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PAUL ANTHONY DICPINIGAITIS MD
NPI 1477530111
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in New Hyde Park, NY

Active since December 23, 2005PECOS EnrolledAccepts Medicare Assignment
84.63/100
CMS Quality Rating
2800 MARCUS AVE STE 207, NEW HYDE PARK, NY 11042(516) 622-2040(516) 622-2977 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 8, 2023, Jul 20, 2020, Aug 9, 2017 and 1 more (4 updates tracked since 2017).

About Paul Anthony Dicpinigaitis Md NPPES

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

PAUL ANTHONY DICPINIGAITIS MD (NPI 1477530111) is an individual adult reconstructive orthopaedic surgery provider in New Hyde Park, New York, licensed in Texas (V4656) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with University Of Texas Medical Branch Galveston, and is a graduate of New York University School Of Medicine (1995).

NPPES Registry Identity

NPI1477530111
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NamePAUL ANTHONY DICPINIGAITISCredential: MD
Location Address2800 MARCUS AVE STE 207New Hyde Park, NY 11042-1113
Mailing Address651 Old Country RdPlainview, NY 11803-4938 · (516) 681-8822 · Fax (516) 681-3322
Phone(516) 622-2040
Fax(516) 622-2977
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1995
Enumeration DateDecember 23, 2005
Last NPPES UpdateAugust 26, 20254 updates tracked since enumeration
NPPES CertifiedAugust 26, 2025
✔ NPI 1477530111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
License✔ Licensed in TX · V4656
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.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License V4656 (TX)
2800 MARCUS AVE STE 207, New Hyde Park, NY 11042
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Other Identifiers 1

OtherJA440ZFL · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, WellPoint.Insurance ›

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

Paul Anthony Dicpinigaitis 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 ID4587663471
PECOS Enrollment IDI20231219000872
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 Reassignments

4

Medicare enrollment records show Paul Dicpinigaitis reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Shore - Lij Medical PC
1.0 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089
The Central Orthopedic Group L L P
11 mi
Specialist
651 OLD COUNTRY RD
Plainview, NY 11803
  • Reassigned Medicare billing, New York enrollment
  • 31 clinicians in this Medicare group
NPI 1669694394 (516) 681-8822
United Health Services Hospitals, Inc.
150 mi
Multi-Specialty
33-57 HARRISON ST.
Johnson City, NY 13790
  • Reassigned Medicare billing, New York enrollment
  • 854 clinicians in this Medicare group
NPI 1962463851 (607) 762-3027
Utmb Faculty Group Practice
1,426 mi
General Practice
301 UNIVERSITY BLVD
Galveston, TX 77555
  • Reassigned Medicare billing, Texas enrollment
  • 2,222 clinicians in this Medicare group
NPI 1942241146 (409) 772-2222

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 7

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.

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.
121 services74 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.
97 services81 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.
60 services60 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.
52 services39 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.
26 services26 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
22 services19 patients

Hospital Affiliations CMS Care Compare

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

University Of Texas Medical Branch Galveston

Acute Care Hospitals · Galveston, TX
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450018
Location301 University BoulevardGalveston, TX 77555 · Galveston County
Emergency services Birthing friendly

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.

84.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.96
Promoting Interoperability100
Improvement Activities40
Cost54.42

Other Providers at the Same Location NPPES 2

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

MRS. AMANDA BRADY
Audiologist
2800 MARCUS AVE STE 207
NEW HYDE PARK, NY 11042
Nassau County (516) 622-3377
OPTUM MEDICAL CARE, P.C.
Durable Medical Equipment & Medical Supplies
2800 MARCUS AVE STE 207
NEW HYDE PARK, NY 11042
Nassau County (516) 622-6040

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 Dicpinigaitis's NPI number?

The NPI number for Paul Dicpinigaitis is 1477530111. It was assigned to this individual provider in the NPPES registry on December 23, 2005.

Where is Paul Dicpinigaitis located?

Paul Dicpinigaitis practices at 2800 Marcus Ave Ste 207, New Hyde Park, NY 11042. The listed phone number is (516) 622-2040.

What is Paul Dicpinigaitis's specialty?

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

Is Paul Dicpinigaitis enrolled in Medicare?

Yes. Paul Dicpinigaitis 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 organizations bill Medicare for Paul Dicpinigaitis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Dicpinigaitis reassigns Medicare benefits to 4 organizations: North Shore - Lij Medical PC (New Hyde Park, NY), The Central Orthopedic Group L L P (Plainview, NY), United Health Services Hospitals, Inc. (Johnson City, NY) and Utmb Faculty Group Practice (Galveston, TX). Each 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 Dicpinigaitis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Dicpinigaitis accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and WellPoint list Paul Dicpinigaitis 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 Dicpinigaitis affiliated with any hospitals?

According to CMS data, Paul Dicpinigaitis is affiliated with University Of Texas Medical Branch Galveston.

When was this NPI record last updated?

The NPPES record for Paul Dicpinigaitis was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.