Paul Sanmartin Plaza, MD
NPI 1518392323 · Neurology Physician · New York, NY
Enrolled with Medicare as Practitioner - Neurology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paul Sanmartin Plaza, MD is a Neurology Physician provider in New York, NY (NPI 1518392323).
Provider details
- NPI number
- 1518392323
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 82630 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
12 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
140 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) |
|---|---|---|
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 54 | $190 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 34 | $136 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 34 | $129 |
| Emergency Department Visit With Low Level of Medical Decision Making99283 | 18 | $78 |
Typical Medicare-allowed amounts for these services range $78–$190 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 540 Litchfield StTorrington, CT 06790-6679Phone: (972) 449-0540
Registry dates
- Enumerated
- 2013-09-11
- Last updated
- 2026-01-20
- Certified
- 2026-01-20
Frequently asked questions
- What is Paul Sanmartin Plaza's NPI number?
- Paul Sanmartin Plaza's National Provider Identifier (NPI) is 1518392323, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Paul Sanmartin Plaza's specialty?
- Paul Sanmartin Plaza is listed in the NPPES registry with a primary specialty of Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is Paul Sanmartin Plaza located?
- Paul Sanmartin Plaza's practice location on file with NPPES is 550 1st Ave, New York, NY 10016-6402.
- What is Paul Sanmartin Plaza's phone number?
- The practice phone number listed in the NPPES registry for Paul Sanmartin Plaza is (646) 929-7800.
- Does Paul Sanmartin Plaza accept Medicare?
- Paul Sanmartin Plaza is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Paul Sanmartin Plaza's NPI active?
- Yes — Paul Sanmartin Plaza's NPI (1518392323) is active in the NPPES registry as of the last update on 2026-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.