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ACHILLES THEODORE PAPARSENOS M.D.
NPI 1487858015
Internal Medicine - Endocrinology, Diabetes & Metabolism in Yardley, PA

Active since June 14, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
301 OXFORD VALLEY ROAD, SUITE 1803A, YARDLEY, PA 19067(215) 754-5050(215) 754-5041 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 6, 2025, Dec 16, 2015, Dec 4, 2015 (3 updates tracked since 2015).

About Achilles Theodore Paparsenos M.d. NPPES

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

ACHILLES THEODORE PAPARSENOS M.D. (NPI 1487858015) is an individual endocrinology, diabetes & metabolism provider in Yardley, Pennsylvania, licensed in Pennsylvania (MD430753) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (2001).

NPPES Registry Identity

NPI1487858015
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameACHILLES THEODORE PAPARSENOSCredential: M.D.
Location Address301 OXFORD VALLEY ROAD, SUITE 1803AYardley, PA 19067-7725
Mailing Address301 Oxford Valley Road, Suite 1803aYardley, PA 19067-7725 · (215) 754-5050 · Fax (215) 754-5041
Phone(215) 754-5050
Fax(215) 754-5041
Sole ProprietorNo
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 2001
Enumeration DateJune 14, 2007
Last NPPES UpdateMay 6, 20253 updates tracked since enumeration
NPPES CertifiedMay 6, 2025
✔ NPI 1487858015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in PA · MD430753
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
301 OXFORD VALLEY ROAD, Yardley, PA 19067
Open in Google Maps ↗

Other Identifiers 3

Other1993530PA · Pa Blue Shield
Medicaid1022172990001PA
Other48627000PA · Keystone

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

Achilles Theodore Paparsenos M.d. 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 ID3274628599
PECOS Enrollment IDI20071002000483
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 6

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.

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.
571 services322 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
174 services83 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.
136 services118 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.
118 services118 patients
Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
51 services49 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.
40 services33 patients

Hospital Affiliations CMS Care Compare 2

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

St Mary Medical Center

Acute Care Hospitals · Langhorne, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390258
LocationLanghorne-Newtown RdLanghorne, PA 19047 · Bucks County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19067 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 8

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
8 suppliers38 claims534 services$18.16 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
8 suppliers35 claims1,240 services$2.27 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
29 suppliers102 claims297 services$6.54 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
12 suppliers34 claims52 services$1.09 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
5 suppliers30 claims30 services$301.55 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
8 suppliers27 claims4,620 services$7.12 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 4

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

ACHIEVEMENT & WELLNESS CENTER
Psychologist
301 OXFORD VALLEY ROAD, MAKEFIELD EXECUTIVE QUARTERS SUITE 703B
YARDLEY, PA 19067
Bucks County (215) 321-9502
GINA MARIE MURPHY LLC
Counselor (Mental Health)
301 OXFORD VALLEY ROAD, SUITE 1801 A 2ND FL
YARDLEY, PA 19067
Bucks County (267) 520-0447
MR. MELVIN JAMES DANIELS DMD
Dentist
301 OXFORD VALLEY ROAD, SUITE 1105A
YARDLEY, PA 19067
Bucks County (215) 493-7000
STEPHEN C. LOWER PSYCHOLOGY ASSOCIATES
Psychologist
301 OXFORD VALLEY ROAD, SUITE 301B
YARDLEY, PA 19067
Bucks County (215) 321-5780

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 Achilles Paparsenos's NPI number?

The NPI number for Achilles Paparsenos is 1487858015. It was assigned to this individual provider in the NPPES registry on June 14, 2007.

Where is Achilles Paparsenos located?

Achilles Paparsenos practices at 301 Oxford Valley Road Suite 1803A, Yardley, PA 19067. The listed phone number is (215) 754-5050.

What is Achilles Paparsenos's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Achilles Paparsenos enrolled in Medicare?

Yes. Achilles Paparsenos 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 Achilles Paparsenos affiliated with any hospitals?

According to CMS data, Achilles Paparsenos is affiliated with Hospital Of Univ Of Pennsylvania and St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Achilles Paparsenos was last updated on May 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.