Jeffrey T. Paul, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

168882-1 Issued in NY

Practice address

414 Maple Ave Ste 200
Saratoga Springs, NY 12866-5533

Phone

(518) 587-0772

Fax

(518) 587-8749

NPI assigned

Feb 20, 2007

Last updated

Oct 17, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Albany Medical College of Union University, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saratoga Vitreo-Retinal Ophthalmology PLLCGroup PAC ID 7719078161, 14 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.28 of 100Reported as group

Quality

88.56

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drjpaul@eyesny.medentdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Saratoga Vitreo-Retinal Ophthalmology, PLLC

  • Specialist
  • Malta, NY
  • NPI 1316055940
  Medicare reassignment Care Compare group NPD
• Eyestudiony

  • Optometrist
  • Queensbury, NY
  • NPI 1922939172
  NPD (past)
• Teresa Blackstone OD PC

  • Optometrist
  • Saratoga Springs, NY
  • NPI 1346570256
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1285779900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 MAPLE AVE STE 200",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665533",
            "telephone_number": "518-587-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 MAPLE AVE STE 200",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665533",
            "telephone_number": "518-587-0772",
            "fax_number": "518-587-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "JEFFREY",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "168882-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00996745",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pathways Counseling of Saratoga, PC
• Courtney Caralynn Paton, PMHNP
• Patrick J. Szurek, PLLC
• Kimberly Welch Patterson, OTR
• Paul Anthony Chille DC & Patrice Anne Carroll DC
• Mirko Pavlek, L.C.S.W.-R
• Jama Lorynn Peacock Birsett, M.D.
• Peak Mountain Counseling LCSW, PLLC
• Peca Psychologist PLLC
• Theresa Anne Peca, PH.D.

• Specialist in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.