DR. PAUL NICHOLAS CASALE M.D.
NPI 1568439289
Internal Medicine - Cardiovascular Disease in New York, NY

Active since March 01, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
520 EAST 70TH STREET, STARR 4, NEW YORK, NY 10021(646) 962-5558 Get Directions Write a Review

NPPES record last updated: August 20, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Paul Nicholas Casale M.d. NPPES

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

DR. PAUL NICHOLAS CASALE M.D. (NPI 1568439289) is an individual cardiovascular disease provider in New York, New York, licensed in New York (154906) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and maintains a secondary practice location in Lancaster.

NPPES Registry Identity

NPI1568439289
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. PAUL NICHOLAS CASALECredential: M.D.
Location Address520 EAST 70TH STREET, STARR 4New York, NY 10021
Mailing Address520 East 70th Street, Starr 4New York, NY 10021 · (646) 962-5558
Sole ProprietorNo
Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 1982
Enumeration DateMarch 1, 2006
Last NPPES UpdateAugust 20, 2018
NPI 1568439289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NY · 154906
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
520 EAST 70TH STREET, New York, NY 10021

Secondary Practice Location 1

Location 1217 Harrisburg Ave, The Heart Group of LGHealthLancaster, PA 17603-2964 · Phone (717) 544-8300 · Fax (717) 544-8265

Other Identifiers 1

Medicaid0012480910007PA

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 Nicholas Casale 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 ID4587567243
PECOS Enrollment IDI20160927000793
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

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.
31 services29 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 15

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

Psychiatry & Neurology (Neurology)
520 EAST 70TH STREET, STARR 607
NEW YORK, NY 10021
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
520 EAST 70TH STREET, STARR 4
NEW YORK, NY 10021
Physician Assistant (Surgical)
520 EAST 70TH STREET, STARR PAVILION, 8TH FLOOR, K 803
NEW YORK, NY 10021
Nurse Practitioner (Family)
520 EAST 70TH STREET, STARR 443
NEW YORK, NY 10021
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
520 EAST 70TH STREET, STARR 4
NEW YORK, NY 10021
Internal Medicine (Cardiovascular Disease)
520 EAST 70TH STREET, ST 443
NEW YORK, NY 10021
Hospitalist
520 EAST 70TH STREET, STARR PAVILION, ST-05-507
NEW YORK, NY 10021
Hospitalist
520 EAST 70TH STREET, STARR PAVILION, ST-05-507
NEW YORK, NY 10021

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 Casale's NPI number?

The NPI number for Paul Casale is 1568439289. It was assigned to this individual provider in the NPPES registry on March 1, 2006.

Where is Paul Casale located?

Paul Casale practices at 520 East 70th Street Starr 4, New York, NY 10021. The listed phone number is (646) 962-5558.

What is Paul Casale's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Paul Casale enrolled in Medicare?

Yes. Paul Casale 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 Paul Casale affiliated with any hospitals?

According to CMS data, Paul Casale is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Paul Casale was last updated on August 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.