Paul Gianakon, M.D.
NPI 1578698486 · Psychiatry Physician · Elkton, MD
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paul Gianakon, M.D. is a Psychiatry Physician provider in Elkton, MD (NPI 1578698486).
Provider details
- NPI number
- 1578698486
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- D0045088 (MD)
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
19 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
1,159 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 649 | $80 |
| Telephone Medical Discussion With Physician, 11-20 Minutes99442 | 262 | $66 |
| Psychotherapy, 45 Minutes90834 | 100 | $100 |
| Psychotherapy, 1 Hour90837 | 61 | $148 |
| Psychotherapy, 30 Minutes90832 | 51 | $73 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 36 | $109 |
Typical Medicare-allowed amounts for these services range $66–$148 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, 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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 82 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Clozapine | 712 | 34 |
| Benztropine Mesylate | 422 | 52 |
| Olanzapine | 418 | 43 |
| Bupropion Hclbrand: Bupropion Xl | 383 | 35 |
| Divalproex Sodium | 336 | 39 |
| Trazodone Hcl | 310 | 48 |
| Quetiapine Fumarate | 293 | 39 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$51 across 2 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
- 2007-02-22
- Last updated
- 2025-09-17
- Certified
- 2025-09-17
Frequently asked questions
- What is Paul Gianakon's NPI number?
- Paul Gianakon's National Provider Identifier (NPI) is 1578698486, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Paul Gianakon's specialty?
- Paul Gianakon is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Paul Gianakon located?
- Paul Gianakon's practice location on file with NPPES is 801 E Pulaski Hwy Ste 143, Elkton, MD 21921-6671.
- What is Paul Gianakon's phone number?
- The practice phone number listed in the NPPES registry for Paul Gianakon is (855) 922-1202.
- Does Paul Gianakon accept Medicare?
- Paul Gianakon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Paul Gianakon's NPI active?
- Yes — Paul Gianakon's NPI (1578698486) is active in the NPPES registry as of the last update on 2025-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.