PAUL F POLLICE MD
NPI 1740272434
Orthopaedic Surgery in Allentown, PA

Active since August 18, 2005PECOS EnrolledAccepts Medicare Assignment
88.73/100
CMS Quality Rating
250 CETRONIA ROAD, SUITE 303, ALLENTOWN, PA 18104(610) 973-6200(610) 973-6546 Get Directions Write a Review

NPPES record last updated: November 21, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Paul F Pollice Md NPPES

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

PAUL F POLLICE MD (NPI 1740272434) is an individual orthopaedic surgery provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD070458L) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (1994).

NPPES Registry Identity

NPI1740272434
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NamePAUL F POLLICECredential: MD
Location Address250 CETRONIA ROAD, SUITE 303Allentown, PA 18104-9168
Mailing Address250 Cetronia Rd, Ste 303Allentown, PA 18104-9168 · (610) 973-6200 · Fax (866) 644-0894
Fax(610) 973-6546
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 1994
Enumeration DateAugust 18, 2005
Last NPPES UpdateNovember 21, 2017
NPI 1740272434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in PA · MD070458L
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryTaxonomy 207XS0114X · License MD070458L (PA)
250 CETRONIA ROAD, Allentown, PA 18104

Other Identifiers 13

OtherP2721707PA · Oxford
Other0864185000PA · Keystone East
Other200043306PA · Railroad Medicare
Other821053PA · First Priority Health
Other01219901PA · Blue Cross
Other958048PA · Blue Shield
Medicaid0018378220001PA
Other958048PA · Keystone Central
Medicare PIN049840PA
Other7932479001PA · Cigna
Other958048PA · Amerihealth Admin
Medicare UPINH44461PA
Other7259255PA · Aetna

Accepted 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

Paul F Pollice 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 ID4688676513
PECOS Enrollment IDI20100121000457
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.
1,075 services694 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
877 services570 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.
601 services307 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.
415 services362 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
308 services237 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.
297 services258 patients

Hospital Affiliations CMS Care Compare 5

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

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

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

St Luke's Miners Memorial Hospital

Acute Care Hospitals · Coaldale, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390183
Location360 W Ruddle StreetCoaldale, PA 18218 · Schuylkill County
Emergency services

Lehigh Valley Hospital - Hazleton

Acute Care Hospitals · Hazleton, PA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number390185
Location700 East Broad StreetHazleton, PA 18201 · Luzerne County
Emergency services Birthing friendly

St Luke's Hospital - Monroe Campus

Acute Care Hospitals · Stroudsburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390330
Location100 St Luke's LaneStroudsburg, PA 18360 · Monroe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18104 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.

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.

88.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality89.97
Promoting Interoperability100
Improvement Activities40
Cost72.47

Reported Quality Measures

Advance Care Plan
96%1,560 patients4/55-star benchmark: 100%
Breast Cancer Screening
69%722 patients3/55-star benchmark: 93%
Closing the Referral Loop: Receipt of Specialist Report
61%646 patients3/55-star benchmark: 87%
Controlling High Blood Pressure
73%141 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
96%45 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%3,634 patients5/55-star benchmark: 100%
e-Prescribing
100%687 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
92%1,520 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
96%2,116 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
17%3,258 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 1,519 patients
Patients screened: 99% · 1,519 patients
88%73 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
97%1,351 patients4/55-star benchmark: 100%
Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.02%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
76%98 patients3/55-star benchmark: 91%
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
5 suppliers96 claims96 services$44.97 avg. paid by Medicare
Continuous passive motion exercise device for use on knee only E0935
DME-Other DME · category DE000N
2 suppliers114 claims2,207 services$21.99 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.

Physical Therapist
250 CETRONIA ROAD, SUITE 303
ALLENTOWN, PA 18104
Physical Therapist
250 CETRONIA ROAD, SUITE 303
ALLENTOWN, PA 18104
Physician Assistant
250 CETRONIA ROAD, SUITE 303
ALLENTOWN, PA 18104
Physician Assistant
250 CETRONIA ROAD, SUITE 303
ALLENTOWN, PA 18104
Physician Assistant
250 CETRONIA ROAD, SUITE 303
ALLENTOWN, PA 18104
Orthopaedic Surgery (Sports Medicine)
250 CETRONIA ROAD, SUITE 303
ALLENTOWN, PA 18104
Anesthesiology (Pain Medicine)
250 CETRONIA ROAD
ALLENTOWN, PA 18104
Occupational Therapist (Hand)
250 CETRONIA ROAD, SUITE 303
ALLENTOWN, PA 18104

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 Pollice's NPI number?

The NPI number for Paul Pollice is 1740272434. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is Paul Pollice located?

Paul Pollice practices at 250 Cetronia Road Suite 303, Allentown, PA 18104. The listed phone number is (610) 973-6200.

What is Paul Pollice's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Paul Pollice enrolled in Medicare?

Yes. Paul Pollice 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 Pollice accept?

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

According to CMS data, Paul Pollice is affiliated with St Luke's Hospital Bethlehem, Lehigh Valley Hospital, St Luke's Miners Memorial Hospital, Lehigh Valley Hospital - Hazleton and St Luke's Hospital - Monroe Campus.

When was this NPI record last updated?

The NPPES record for Paul Pollice was last updated on November 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.