PAUL JON APOSTOLIDES MD
NPI 1265403927
Neurological Surgery in Greenwich, CT

Quality Rating: 75 out of 100 score

NPI Status: Active since January 31, 2006

Contact Information

6 GREENWICH OFFICE PARK
GREENWICH, CT
ZIP 06831
Phone: (203) 869-1145
Fax: (203) 618-1721

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Table of Contents

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
Areas of Expertise
Physician Visit Costs
Overall Quality Performance
Quality Reporting
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Years of Experience 40
Neurological Surgery
Accepts Medicare Approved Payment
PECOS Enrolled
Medicare Quality Reporting

About PAUL APOSTOLIDES

This page provides the complete NPI Profile along with additional information for Paul Apostolides, a provider established in Greenwich, Connecticut with a medical specialization in Neurological Surgery and more than 40 years of experience. He graduated from University Of Massachusetts Medical School in 1986. The healthcare provider is registered in the NPI registry with number 1265403927 assigned on January 2006. The practitioner's primary taxonomy code is 207T00000X with license number 036771 (CT). The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI: 1265403927
Provider Name: PAUL JON APOSTOLIDES MD
Gender: Male
Entity Type: Individual
Location Address: 6 GREENWICH OFFICE PARK GREENWICH, CT 06831
Location Phone: (203) 869-1145
Location Fax: (203) 618-1721
Mailing Address: 6 GREENWICH OFFICE PARK GREENWICH, CT 06831
Mailing Phone: (203) 869-1145
Mailing Fax: (203) 618-1721
Medical School Name: UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduation Year: 1986
Is Sole Proprietor?: No
Enumeration Date: 01-31-2006
Last Update Date: 03-01-2017
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Neurological Surgery
Taxonomy Code: 207T00000X
Type: Allopathic & Osteopathic Physicians
License No.: 036771
License State: CT
Taxonomy Description: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Railroad Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
200033414	OTHER (01)	CT	RAILROAD MEDICARE
140000168	MEDICARE ID-TYPE UNSPECIFIED (04)	CT
G74264	MEDICARE UPIN (02)	CT

Medicare Participation & PECOS Enrollment Status

Paul Apostolides is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Paul Apostolides is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
PECOS PAC ID: 5193902286
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.
PECOS Enrollment ID: I20111116000621, I20170828003914
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.
Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Evaluation for physical therapy, typically 20 minutes
Evaluation for physical therapy, typically 30 minutes
Fusion of spine in lower back with partial removal of spine bone and disc
Harvest of bone fragment for spine bone graft
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml
Insertion of cage or mesh device to spine bone and disc space during spine fusion
Laminectomy or laminotomy (partial removal of spine bones)
Mri scan of lower spinal canal before and after contrast
Mri scan of lower spinal canal without contrast
Mri scan of upper spinal canal without contrast
New patient office or other outpatient visit, 30-44 minutes
New patient office or other outpatient visit, 45-59 minutes
Partial removal of bone of additional segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back
Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment
Placement of stabilizing device to back of 1 spine bone in neck
Placement of stabilizing device to back, 3-6 spine bone segments
Spinal fusion
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
Therapy procedure using functional activities
Therapy procedure using manual technique, each 15 minutes
X-ray of lower and sacral spine, 2-3 views
X-ray of lower and sacral spine, minimum of 4 views
X-ray of spine, 1 view

Physician Visit Costs

The typical physician office visit costs for Medicare beneficiaries in this area are: $34.71 for a new patient copayment and $18.88 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 06831 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

Average New Patient Price $138.84
Minimum New Patient Price $60.82
Maximum New Patient Price $183.1

Average New Patient Copayment $34.71
Minimum New Patient Copayment $15.2
Maximum New Patient Copayment $45.77

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

Average Established Patient Price $75.55
Minimum Established Patient Price $19.76
Maximum Established Patient Price $149.26

Average Established Patient Copayment $18.88
Minimum Established Patient Copayment $4.94
Maximum Established Patient Copayment $37.31

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 75, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

Final Score: 75 out of 100

The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
Quality Score: N/A

The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability Score: N/A

The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities Score: N/A

The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost Score: N/A

The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Cost Score: N/A

The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure	Performance	Number of Patients
Annual registration in the Prescription Drug Monitoring Program	Yes	N/A
Annual registration by eligible clinician or group in the prescription drug monitoring program of the state where they practice. Activities that simply involve registration are not sufficient. MIPS eligible clinicians and groups must participate for a minimum of 6 months.
Closing the Referral Loop: Receipt of Specialist Report	26%	101
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
Collection and follow-up on patient experience and satisfaction data on beneficiary engagement	Yes	N/A
Collection and follow-up on patient experience and satisfaction data on beneficiary engagement, including development of improvement plan.
Documentation of Current Medications in the Medical Record	93%	1874
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
Engagement of New Medicaid Patients and Follow-up	Yes	N/A
Seeing new and follow-up Medicaid patients in a timely manner, including individuals dually eligible for Medicaid and Medicare. A timely manner is defined as within 10 business days for this activity.
e-Prescribing	95%	231
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Health Information Exchange	74%	62
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral.
Implementation of formal quality improvement methods, practice changes, or other practice improvement processes	Yes	N/A
Adopt a formal model for quality improvement and create a culture in which all staff actively participates in improvement activities that could include one or more of the following such as: • Multi-Source Feedback; • Train all staff in quality improvement methods; • Integrate practice change/quality improvement into staff duties; • Engage all staff in identifying and testing practices changes; • Designate regular team meetings to review data and plan improvement cycles; • Promote transparency and accelerate improvement by sharing practice level and panel level quality of care, patient experience and utilization data with staff; and/or • Promote transparency and engage patients and families by sharing practice level quality of care, patient experience and utilization data with patients and families, including activities in which clinicians act upon patient experience data.
Medication Reconciliation	99%	184
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
Participation in CAHPS or other supplemental questionnaire	Yes	N/A
Participation in the Consumer Assessment of Healthcare Providers and Systems Survey or other supplemental questionnaire items (e.g., Cultural Competence or Health Information Technology supplemental item sets).
Patient-Specific Education	28%	338
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Pneumococcal Vaccination Status for Older Adults	0%	306
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	60%	1077
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record	Yes	N/A
• Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management.
Provide Patient Access	96%	338
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms.	Yes	N/A
Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms.
Secure Messaging	19%	338
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period.
Security Risk Analysis	Yes	N/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.
Use of High-Risk Medications in the Elderly	5% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better.	306
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	2	6	5	4	0	3	9	2	7
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	12	5	8	0	6	9	4
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 8 + 0 + 6 + 9 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 7									7

The NPI number 1265403927 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

NPI	Name / Type	Taxonomy	Address
1528039195	JOHN F CROWE MD Individual	Orthopaedic Surgery	6 GREENWICH OFFICE PARK GREENWICH, CT 06831 (203) 869-1147
1427020247	JENNIFER MUCCI-CRUZ OT Individual	Occupational Therapist	6 GREENWICH OFFICE PARK GREENWICH, CT 06831 (203) 869-1145
1174595953	DIANE K LONG PT Individual	Physical Therapist	6 GREENWICH OFFICE PARK GREENWICH, CT 06831 (203) 869-1145
1679545222	GEORGEANN C TORINA P.A. Individual	Dietitian, Registered	6 GREENWICH OFFICE PARK GREENWICH, CT 06831 (203) 869-1145
1083686679	NICOLE BRANCK R.P.T. Individual	Physical Therapist	6 GREENWICH OFFICE PARK GREENWICH, CT 06831 (203) 869-1145
1245202803	ELENA G NOVAKOVA P.A. Individual	Physician Assistant	6 GREENWICH OFFICE PARK GREENWICH, CT 06831 (203) 869-1145
1356314629	GEOFFREY FOAT R.P.T. Individual	Physical Therapist	6 GREENWICH OFFICE PARK GREENWICH, CT 06831 (203) 869-1145
1194786699	MS. JESSICA HINERTH CURRAN MSPT Individual	Physical Therapist	6 GREENWICH OFFICE PARK GREENWICH, CT 06831 (203) 869-1145
1982709986	MS. LAURA LIEBESMAN PT Individual	Physical Therapist	6 GREENWICH OFFICE PARK GREENWICH, CT 06831 (203) 869-1145
1144365016	JOANNE NACHTYGAL PA Individual	Physician Assistant (Surgical)	6 GREENWICH OFFICE PARK GREENWICH, CT 06831 (203) 869-1145
1124220736	MS. RICHELLE KAYE PT Individual	Physical Therapist	6 GREENWICH OFFICE PARK GREENWICH, CT 06831 (203) 869-1145
1275784068	JASON JAMES SALOMON PA Individual	Physician Assistant (Surgical)	6 GREENWICH OFFICE PARK GREENWICH, CT 06831 (203) 869-1145
1982021812	ORTHOPAEDIC AND NEUROSURGERY SPECIALISTS, PC Organization	Physician Assistant (Surgical)	6 GREENWICH OFFICE PARK GREENWICH, CT 06831 (203) 869-1145
1811962418	MR. PETER J FALLA LAT Individual	Specialist/Technologist (Athletic Trainer)	6 GREENWICH OFFICE PARK ONS PHYSICAL THERAPY GREENWICH, CT 06831 (203) 869-2233
1083785505	ILANNA SUE SCHWALBE MA, OTR, CHT Individual	Occupational Therapist (Hand)	6 GREENWICH OFFICE PARK 40 VALLEY DRIVE GREENWICH, CT 06831 (203) 869-1145
1750775375	TATYANA KALYUZHNY PT Individual	Physical Therapist	6 GREENWICH OFFICE PARK 40 VALLEY DRIVE GREENWICH, CT 06831 (203) 869-1145
1295058972	DR. CHRISTOPHER SEAN SAHLER M.D. Individual	Physical Medicine & Rehabilitation	6 GREENWICH OFFICE PARK GREENWICH, CT 06831 (203) 869-1145
1164446449	MR. ROBERT ALAN SPATZ PT Individual	Physical Therapist	6 GREENWICH OFFICE PARK GREENWICH, CT 06831 (203) 869-1145
1427365428	DR. ALEKSANDR LEVCHENKO D.O. Individual	Physical Medicine & Rehabilitation	6 GREENWICH OFFICE PARK GREENWICH, CT 06831 (203) 869-1145
1104897784	STEVEN E HINDMAN MD Individual	Orthopaedic Surgery	6 GREENWICH OFFICE PARK GREENWICH, CT 06831 (203) 869-1145

Frequently Asked Questions

What is Paul Apostolides MD NPI number?

The NPI number assigned to this healthcare provider is 1265403927, enumerated in the NPI registry as an "individual" on January 31, 2006

Where is the provider located?

The provider is located at 6 Greenwich Office Park Greenwich, Ct 06831 and the phone number is (203) 869-1145

What is the provider specialty code?

The provider's speciality is Neurological Surgery with taxonomy code 207T00000X

How many years of experience does Paul Apostolides MD have?

The provider has more than 40 years of experience. He graduated from University Of Massachusetts Medical School in 1986.

What insurance does Paul Apostolides MD accept?

The provider might be accepting Accepts: Railroad Medicare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Is Paul Apostolides MD registered in PECOS?

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Paul Apostolides MD?

Medicare beneficiaries should expect a typical cost of $138.84 with an average copayment of $34.71 for new patient appointments. Established patients should expect a typical charge of $75.55 and an average copayment of 18.88. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Paul Apostolides MD?

The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Evaluation for physical therapy, typically 20 minutes, Evaluation for physical therapy, typically 30 minutes, Fusion of spine in lower back with partial removal of spine bone and disc, Harvest of bone fragment for spine bone graft, Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml, Insertion of cage or mesh device to spine bone and disc space during spine fusion, Laminectomy or laminotomy (partial removal of spine bones), Mri scan of lower spinal canal before and after contrast, Mri scan of lower spinal canal without contrast, Mri scan of upper spinal canal without contrast, New patient office or other outpatient visit, 30-44 minutes, New patient office or other outpatient visit, 45-59 minutes, Partial removal of bone of additional segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back, Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back, Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment, Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment, Placement of stabilizing device to back of 1 spine bone in neck, Placement of stabilizing device to back, 3-6 spine bone segments, Spinal fusion, Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes, Therapy procedure using functional activities, Therapy procedure using manual technique, each 15 minutes, X-ray of lower and sacral spine, 2-3 views, X-ray of lower and sacral spine, minimum of 4 views and X-ray of spine, 1 view.

How do I update my NPI information?

This NPI record was last updated on January 31, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.

About PAUL APOSTOLIDES

Location Map

Specialty - Primary Taxonomy

Neurological Surgery

Insurance Plans Accepted

Additional Identifiers

Medicare Participation & PECOS Enrollment Status

Is the provider registered in PECOS? Yes

PECOS PAC ID: 5193902286

PECOS Enrollment ID: I20111116000621, I20170828003914

Accepts Medicare Assignment? Yes

Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

Eligible to Order or Refer a Home Health Agency (HHA): Yes

Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

Established patient office or other outpatient visit, 20-29 minutes

Established patient office or other outpatient visit, 30-39 minutes

Evaluation for physical therapy, typically 20 minutes

Evaluation for physical therapy, typically 30 minutes

Fusion of spine in lower back with partial removal of spine bone and disc

Harvest of bone fragment for spine bone graft

Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml

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

Laminectomy or laminotomy (partial removal of spine bones)

Mri scan of lower spinal canal before and after contrast

Mri scan of lower spinal canal without contrast

Mri scan of upper spinal canal without contrast

New patient office or other outpatient visit, 30-44 minutes

New patient office or other outpatient visit, 45-59 minutes

Partial removal of bone of additional segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back

Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back

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

Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment

Placement of stabilizing device to back of 1 spine bone in neck

Placement of stabilizing device to back, 3-6 spine bone segments

Spinal fusion

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes

Therapy procedure using functional activities

Therapy procedure using manual technique, each 15 minutes

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

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

X-ray of spine, 1 view

Physician Visit Costs

New Patients Visit Costs *

Established Patients Visit Costs *

Overall MIPS Quality Performance

Final Score: 75 out of 100

Quality Score: N/A

Promoting Interoperability Score: N/A

Improvement Activities Score: N/A

Cost Score: N/A

Cost Score: N/A

Quality Reporting

Reviews for PAUL JON APOSTOLIDES MD

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions