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DR. ANDRE J. PAGLIARO MD
NPI 1902874993
Orthopaedic Surgery in Trenton, NJ

Active since March 08, 2006PECOS EnrolledAccepts Medicare Assignment
88.23/100
CMS Quality Rating
1079 WHITE HORSE MERCERVILLE RD, TRENTON, NJ 08610(800) 321-9999(267) 479-1321 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Andre J. Pagliaro Md NPPES

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

DR. ANDRE J. PAGLIARO MD (NPI 1902874993) is an individual orthopaedic surgery provider in Trenton, New Jersey, licensed in New Jersey (25MA53639) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Capital Health Medical Center - Hopewell, and maintains a secondary practice location in Pennington.

NPPES Registry Identity

NPI1902874993
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. ANDRE J. PAGLIAROCredential: MD
Location Address1079 WHITE HORSE MERCERVILLE RDTrenton, NJ 08610-1424
Mailing Address833 Chestnut St Ste 520Philadelphia, PA 19107-4430 · (800) 321-9999 · Fax (267) 479-1321
Phone(800) 321-9999
Fax(267) 479-1321
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1988
Enumeration DateMarch 8, 2006
Last NPPES UpdateMarch 14, 2022
NPPES CertifiedMarch 1, 2022
✔ NPI 1902874993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in NJ · 25MA53639✔ Licensed in PA · MD445253
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.
1079 WHITE HORSE MERCERVILLE RD, Trenton, NJ 08610
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Secondary Practice Location 1

Location 1116 Washington Crossing Pennington RdPennington, NJ 08534 · Phone (800) 321-9999 · Fax (267) 479-1321

Other Identifiers 1

Medicaid7360100NJ

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 and more.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. Andre J. Pagliaro 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 ID4385698471
PECOS Enrollment IDI20100104000210
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

2

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

Rothman Orthopaedics Of New Jersey, LLC
27 mi
Orthopaedic Surgery
999 ROUTE 73 N FL 34
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 398 clinicians in this Medicare group
NPI 1215978630 (800) 321-9999
Reconstructive Orthopaedic Associates II LLC
30 mi
Orthopaedic Surgery
833 CHESTNUT ST STE 1220
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 361 clinicians in this Medicare group
NPI 1861433278 (800) 321-9999

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 5

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 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.
142 services89 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
119 services68 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
98 services57 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.
78 services56 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
37 services37 patients

Hospital Affiliations CMS Care Compare 3

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

Capital Health Medical Center - Hopewell

Acute Care Hospitals · Pennington, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310044
LocationOne Capital WayPennington, NJ 08534 · Mercer County
Emergency services Birthing friendly

Capital Health Regional Medical Center

Acute Care Hospitals · Trenton, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310092
Location750 Brunswick AveTrenton, NJ 08638 · Mercer County
Emergency services

Robert Wood Johnson University Hospital At Hamilton

Acute Care Hospitals · Hamilton, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310110
LocationOne Hamilton Health PlaceHamilton, NJ 08690 · Mercer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08610 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

88.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.57
Promoting Interoperability99
Improvement Activities40
Cost91.05

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.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier16 claims16 services$16.90 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
2 suppliers33 claims33 services$222.46 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 11

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

ARJUN SAXENA M.D.
Orthopaedic Surgery
1079 WHITE HORSE MERCERVILLE RD
TRENTON, NJ 08610
Mercer County (800) 321-9999
EVAN J CONTE M.D.
Orthopaedic Surgery
1079 WHITE HORSE MERCERVILLE RD
TRENTON, NJ 08610
Mercer County (800) 321-9999
CHRISTINA KOHLER PA-C
Physician Assistant
1079 WHITE HORSE MERCERVILLE RD
TRENTON, NJ 08610
Mercer County (800) 321-9999
RACHEL LAUREN KURTZ DPT
Physical Therapist
1079 WHITE HORSE MERCERVILLE RD
TRENTON, NJ 08610
Mercer County (800) 321-9999
DEVIN DIKENGIL DPT
Physical Therapist (Orthopedic)
1079 WHITE HORSE MERCERVILLE RD
TRENTON, NJ 08610
Mercer County (973) 747-7311
MEGAN ELYSE GENSLER OTR/L
Occupational Therapist
1079 WHITE HORSE MERCERVILLE RD
TRENTON, NJ 08610
Mercer County (800) 321-9999
DR. DANIEL J. FLETCHER
Orthopaedic Surgery (Hand Surgery)
1079 WHITE HORSE MERCERVILLE RD
HAMILTON, NJ 08610
Mercer County (267) 339-3558
ABUBAKAR AHMED DO
Physical Medicine & Rehabilitation
1079 WHITE HORSE MERCERVILLE RD
TRENTON, NJ 08610
Mercer County (800) 321-9999

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 Andre Pagliaro's NPI number?

The NPI number for Andre Pagliaro is 1902874993. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Andre Pagliaro located?

Andre Pagliaro practices at 1079 White Horse Mercerville Rd, Trenton, NJ 08610. The listed phone number is (800) 321-9999.

What is Andre Pagliaro's specialty?

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

Is Andre Pagliaro enrolled in Medicare?

Yes. Andre Pagliaro 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 Andre Pagliaro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andre Pagliaro reassigns Medicare benefits to 2 organizations: Rothman Orthopaedics Of New Jersey, LLC (Marlton, NJ) and Reconstructive Orthopaedic Associates II LLC (Philadelphia, PA). 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 Andre Pagliaro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andre Pagliaro accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Oscar Health list Andre Pagliaro 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 Andre Pagliaro affiliated with any hospitals?

According to CMS data, Andre Pagliaro is affiliated with Capital Health Medical Center - Hopewell, Capital Health Regional Medical Center and Robert Wood Johnson University Hospital At Hamilton.

When was this NPI record last updated?

The NPPES record for Andre Pagliaro was last updated on March 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.