Dr. Paul Sousa, MD
- Medicare services, 2024
- 11,677
- Medicare patients, 2024
- 1,093
- Part D claims, 2024
- 1,516
- MIPS score, 2024
- 87
- Hospital affiliations
- 4
- Practice address
- 18444 N 25th Ave Suite 210 Suite 210, Phoenix, AZ 85023-1264
- Practice phone
- Call (866) 974-2673
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
The Core Institute
Multi-specialty group site · Phoenix, Arizona
Find Dr. Sousa's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Paul Sousa is an orthopedic surgeon in Phoenix, Arizona
Dr. Sousa practices at The Core Institute in Phoenix, Arizona.
Dr. Sousa's NPI, 1275915332, was assigned on June 25, 2015. Dr. Sousa holds Minnesota license 61206.
- NPI
- 1275915332NPI Registry (opens in a new tab)
- Medicare PAC ID
- 4486969870
- NPI enumeration date
- June 25, 2015
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (866) 974-2673
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 37
- Medical school graduation
- 2015
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Paul Sousa practices at The Core Institute in Phoenix, Arizona
Dr. Sousa's primary practice is The Core Institute, at 18444 N 25th Ave Suite 210 Suite 210, Phoenix, AZ 85023-1264. The practice phone is (866) 974-2673.
- The Core Institute18444 N 25th Ave Suite 210 Suite 210, Phoenix, AZ 85023-1264Phone(866) 974-2673
Source: Dmand AI Affiliation Data
Dr. Paul Sousa is affiliated with 7 sites of care and 2 medical groups
Dr. Sousa's primary practice is The Core Institute in Phoenix, Arizona. Dr. Sousa is also affiliated with Banner Estrella Medical Center. The medical group on file is OrthoArizona. Dmand AI also links Dr. Sousa to 3 more hospitals, 1 group practice or clinic, 1 home health agency and 1 medical group, each named with a free account.
Source: Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Dr. Paul Sousa's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Sousa practices, 7 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| The Core Institute | Available with a free account |
| +6 more sites and 1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Paul Sousa is one of 377 orthopedic surgeons in Arizona
Orthopaedic surgery is Dr. Sousa's primary specialty in the NPI Registry, under taxonomy code 207X00000X. Dr. Sousa is licensed in Minnesota.
Specialties and state licenses
- Orthopaedic surgery, MinnesotaPrimary
Orthopedic surgeons near Dr. Sousa
Counts of orthopedic surgeons with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Paul Sousa billed Medicare for 11,677 services in 2024
CMS data shows 11,677 Medicare services from Dr. Sousa across 29 procedure codes in 2024, for 1,093 Medicare patients. Medicare paid $498,891 for them.
Dr. Sousa's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Drugs given in the office
- 2023: 12,4852024: 7,78938%
- Office and hospital visits
- 2023: 1,2882024: 1,57722%
- Imaging
- 2023: 1,2192024: 1,2021%
- Surgery
- 2023: 1,0592024: 81024%
- Tests and treatments
- 2023: 2082024: 29944%
Where Dr. Sousa's Medicare services took place, 2024
- In an office11,35097%
- In a facility3273%
Dr. Sousa compared with the Arizona median for orthopedic surgeons, 2024
- Dr. Sousa
- Arizona median
- Medicare services
- 11,677vs 98811.8 times
- Medicare patients
- 1,093vs 2873.8 times
- Part D claims
- 1,428vs 7419.3 times
Medians across 343 orthopedic surgeons in Arizona with Dmand AI profiles that report each measure.
Dr. Sousa's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Sousa and other orthopedic surgeons in Arizona.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Paul Sousa treated 1,093 Medicare patients in 2024, average age 76
CMS counts 1,093 Medicare patients who saw Dr. Sousa in 2024. The largest group is 75 to 84, with 532 patients. 75% of them have arthritis, and 75% have high blood pressure. 2% are also on Medicaid. Their average risk score is 1.12, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Sousa's median patient age at 69, with 58% women.
Dr. Sousa's Medicare patients by age, 2024
Dr. Sousa's Medicare patients by sex, 2024
- Women65760%
- Men43640%
Chronic conditions among Dr. Sousa's Medicare patients, 2024
- Arthritis75%
- High blood pressure75%
- High cholesterol75%
- Chronic kidney disease29%
- Anxiety28%
- Mood disorders26%
- Ischemic heart disease25%
- Depression24%
Share of Medicare patients with each condition. A patient can have several.
Dr. Sousa's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 69
Patient panel by sex, all payers
- Women58%
- Men41%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Paul Sousa wrote 1,516 Medicare Part D claims in 2024
In 2024, Dr. Sousa wrote 1,516 Medicare Part D claims for 631 patients. 100% of them were for generic drugs. CMS names the drug for 1,428 of them, across 11 drugs with 11 or more claims each, at $10,623 in total drug cost. In 2023, CMS named 677 claims across 9 drugs.
Dr. Sousa's Part D claims by kind of drug, 2024
- Generic1,512 claims100%
- Brand-name and other4 claims0%
Dr. Sousa's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Dr. Sousa's Part D claims, 2024
- Opioids12%188 of 1,516 claims
- Antibiotics40%602 of 1,516 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 6772024: 1,428111%
Drugs named by CMS: 11 in 2024, 9 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. Paul Sousa scored 87 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 87 out of 100 for Dr. Sousa for performance year 2024, reported individually. Dr. Sousa accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 83 procedures of knee replacement by Dr. Sousa, more than 90% of the clinicians it reports for that procedure.
- Accepts Medicare assignment
- Yes
Dr. Sousa's MIPS scores, performance year 2024
- 87of 100Final score
- 78.6of 100Quality
- 100of 100Promoting Interoperability
- 40of 100Improvement Activities
- 78of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Where Dr. Sousa ranks in Medicare procedure volume
- Knee replacement
- 90th percentile83 procedures
- Hip replacement
- 90th percentile58 procedures
CMS ranks each clinician against every clinician it reports for the same procedure category.
Removal of tissue: 1 to 10 procedures (CMS shows small counts as a range)
Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)
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Dr. Paul Sousa received $70,230 in industry payments from 2018 to 2025
CMS Open Payments shows 139 general payments to Dr. Sousa from 11 drug and device companies from 2018 to 2025. Consulting fees make up the largest share, 48% of the total. Smith & Nephew, Inc. paid the most, $57,691.
General payments to Dr. Sousa by program year, 2018 to 2025
General payments to Dr. Sousa by kind, 2018 to 2025
- Consulting fees$33,86348%
- Speaker and faculty fees$11,55016%
- Travel and lodging$8,56612%
- Food and beverage$8,26712%
- Education$7,98511%
Companies that paid Dr. Sousa the most, 2018 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Sources for Dr. Paul Sousa's profile data
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Paul Sousa
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Paul Sousa's NPI number?
Dr. Paul Sousa's NPI number is 1275915332. It was assigned on June 25, 2015, and it is active in the NPI Registry.
What kind of doctor is Dr. Paul Sousa?
Dr. Paul Sousa is an orthopedic surgeon in Phoenix, Arizona. The primary specialty in the NPI Registry is Orthopaedic Surgery Physician (taxonomy code 207X00000X).
Where does Dr. Paul Sousa practice?
Dr. Sousa practices at 18444 N 25th Ave Suite 210 Suite 210, Phoenix, AZ 85023-1264. Dr. Sousa's primary practice is The Core Institute in Phoenix, Arizona. Dmand AI also links Dr. Sousa to 3 hospitals, 1 group practice or clinic, 1 home health agency and 1 medical group.
What is Dr. Paul Sousa's office phone number?
The practice phone on file for Dr. Sousa is (866) 974-2673.
What is Dr. Paul Sousa's medical license number?
Dr. Sousa holds Minnesota license 61206.
Which hospitals is Dr. Paul Sousa affiliated with?
Dr. Sousa is affiliated with Banner Estrella Medical Center. Dmand AI links Dr. Sousa to 3 more hospitals.
What medical group is Dr. Paul Sousa part of?
Dr. Sousa is linked to OrthoArizona. Dmand AI links Dr. Sousa to 1 more medical group.
Does Dr. Paul Sousa accept Medicare?
Yes. CMS data shows Dr. Sousa billed Medicare for 11,677 services in 2024, and Dr. Sousa accepts Medicare assignment.
What is Dr. Paul Sousa's MIPS score?
Dr. Sousa's MIPS final score for performance year 2024 is 87 out of 100, reported individually.
How many Medicare patients does Dr. Paul Sousa see?
CMS counts 1,093 Medicare patients who saw Dr. Sousa in 2024, with an average age of 76.
Show 4 more questionsShow fewer questions
What services does Dr. Paul Sousa bill to Medicare?
In 2024, Dr. Sousa's most billed Medicare services were injected or infused drug (J7329), injected or infused drug (J3301) and injected or infused drug (J7318).
What drugs does Dr. Paul Sousa prescribe most?
In 2024 Medicare Part D data, Dr. Sousa's most prescribed drugs by claims were Amoxicillin, Celecoxib and Meloxicam.
Has Dr. Paul Sousa received payments from drug or device companies?
CMS Open Payments shows $70,230 in general payments to Dr. Sousa from 11 companies from 2018 to 2025. The largest total came from Smith & Nephew, Inc.
How long has Dr. Paul Sousa been practicing?
Dr. Sousa graduated from medical school in 2015, 11 years ago.
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