ERNST PAUL JR. MD
NPI 1851311989
Emergency Medicine in Bronx, NY

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
76.52/100
CMS Quality Rating
193 W 237TH ST, BRONX, NY 10463(718) 303-0479 Get Directions Write a Review

NPPES record last updated: June 14, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ernst Paul Jr. Md NPPES

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

ERNST PAUL JR. MD (NPI 1851311989) is an individual emergency medicine provider in Bronx, New York, licensed in New York (202775-1) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Queens Hospital Center, and is a graduate of New York Medical College (1992).

NPPES Registry Identity

NPI1851311989
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameERNST PAUL JR.Credential: MD
Location Address193 W 237TH STBronx, NY 10463
Mailing Address1345 Rxr PlzUniondale, NY 11556-1301 · (516) 453-0435
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 1992
Enumeration DateJuly 20, 2006
Last NPPES UpdateJune 14, 2019
NPI 1851311989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in NY · 202775-1
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
193 W 237TH ST, Bronx, NY 10463

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

Ernst Paul Jr. 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 ID1951290642
PECOS Enrollment IDI20040311000869, I20131212000161
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 3

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.
48 services46 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
19 services19 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.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Queens Hospital Center

Acute Care Hospitals · Jamaica, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330231
Location82-68 164th StreetJamaica, NY 11432 · Queens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10463 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

76.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.02
Promoting Interoperability100
Improvement Activities40
Cost57.73

Referred Medical Equipment & Supplies CMS DME claims 3

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

Walker, folding (pickup), adjustable or fixed height E0135
DME-Other DME · category DE000N
3 suppliers14 claims14 services$36.11 avg. paid by Medicare
Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
3 suppliers168 claims168 services$38.06 avg. paid by Medicare
Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
1 supplier13 claims14 services$3.56 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 5

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

Physician Assistant
193 W 237TH ST
BRONX, NY 10463
Physician Assistant
193 W 237TH ST
BRONX, NY 10463
Internal Medicine
193 W 237TH ST
BRONX, NY 10463
Emergency Medicine
193 W 237TH ST
BRONX, NY 10463
Clinic/Center (Urgent Care)
193 W 237TH ST
BRONX, NY 10463

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 Ernst Paul's NPI number?

The NPI number for Ernst Paul is 1851311989. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Ernst Paul located?

Ernst Paul practices at 193 W 237th St, Bronx, NY 10463. The listed phone number is (718) 303-0479.

What is Ernst Paul's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Ernst Paul enrolled in Medicare?

Yes. Ernst Paul 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 Ernst Paul affiliated with any hospitals?

According to CMS data, Ernst Paul is affiliated with Queens Hospital Center.

When was this NPI record last updated?

The NPPES record for Ernst Paul was last updated on June 14, 2019. 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.