL CHRISTOPHER LAFFAYCredential: D.O.
Location Address703 TYLER ST STE 150Sandusky, OH 44870-3392
Mailing AddressPo Box 378Sandusky, OH 44871-0378 · (419) 626-6161 · Fax (419) 609-1112
Phone(419) 625-8436
Sole ProprietorYes
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2003
Enumeration DateMay 22, 2007
Last NPPES UpdateSeptember 25, 2018
✔ NPI 1447469697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MI · 5101015719
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
703 TYLER ST STE 150, Sandusky, OH 44870
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 Christopher Laffay D.o. 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 ID2365596616
PECOS Enrollment IDI20090820000473
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 11

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.

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.
96 services96 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.
59 services48 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.
52 services48 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
40 services19 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
37 services37 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.
36 services36 patients

Hospital Affiliations CMS Care Compare 2

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

Firelands Regional Medical Center

Acute Care Hospitals · Sandusky, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360025
Location1111 Hayes AvenueSandusky, OH 44870 · Erie County
Emergency services Birthing friendly

Bellevue Hospital

Acute Care Hospitals · Bellevue, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360107
Location1400 West Main StreetBellevue, OH 44811 · Sandusky County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44870 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

86.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.42
Promoting Interoperability99
Improvement Activities40
Cost80.04

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 Laffay's NPI number?

The NPI number for Paul Laffay is 1447469697. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Paul Laffay located?

Paul Laffay practices at 703 Tyler St Ste 150, Sandusky, OH 44870. The listed phone number is (419) 625-8436.

What is Paul Laffay's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Paul Laffay enrolled in Medicare?

Yes. Paul Laffay 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 Laffay accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 2 other insurers list Paul Laffay 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.

Is Paul Laffay affiliated with any hospitals?

According to CMS data, Paul Laffay is affiliated with Firelands Regional Medical Center and Bellevue Hospital.

When was this NPI record last updated?

The NPPES record for Paul Laffay was last updated on September 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.