Individual provider Active NPI

Paul Julius Peter Pongor, MD

  • Specialist
  • Marlboro, MA
National Provider Identifier
1770585705
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
65 Fremont St
Marlboro, MA 01752-1271
Phone
(508) 485-1079
Fax
(508) 485-0899
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

65 Fremont St
Marlboro, MA 01752-1271

Mailing address

65 Fremont St
Marlboro, MA 01752-1271
Phone (508) 485-1079

Other identifiers 1

IdentifierTypeStateIssuer
9712682MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20050525001212 MA Practitioner - Orthopedic Surgery 2567404981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Michigan Medical School, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Orthopaedic Associates of Marlboro, PCGroup PAC ID 1759445158, 5 clinicians

Practice addresses (Care Compare)

1050 Old Camp Rd
Suite 282
The Villages, FL 32162-1762
Phone (352) 693-3378

65 Fremont St
Ofc 1
Marlborough, MA 01752-1271
Phone (508) 485-3665

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
49.98 of 100Reported as group
Quality
66.64
Promoting interoperability
0
Improvement activities
40
Cost
45.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement14
Knee replacement17
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Associates of Marlboro, PC Specialist CurrentSince Nov 22, 1992 Accepting new patients

Locations

65 Fremont St
Marlborough, MA 01752
Phone (508) 485-3665

65 Fremont St
Ofc 1
Marlborough, MA 01752
Phone (508) 485-3665

Organizations & group practices 1

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1770585705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 FREMONT ST",
            "city": "MARLBORO",
            "state": "MA",
            "postal_code": "017521271",
            "telephone_number": "508-485-1079",
            "fax_number": "508-485-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 FREMONT ST",
            "city": "MARLBORO",
            "state": "MA",
            "postal_code": "017521271",
            "telephone_number": "508-485-1079",
            "fax_number": "508-485-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONGOR",
        "first_name": "PAUL",
        "middle_name": "JULIUS PETER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9712682",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlboro, MA

Sources for this page

Verify at the official NPI Registry.