DR. ARUN K NAGPAUL MD
NPI 1558326249
Internal Medicine in Clifton Springs, NY

Active since April 18, 2006PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
2 COULTER RD, CLIFTON SPRINGS, NY 14432(315) 945-4846 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 15, 2024, Dec 16, 2022 (2 updates tracked since 2022).

About Dr. Arun K Nagpaul Md NPPES

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

DR. ARUN K NAGPAUL MD (NPI 1558326249) is an individual internal medicine provider in Clifton Springs, New York, licensed in New York (220920) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Newark-wayne Community Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1558326249
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ARUN K NAGPAULCredential: MD
Location Address2 COULTER RDClifton Springs, NY 14432-1122
Mailing Address41 Brigham CirHoneoye Falls, NY 14472-9240 · (585) 582-6234
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1990
Enumeration DateApril 18, 2006
Last NPPES UpdateNovember 15, 20242 updates tracked since enumeration
NPPES CertifiedNovember 15, 2024
✔ NPI 1558326249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 220920
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 220920 (NY)
2 COULTER RD, Clifton Springs, NY 14432

Secondary Practice Locations 3

Location 1100 Sunset DrNewark, NY 14513-1068 · Phone (315) 332-2022
Location 21529 Nye RdLyons, NY 14489-9111 · Phone (315) 945-4846
Location 35069 Reeds BayGeneva, NY 14456-9582 · Phone (315) 945-4846

Other Identifiers 1

Medicaid02158432NY

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

Dr. Arun K Nagpaul 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 ID2961472527
PECOS Enrollment IDI20040729001430
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

7

Medicare enrollment records show Arun Nagpaul reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
2 COULTER RD
Clifton Springs, NY 14432
  • Reassigned Medicare billing, New York enrollment
  • 872 clinicians in this Medicare group
General Acute Care Hospital
1200 DRIVING PARK AVE
Newark, NY 14513
  • Reassigned Medicare billing, New York enrollment
  • 679 clinicians in this Medicare group
Internal Medicine
6692 MIDDLE RD
Sodus, NY 14551
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
General Acute Care Hospital
100 KINGS HWY S
Rochester, NY 14617
  • Reassigned Medicare billing, New York enrollment
  • 1,442 clinicians in this Medicare group
Critical Access
77 W BARNEY ST
Gouverneur, NY 13642
  • Reassigned Medicare billing, New York enrollment
  • 143 clinicians in this Medicare group
General Acute Care Hospital
50 LEROY STREET
Potsdam, NY 13676
  • Reassigned Medicare billing, New York enrollment
  • 414 clinicians in this Medicare group
Critical Access
1 HOSPITAL DR
Massena, NY 13662
  • Reassigned Medicare billing, New York enrollment
  • 176 clinicians in this Medicare group

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 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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
215 services92 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.
75 services35 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
64 services40 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
41 services31 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.
40 services21 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
38 services34 patients

Hospital Affiliations CMS Care Compare 4

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

Newark-Wayne Community Hospital

Acute Care Hospitals · Newark, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330030
Location111 Driving Park AvenueNewark, NY 14513 · Wayne County
Emergency services Birthing friendly

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Clifton Springs Hospital And Clinic

Acute Care Hospitals · Clifton Springs, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330265
Location2 Coulter RoadClifton Springs, NY 14432 · Ontario County
Emergency services

Medina Memorial Hospital

Critical Access Hospitals · Medina, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331319
Location200 Ohio StreetMedina, NY 14103 · Orleans County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14432 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 17

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

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
2 suppliers45 claims45 services$20.79 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone A4315
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$23.37 avg. paid by Medicare
Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
1 supplier55 claims55 services$4.32 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers57 claims57 services$8.40 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
1 supplier11 claims22 services$5.51 avg. paid by Medicare
Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each A4389
DME-Orthotic Devices · category DF010N
1 supplier14 claims280 services$6.00 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 20

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

Social Worker (Clinical)
2 COULTER RD
CLIFTON SPRINGS, NY 14432
Social Worker
2 COULTER RD
CLIFTON SPRINGS, NY 14432
Social Worker (Clinical)
2 COULTER RD
CLIFTON SPRINGS, NY 14432
Nurse Practitioner (Psychiatric/Mental Health)
2 COULTER RD
CLIFTON SPRINGS, NY 14432
Counselor (Mental Health)
2 COULTER RD
CLIFTON SPRINGS, NY 14432
Physical Therapist
2 COULTER RD
CLIFTON SPRINGS, NY 14432
Social Worker
2 COULTER RD
CLIFTON SPRINGS, NY 14432
Registered Nurse
2 COULTER RD
CLIFTON SPRINGS, NY 14432

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 Arun Nagpaul's NPI number?

The NPI number for Arun Nagpaul is 1558326249. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is Arun Nagpaul located?

Arun Nagpaul practices at 2 Coulter Rd, Clifton Springs, NY 14432. The listed phone number is (315) 945-4846.

What is Arun Nagpaul's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Arun Nagpaul enrolled in Medicare?

Yes. Arun Nagpaul 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 Arun Nagpaul's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Arun Nagpaul reassigns Medicare benefits to 7 organizations: Clifton Springs Sanitarium Co (Clifton Springs, NY), Newark Wayne Community Hospital (Newark, NY), Rochester General Hospital (Sodus, NY), The Unity Hospital Of Rochester (Rochester, NY), Gouverneur Hospital (Gouverneur, NY) and 2 more organizations, listed in the Medicare section above. 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 Arun Nagpaul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Arun Nagpaul affiliated with any hospitals?

According to CMS data, Arun Nagpaul is affiliated with Newark-Wayne Community Hospital, Rochester General Hospital, Clifton Springs Hospital And Clinic and Medina Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Arun Nagpaul was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.