NPPES file of Aug 9, 2026

Paul Enker, MD

Adult Reconstructive Orthopaedic Surgery Physician · Great Neck, NY

Paul Enker, MD is an adult reconstructive orthopaedic surgery physician with a practice address in Great Neck, New York, and NPI 1174578132, issued on May 24, 2006. Check the license (New York 195459, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1174578132
Name
Paul Enker
Credential
MD
Primary taxonomy
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X
License number
195459 NY
Self-reported in NPPES; status is on the state search
Practice location
825 Northern Blvd Ste 201, Great Neck, NY 11021
Phone
(516) 838-8490
Enumerated
May 24, 2006
Record last updated
Oct 20, 2020 (not updated in 6 years: call before relying on the address or phone)
Fax
(516) 773-7575
Medicaid ID
01597713 NY
Medicare enrollment
Enrolled (PECOS I20041129000809); accepts Medicare assignment
Medical or professional school
University Of Ottawa, Faculty Of Medicine, 1976
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 825 Northern Blvd Ste 201

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Erin Giardino, PA-C, ATCPhysician Assistant1467018531

Verify Paul Enker in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
    Search for license 195459
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the New York license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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87% fewer Medicare Part D claims than the average adult reconstructive orthopaedic surgery physician in 2024

76 Medicare Part D claims for 30 beneficiaries, against an average of 579 among the 1,112 providers of this specialty who prescribed in Part D. Brand-name drugs were 16% of claims.

  1. Paul Enker76
  2. Specialty average579

Most prescribed

  1. Meloxicam38 claims
  2. Diclofenac Sodium-Misoprostol14 claims
  3. Diclofenac Sodium13 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 91.3 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score74.9
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%91.7
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $1,695.49

9 payments; by number, the most common kind was food and beverage; the largest payer was Medacta USA, Inc. The 1,060 providers of this specialty with any payment received $68,015.27 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Paul Enker$1,695
  2. Specialty average$68,015

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. North Shore-Lij Medical PCSyosset, NY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Paul Enker among 107 adult reconstructive orthopaedic surgery physician records in New York

Paul Enker, MD is one of 107 adult reconstructive orthopaedic surgery physician records with a practice address in New York. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 5% of them.

  • NPI issued2006 · 5% of these records are older, 68% newer
  • In a Medicare fileYes · 81% of these records are
  • In the CMS Doctors and Clinicians fileYes · 71% of these records are
  • Graduated1976 · median 2009 among the 76 with a school on file
  • Record last updated2020 · 46% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207XS0114X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Adult Reconstructive Orthopaedic Surgery Physician providers in New York

There are 107 adult reconstructive orthopaedic surgery physician records in New York.

The 8 adult reconstructive orthopaedic surgery physician records with the nearest ZIP codes

  1. Jonathan Danoff, M.D.Great Neck, NY 110211689973091
  2. Mahesh Inder Chauhan, M.D.Manhasset, NY 110301679408470
  3. Paul Dicpinigaitis, MDNew Hyde Park, NY 110421477530111
  4. Evan Schwartz, M.D.Astoria, NY 111021811907017
  5. Vijay Mani, MDBrooklyn, NY 112011194802397
  6. Che Hang Jason Wong, M.D.Brooklyn, NY 112041326336322
  7. William Lackey, M.D.Brooklyn, NY 112091912014218
  8. Paul Issack, M.D.Brooklyn, NY 112151932305547

Common questions

What is Paul Enker, MD's NPI number?

Paul Enker, MD's National Provider Identifier (NPI) is 1174578132, issued on May 24, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Paul Enker, MD located?

The NPPES record lists a practice address at 825 Northern Blvd Ste 201, Great Neck, NY, 11021. Phone: (516) 838-8490. Providers update this record themselves, so call before visiting.

How can I verify Paul Enker, MD's license?

NPPES lists New York license number 195459, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Paul Enker, MD prescribe under Medicare Part D?

In 2024, Paul Enker, MD had 76 Medicare Part D claims for 30 beneficiaries; the average among adult reconstructive orthopaedic surgery physician prescribers was 579. Part D covers Medicare prescriptions only.

What is Paul Enker, MD's MIPS final score?

The 2023 MIPS final score is 91.3 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.