DR. JOHN PHILLIP DUPAIX M.D.
NPI 1972860351
Orthopaedic Surgery - Hand Surgery in Erie, PA

Active since April 23, 2012PECOS EnrolledAccepts Medicare Assignment
86.53/100
CMS Quality Rating
300 STATE ST STE 205, ERIE, PA 16507(814) 456-6022(814) 455-4731 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 5, 2019, Jun 21, 2018 (2 updates tracked since 2018).

About Dr. John Phillip Dupaix M.d. NPPES

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

DR. JOHN PHILLIP DUPAIX M.D. (NPI 1972860351) is an individual hand surgery provider in Erie, Pennsylvania, licensed in Pennsylvania (MD465208) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Upmc Chautauqua At Wca, and is a graduate of Oregon Health Sciences University School Of Medicine (2012).

NPPES Registry Identity

NPI1972860351
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameDR. JOHN PHILLIP DUPAIXCredential: M.D.
Location Address300 STATE ST STE 205Erie, PA 16507-1429
Mailing Address300 State St Ste 205Erie, PA 16507-1429 · (814) 456-6022 · Fax (814) 455-4731
Fax(814) 455-4731
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2012
Enumeration DateApril 23, 2012
Last NPPES UpdateApril 18, 20232 updates tracked since enumeration
NPPES CertifiedJune 9, 2022
NPI 1972860351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
Licenses Licensed in PA · MD465208 Licensed in CA · A157825
Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

300 STATE ST STE 205, Erie, PA 16507

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

Dr. John Phillip Dupaix 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 ID1850644774
PECOS Enrollment IDI20190520002730
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 13

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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
447 services115 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.
256 services156 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
131 services66 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.
95 services95 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.
94 services71 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
80 services49 patients

Hospital Affiliations CMS Care Compare 3

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

Upmc Chautauqua At Wca

Acute Care Hospitals · Jamestown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330239
Location207 Foote AvenueJamestown, NY 14701 · Chautauqua County
Emergency services Birthing friendly

Saint Vincent Hospital

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390009
Location232 West 25th StreetErie, PA 16544 · Erie County
Emergency services Birthing friendly

Upmc Hamot

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390063
Location201 State StreetErie, PA 16550 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16507 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.

86.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality85.33
Promoting Interoperability82
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%610 patients5/55-star benchmark: 100%
Communication with the Physician or Other Clinician Managing On-Going Care Post-Fracture for Men and Women Aged 50 Years and Older
97%164 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
99%1,689 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 1,191 patients
Patients screened: 100% · 1,191 patients
98%224 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
64%751 patients2/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
99%137 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.

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.

Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3906
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$297.08 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3913
DME-Orthotic Devices · category DF000N
1 supplier16 claims16 services$184.80 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 7

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

Orthopaedic Surgery
300 STATE ST STE 205
ERIE, PA 16507
Physician Assistant
300 STATE ST STE 205
ERIE, PA 16507
Physician Assistant
300 STATE ST STE 205
ERIE, PA 16507
Surgery (Surgery of the Hand)
300 STATE ST STE 205
ERIE, PA 16507
Student in an Organized Health Care Education/Training Program
300 STATE ST STE 205
ERIE, PA 16507
Plastic Surgery (Surgery of the Hand)
300 STATE ST STE 205
ERIE, PA 16507
Orthopaedic Surgery (Hand Surgery)
300 STATE ST STE 205
ERIE, PA 16507

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 John Dupaix's NPI number?

The NPI number for John Dupaix is 1972860351. It was assigned to this individual provider in the NPPES registry on April 23, 2012.

Where is John Dupaix located?

John Dupaix practices at 300 State St Ste 205, Erie, PA 16507. The listed phone number is (814) 456-6022.

What is John Dupaix's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is John Dupaix enrolled in Medicare?

Yes. John Dupaix 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 John Dupaix accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Ambetter from Meridian list John Dupaix 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 John Dupaix affiliated with any hospitals?

According to CMS data, John Dupaix is affiliated with Upmc Chautauqua At Wca, Saint Vincent Hospital and Upmc Hamot.

When was this NPI record last updated?

The NPPES record for John Dupaix was last updated on April 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.