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

Q: 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.

Q: 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.

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: August 09, 2026.

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

On this page

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

Open in Google Maps ↗

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, Community Health Choice, Oscar Insurance Company 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

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.

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

Quality

87.96

Promoting Interoperability

100

Improvement Activities

Cost

54.42

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.

What insurance does Paul Dicpinigaitis accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, 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 11 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.