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DR. PAUL C METZGER M.D.
NPI 1649207374
Orthopaedic Surgery - Sports Medicine in Dickson City, PA

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
334 MAIN ST, STE 1, DICKSON CITY, PA 18519(570) 307-1767(570) 307-1770 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 20, 2024, May 3, 2024, Dec 15, 2023 (3 updates tracked since 2023).

About Dr. Paul C Metzger M.d. NPPES

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

DR. PAUL C METZGER M.D. (NPI 1649207374) is an individual sports medicine provider in Dickson City, Pennsylvania, licensed in Pennsylvania (MD018289E) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and is a graduate of Hahnemann University College Of Medicine (1975).

NPPES Registry Identity

NPI1649207374
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. PAUL C METZGERCredential: M.D.
Location Address334 MAIN ST, STE 1Dickson City, PA 18519-1620
Mailing AddressPo Box 783311Philadelphia, PA 19178-3311 · (484) 884-4500 · Fax (484) 884-0699
Phone(570) 307-1767
Fax(570) 307-1770
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1975
Enumeration DateJune 27, 2006
Last NPPES UpdateAugust 20, 20243 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
✔ NPI 1649207374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in PA · MD018289E
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License MD018289E (PA)
334 MAIN ST, Dickson City, PA 18519
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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 C Metzger 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 ID4981610268
PECOS Enrollment IDI20101014001024
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 9

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
2,199 services119 patients
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg J7325
Synvisc or Synvisc-One is a treatment involving an injection of a substance called hyaluronan into your joints. This substance, naturally found in the body, helps lubricate and cushion your joints, reducing pain and improving mobility. It's often used for arthritis patients.
1,680 services22 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.
299 services192 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
251 services126 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
63 services54 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
60 services50 patients

Hospital Affiliations CMS Care Compare 2

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

Geisinger-Community Medical Center

Acute Care Hospitals · Scranton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390001
Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County
Emergency services Birthing friendly

Lehigh Valley Hospital - Dickson City

Acute Care Hospitals · Dickson City, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390338
Location330 Main StreetDickson City, PA 18519 · Lackawanna County
Emergency services

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.

Reported Quality Measures

Clinical Information Reconciliation
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.
1%75 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
75%222 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
18%550 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
99%395 patients4/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
83%550 patients4/55-star benchmark: 100%
Request/Accept Summary of Care
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician receives or retrieves and incorporates into the patient's record an…
1%75 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…
16%550 patients1/55-star benchmark: 75%
View, Download and Transmit (VDT)
During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician.
7%550 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

JOSHUA DAVID WILBUR PA-C
Physician Assistant (Medical)
334 MAIN ST
DICKSON CITY, PA 18519
Lackawanna County (570) 307-1767
DR. ALAN P GILLICK M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
334 MAIN ST, STE 1
DICKSON CITY, PA 18519
Lackawanna County (570) 307-1767
MS. SUSAN U HAIKES MSN CRNP
Nurse Practitioner (Family)
334 MAIN ST
DICKSON CITY, PA 18519
Lackawanna County (570) 307-1767
MRS. NICOLE MARY CARDILLO OTR
Occupational Therapist
334 MAIN ST
DICKSON CITY, PA 18519
Lackawanna County (570) 307-1769
LEHIGH VALLEY PHYSICIAN GROUP
Durable Medical Equipment & Medical Supplies
334 MAIN ST
DICKSON CITY, PA 18519
Lackawanna County (570) 307-1767
BETH ANN MARIE GREEN PTA
Specialist
334 MAIN ST
DICKSON CITY, PA 18519
Lackawanna County (570) 307-1769
MR. MICHAEL THOMAS KURPIS M.P.T.
Specialist
334 MAIN ST
DICKSON CITY, PA 18519
Lackawanna County (570) 307-1769
JULIE YUREK PT
Physical Therapist
334 MAIN ST
DICKSON CITY, PA 18519
Lackawanna County (570) 307-1767

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 Metzger's NPI number?

The NPI number for Paul Metzger is 1649207374. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Paul Metzger located?

Paul Metzger practices at 334 Main St Ste 1, Dickson City, PA 18519. The listed phone number is (570) 307-1767.

What is Paul Metzger's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Paul Metzger enrolled in Medicare?

Yes. Paul Metzger 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 Metzger accept?

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

According to CMS data, Paul Metzger is affiliated with Geisinger-Community Medical Center and Lehigh Valley Hospital - Dickson City.

When was this NPI record last updated?

The NPPES record for Paul Metzger was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.