Karim Paracha, M.D.
NPI 1316128937 · Surgery Physician · East Setauket, NY
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Karim Paracha, M.D. is a Surgery Physician provider in East Setauket, NY (NPI 1316128937).
Provider details
- NPI number
- 1316128937
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 254899-1 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
18 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,738 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 387 | $87 |
| Removal of Skin and Tissue, Each Additional 20.0 Sq Cm Or Less11045 | 162 | $29 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 111 | $146 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 89 | $39 |
| Removal of Tissue From Wound, 20.0 Sq Cm Or Less97597 | 86 | $39 |
| Removal of Skin and Tissue, 20.0 Sq Cm Or Less11042 | 82 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 36 | 29 |
| Ondansetronbrand: Ondansetron Odt | 15 | 13 |
| Teduglutidebrand: Gattex | 14 | — |
| Tramadol Hcl | 14 | — |
| Collagenase Clostridium Hist.brand: Santyl | 13 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$803 across 28 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-11-26
- Last updated
- 2015-05-05
Frequently asked questions
- What is Karim Paracha's NPI number?
- Karim Paracha's National Provider Identifier (NPI) is 1316128937, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Karim Paracha's specialty?
- Karim Paracha is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Karim Paracha located?
- Karim Paracha's practice location on file with NPPES is 4 Technology Dr, East Setauket, NY 11733-4080.
- What is Karim Paracha's phone number?
- The practice phone number listed in the NPPES registry for Karim Paracha is (631) 675-6865.
- Does Karim Paracha accept Medicare?
- Karim Paracha is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Karim Paracha's NPI active?
- Yes — Karim Paracha's NPI (1316128937) is active in the NPPES registry as of the last update on 2015-05-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.