Douglas Padgett, MD
NPI 1063523553 · Specialist · New York, NY
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Douglas Padgett, MD is a Specialist provider in New York, NY (NPI 1063523553).
Provider details
- NPI number
- 1063523553
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 162802 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
566 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 340 | $64 |
| New Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 15 Minutes Or More99202 | 92 | $82 |
| Replacement of Thigh Bone and Hip Joint With Prosthesis27130 | 51 | $1,485 |
| Replacement of Knee Joint, Both Sides of Knee27447 | 40 | $1,469 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 18 | $103 |
| Aspiration And/Or Injection of Fluid From Large Joint |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2021-03-25
- Certified
- 2021-03-25
Frequently asked questions
- What is Douglas Padgett's NPI number?
- Douglas Padgett's National Provider Identifier (NPI) is 1063523553, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Douglas Padgett's specialty?
- Douglas Padgett is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Douglas Padgett located?
- Douglas Padgett's practice location on file with NPPES is 535 E 70th St, New York, NY 10021-4872.
- What is Douglas Padgett's phone number?
- The practice phone number listed in the NPPES registry for Douglas Padgett is (212) 606-1642.
- Does Douglas Padgett accept Medicare?
- Douglas Padgett is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Douglas Padgett's NPI active?
- Yes — Douglas Padgett's NPI (1063523553) is active in the NPPES registry as of the last update on 2021-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.