PAUL GHATTAS M.D
NPI 1962857599
Surgery in Allentown, PA

Active since May 02, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103(484) 862-3256 Get Directions Write a Review

NPPES record last updated: May 2, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paul Ghattas M.d NPPES

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

PAUL GHATTAS M.D (NPI 1962857599) is an individual surgery provider in Allentown, Pennsylvania, licensed in Pennsylvania (MT210422) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Lansdale Hospital, and is a graduate of Pennsylvania State University College Of Medicine (2016).

NPPES Registry Identity

NPI1962857599
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NamePAUL GHATTASCredential: M.D
Location Address1200 S CEDAR CREST BLVDAllentown, PA 18103-6202
Mailing Address31 Palmieri LnStaten Island, NY 10309-3444
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2016
Enumeration DateMay 2, 2016
NPI 1962857599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in PA · MT210422
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1200 S CEDAR CREST BLVD, Allentown, PA 18103

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 Ghattas 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 ID4880986678
PECOS Enrollment IDI20220823001873
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
229 services135 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
187 services81 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
180 services176 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
161 services120 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
15 services15 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Lansdale Hospital

Acute Care Hospitals · Lansdale, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390012
Location100 Medical Campus DriveLansdale, PA 19446 · Montgomery County
Emergency services

Abington Memorial Hospital

Acute Care Hospitals · Abington, PA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number390231
Location1200 Old York RoadAbington, PA 19001 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18103 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability95
Improvement Activities40

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.

Hospitalist
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Hospitalist
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Internal Medicine
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Nurse Anesthetist, Certified Registered
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Student in an Organized Health Care Education/Training Program
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Pediatrics
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Emergency Medicine
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Radiology (Diagnostic Radiology)
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103

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 Ghattas's NPI number?

The NPI number for Paul Ghattas is 1962857599. It was assigned to this individual provider in the NPPES registry on May 2, 2016.

Where is Paul Ghattas located?

Paul Ghattas practices at 1200 S Cedar Crest Blvd, Allentown, PA 18103. The listed phone number is (484) 862-3256.

What is Paul Ghattas's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Paul Ghattas enrolled in Medicare?

Yes. Paul Ghattas 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 Paul Ghattas affiliated with any hospitals?

According to CMS data, Paul Ghattas is affiliated with Lansdale Hospital and Abington Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Paul Ghattas was last updated on May 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.