DR. PAUL CESANEK M.D.
NPI 1497928857
Surgery in Allentown, PA

Q: What is Paul Cesanek's NPI number?

The NPI number for Paul Cesanek is 1497928857. It was assigned to this individual provider in the NPPES registry on April 8, 2008.

Q: What is Paul Cesanek's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Paul Cesanek was last updated on November 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since April 08, 2008PECOS EnrolledAccepts Medicare Assignment

1240 S CEDAR CREST BLVD, SUITE 208, ALLENTOWN, PA 18103(610) 439-4055(610) 439-8650 Get Directions Write a Review

NPPES record last updated: November 24, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Paul Cesanek M.d. NPPES

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

DR. PAUL CESANEK M.D. (NPI 1497928857) is an individual surgery provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD432333) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital, and is a graduate of Temple University School Of Medicine (2004).

NPPES Registry Identity

NPI1497928857

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. PAUL CESANEKCredential: M.D.

Location Address1240 S CEDAR CREST BLVD, SUITE 208Allentown, PA 18103-6369

Mailing AddressPo Box 783311Philadelphia, PA 19178-3311

Phone(610) 439-4055

Fax(610) 439-8650

Sole ProprietorNo

Medical School CMSTemple University School Of MedicineGraduated 2004

Enumeration DateApril 8, 2008

Last NPPES UpdateNovember 24, 2015

✔ NPI 1497928857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in PA · MD432333✔ Licensed in PA · MT183919

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.

1240 S CEDAR CREST BLVD, Allentown, PA 18103

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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 Health, Ambetter Health of Delaware.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 Cesanek 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 ID7810041555

PECOS Enrollment IDI20090814000639

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.

61 services61 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

56 services41 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.

37 services36 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.

33 services27 patients

Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope 43282

This procedure fixes a hernia, a bulge or tear, in the muscle where the esophagus meets the stomach. Using an endoscope, a thin tube with a camera, a mesh is implanted to strengthen the area and prevent future hernias.

23 services23 patients

Repair of groin hernia using an endoscope 49650

This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.

20 services20 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.

18 services18 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

17 services13 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

16 services16 patients

Removal of gallbladder using an endoscope 47562

This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.

13 services13 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18103 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.

Other Providers at the Same Location NPPES 20

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

MR. ANTHONY J LIOTTA PA-C

Physician Assistant (Surgical)

1240 S CEDAR CREST BLVD, SUITE 308
ALLENTOWN, PA 18103

Lehigh County (610) 402-1314

ROBERT D BARRACO MD

Surgery (Trauma Surgery)

1240 S CEDAR CREST BLVD, SUITE 308
ALLENTOWN, PA 18103

Lehigh County (610) 402-1350

ROVINDER SINGH SANDHU MD

Surgery (Surgical Critical Care)

1240 S CEDAR CREST BLVD
ALLENTOWN, PA 18103

Lehigh County (610) 402-1350

HEIWON CHUNG MD

Surgery (Surgical Oncology)

1240 S CEDAR CREST BLVD, SUITE 205
ALLENTOWN, PA 18103

Lehigh County (610) 402-7884

NILAY SUNIL PATEL

Internal Medicine

1240 S CEDAR CREST BLVD, SUITE 410
ALLENTOWN, PA 18103

Lehigh County (610) 402-5200

ALICIA GENEVA PRATT CRNP

Nurse Practitioner (Family)

1240 S CEDAR CREST BLVD, SUITE 208
ALLENTOWN, PA 18103

Lehigh County (610) 402-9780

DR. NICHOLAS E LAMPARELLA DO

Internal Medicine (Hematology & Oncology)

1240 S CEDAR CREST BLVD, SUITE 401
ALLENTOWN, PA 18103

Lehigh County (610) 402-7880

ERIC TREASTER

Physician Assistant (Medical)

1240 S CEDAR CREST BLVD, SUITE 308
ALLENTOWN, PA 18103

Lehigh County (610) 402-1350

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 Cesanek's NPI number?

The NPI number for Paul Cesanek is 1497928857. It was assigned to this individual provider in the NPPES registry on April 8, 2008.

Where is Paul Cesanek located?

Paul Cesanek practices at 1240 S Cedar Crest Blvd Suite 208, Allentown, PA 18103. The listed phone number is (610) 439-4055.

What is Paul Cesanek's specialty?

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

Is Paul Cesanek enrolled in Medicare?

Yes. Paul Cesanek 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 Cesanek accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Paul Cesanek 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 Cesanek affiliated with any hospitals?

According to CMS data, Paul Cesanek is affiliated with Lehigh Valley Hospital and Lehigh Valley Hospital - Pocono.

When was this NPI record last updated?

The NPPES record for Paul Cesanek was last updated on November 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.