npidexNPI registry + Medicare data

PAUL ENKER, MD

Adult Reconstructive Orthopaedic Surgery Physician · GREAT NECK, NY

Individual Active NPI 1174578132

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20243261,081$1,078,578$159,593$121,386
20233811,214$1,082,610$202,878$156,517
20223581,207$931,045$207,670$159,630

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more322$105$77
73502X-ray of hip, 2-3 views201$56$42
73562X-ray of knee, 3 views88$52$39
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more86$149$106
73564X-ray of knee, 4 or more views78$71$53
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more74$131$91
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more55$193$143
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and35$63$50
27130Replacement of thigh bone and hip joint with prosthesis27$1,548$1,240
72170X-ray of pelvis, 1-2 views19$32$24
99212Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more17$66$50
27447Replacement of knee joint, both sides of knee15$1,550$1,234

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Adult Reconstructive Orthopaedic Surgery Physician207XS0114X✓195459NY
Orthopaedic Surgery Physician207X00000X195459NY

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.