DR. PAUL PYO M.D.
NPI 1598919045
Urology in Meriden, CT

Active since November 11, 2008PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
455 LEWIS AVE, SUITE 210, MERIDEN, CT 06451(203) 238-1241(203) 686-0791 Get Directions Write a Review

NPPES record last updated: March 14, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Paul Pyo M.d. NPPES

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

DR. PAUL PYO M.D. (NPI 1598919045) is an individual urology provider in Meriden, Connecticut, licensed in Connecticut (054227) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1598919045
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. PAUL PYOCredential: M.D.
Location Address455 LEWIS AVE, SUITE 210Meriden, CT 06451-2121
Mailing Address455 Lewis Ave, Suite 210Meriden, CT 06451-2121 · (203) 238-1241 · Fax (203) 686-0791
Fax(203) 686-0791
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateNovember 11, 2008
Last NPPES UpdateMarch 14, 2016
✔ NPI 1598919045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in CT · 054227✔ Licensed in NJ · 25MA08498200
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
455 LEWIS AVE, Meriden, CT 06451

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 Pyo 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 ID1456406347
PECOS Enrollment IDI20150821014155
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 15

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 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.
501 services407 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.
102 services92 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.
63 services34 patients
Simple change of bladder tube 51705
A simple change of bladder tube involves replacing your current urinary drainage tube with a new one. This is done to maintain hygiene and prevent infections. It's a straightforward process, usually causing minimal discomfort, and helps ensure your body can properly dispose of waste fluids.
62 services12 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
57 services43 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.
47 services47 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06451 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability100
Improvement Activities40
Cost59.59

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.

Internal Medicine (Gastroenterology)
455 LEWIS AVE, SUITE 106
MERIDEN, CT 06451
Urology
455 LEWIS AVE, SUITE 210
MERIDEN, CT 06451
Surgery (Vascular Surgery)
455 LEWIS AVE, SUITE 203
MERIDEN, CT 06451
Surgery
455 LEWIS AVE, SUITE 216
MERIDEN, CT 06451
Surgery
455 LEWIS AVE
MERIDEN, CT 06451
Internal Medicine (Gastroenterology)
455 LEWIS AVE, SUITE 106
MERIDEN, CT 06451
Clinical Medical Laboratory
455 LEWIS AVE
MERIDEN, CT 06451
Internal Medicine (Hematology & Oncology)
455 LEWIS AVE, MIDSTATE MEDICAL GROUP, PC
MERIDEN, CT 06451

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 Pyo's NPI number?

The NPI number for Paul Pyo is 1598919045. It was assigned to this individual provider in the NPPES registry on November 11, 2008.

Where is Paul Pyo located?

Paul Pyo practices at 455 Lewis Ave Suite 210, Meriden, CT 06451. The listed phone number is (203) 238-1241.

What is Paul Pyo's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Paul Pyo enrolled in Medicare?

Yes. Paul Pyo 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.

When was this NPI record last updated?

The NPPES record for Paul Pyo was last updated on March 14, 2016. 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.