Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JUSTIN C PAUL M.D., PH.D.
NPI 1881911006
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in New York, NY

Q: What is Justin Paul's NPI number?

The NPI number for Justin Paul is 1881911006. It was assigned to this individual provider in the NPPES registry on April 27, 2010.

Q: What is Justin Paul's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Q: When was this NPI record last updated?

The NPPES record for Justin Paul was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.

Active since April 27, 2010PECOS EnrolledAccepts Medicare Assignment

65.49/100

CMS Quality Rating

550 1ST AVE, NEW YORK, NY 10016(212) 263-5506 Get Directions Write a Review

NPPES record last updated: October 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 14, 2026, Aug 14, 2017 (2 updates tracked since 2017).

On this page

About Dr. Justin C Paul M.d., Ph.d. NPPES

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

DR. JUSTIN C PAUL M.D., PH.D. (NPI 1881911006) is an individual orthopaedic surgery of the spine provider in New York, New York, licensed in Connecticut (56025) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Putnam Hospital Center, and is a graduate of Js Weill Medical College, Cornell University (2010).

NPPES Registry Identity

NPI1881911006

Entity TypeIndividualMale

Primary Taxonomy207XS0117X

Provider Legal NameDR. JUSTIN C PAULCredential: M.D., PH.D.

Location Address550 1ST AVENew York, NY 10016-6402

Mailing Address500 E 63rd St Apt 4dNew York, NY 10065-7947 · (917) 553-4795

Phone(212) 263-5506

Sole ProprietorNo

Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 2010

Enumeration DateApril 27, 2010

Last NPPES UpdateOctober 14, 20262 updates tracked since enumeration

NPPES CertifiedOctober 14, 2026

✔ NPI 1881911006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians

Taxonomy Code207XS0117X

License✔ Licensed in CT · 56025

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 56025 (CT)

550 1ST AVE, New York, NY 10016

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Justin C Paul M.d., Ph.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 ID7113217373

PECOS Enrollment IDI20170831000062

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.

Medicare Billing Reassignments

Medicare enrollment records show Justin Paul reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthoconnecticut, PLLC

39 mi

Physical Medicine & Rehabilitation

112 MAIN ST
Norwalk, CT 06851

Reassigned Medicare billing, Connecticut enrollment
118 clinicians in this Medicare group

NPI 1356906515 (203) 847-4477

Hvra Of Ridgefield, LLC

41 mi

Magnetic Resonance Imaging (MRI)

45 DANBURY RD
Wilton, CT 06897

Reassigned Medicare billing, Connecticut enrollment
33 clinicians in this Medicare group

NPI 1225909971 (203) 797-1500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 17

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.

556 services281 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

191 services113 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

95 services93 patients

X-ray of middle and lower spine, 2 views 72080

An X-ray of the middle and lower spine, or 2-view lumbar spine X-ray, involves capturing images of your back. This helps detect issues like fractures, infections, or other abnormalities. It's painless and quick, taking only a few minutes.

63 services52 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.

63 services63 patients

X-ray of middle spine, 2 views 72070

An X-ray of the middle spine, or thoracic spine, involves capturing two different images of the area. This non-invasive procedure uses small amounts of radiation to visualize the bones and tissues in your back, helping to identify any abnormalities or injuries.

59 services47 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

43 services25 patients

Treatment of broken lower spine bone with placement of stabilizing device 22514

This procedure involves fixing a broken bone in the lower spine. A stabilizing device is inserted to support the bone, promoting healing and reducing pain. The device helps to maintain proper spinal alignment and stability during your recovery period.

41 services38 patients

Treatment of broken spine bone with stabilizing device, each additional segment 22515

This procedure involves the treatment of a fractured spine bone. A stabilizing device is used to support and secure each additional affected segment of the spine. This helps in proper alignment and promotes healing, enhancing your comfort and mobility.

41 services33 patients

X-ray of upper spine, 4-5 views 72050

An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.

38 services35 patients

X-ray of entire middle and lower spine, 1 view 72081

An X-ray of the entire middle and lower spine, 1 view, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and structures in your spine. This helps identify any abnormalities, injuries, or diseases.

37 services36 patients

Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance 22513

This procedure treats a broken bone in the middle of your spine. A stabilizing device is placed to support the damaged area. Imaging guidance, like X-rays, is used to ensure precise placement of the device. This aids in your recovery and helps maintain spine stability.

33 services27 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.

32 services32 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

30 services19 patients

Placement of stabilizing device to front, 2-3 spine bone segments 22845

This procedure involves positioning a stabilizing device on the front of 2-3 segments of your spine. It's designed to provide support and stability to your spine, potentially alleviating discomfort and improving mobility.

14 services14 patients

Fusion of spine in lower back 22612

Fusion of the spine in the lower back, also known as lumbar spinal fusion, is a surgery aimed to join, or fuse, two or more vertebrae in your lower back. This procedure can help alleviate pain and improve stability by reducing movement between the vertebrae.

12 services12 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Putnam Hospital Center

Acute Care Hospitals · Carmel, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330273

Location670 Stoneleigh AvenueCarmel, NY 10512 · Putnam County

Emergency services Birthing friendly

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.

65.49/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

25.81

Promoting Interoperability

Improvement Activities

Cost

100

Reported Quality Measures

Documentation of Current Medications in the Medical Record

84%2,560 patients4/55-star benchmark: 100%

e-Prescribing

99%1,169 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%623 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

26%1,307 patients2/55-star benchmark: 98%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 54% · 1,037 patients

Patients screened: 57% · 1,037 patients

25%40 patients2/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

10%67 patients1/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 651 patients

Patients totalRate: 3% · 651 patients

3%651 patients4/55-star benchmark: 100%

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.

DR. SHARON URALIL D.O.

Internal Medicine

550 1ST AVE
NEW YORK, NY 10016

New York County (212) 263-3293

DR. DIANA TREVAS FLEISHER

Emergency Medicine (Pediatric Emergency Medicine)

550 1ST AVE
NEW YORK, NY 10016

New York County (212) 263-3293

DR. MONICA GUPTA M.D.

Allergy & Immunology

550 1ST AVE, NBV 16N30, INTERNAL MEDICINE RESIDENCY PROGRAM
NEW YORK, NY 10016

New York County (212) 263-6397

CHRISTINE CHAN M.D.

Student in an Organized Health Care Education/Training Program

550 1ST AVE
NEW YORK, NY 10016

New York County (212) 263-5506

DR. MATTHEW CHIARELLO MD

Radiology (Vascular & Interventional Radiology)

550 1ST AVE
NEW YORK, NY 10016

New York County (212) 263-5506

DR. MEGAN ELIZABETH JENKINS M.D.

Surgery

550 1ST AVE
NEW YORK, NY 10016

New York County (212) 263-7300

DR. MANAN PATEL M.D.

Student in an Organized Health Care Education/Training Program

550 1ST AVE
NEW YORK, NY 10016

New York County (212) 263-5506

VICKY CHIANG

Student in an Organized Health Care Education/Training Program

550 1ST AVE
NEW YORK, NY 10016

New York County (212) 263-5506

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 Justin Paul's NPI number?

The NPI number for Justin Paul is 1881911006. It was assigned to this individual provider in the NPPES registry on April 27, 2010.

Where is Justin Paul located?

Justin Paul practices at 550 1st Ave, New York, NY 10016. The listed phone number is (212) 263-5506.

What is Justin Paul's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Justin Paul enrolled in Medicare?

Yes. Justin 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.

Which organizations bill Medicare for Justin Paul's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Paul reassigns Medicare benefits to 2 organizations: Orthoconnecticut, PLLC (Norwalk, CT) and Hvra Of Ridgefield, LLC (Wilton, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justin Paul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Paul accept?

Health plans from Anthem Blue Cross and Blue Shield list Justin Paul 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 Justin Paul affiliated with any hospitals?

According to CMS data, Justin Paul is affiliated with Putnam Hospital Center.

When was this NPI record last updated?

The NPPES record for Justin Paul was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.