Michael Paul Ast, M.D.
NPI 1427204106ActiveIndividual· Orthopaedic Surgery· Paramus, NJ
Opted out of Medicare from January 2025 to January 2027. Orthopaedic Surgery (M.D.) in Paramus, New Jersey, licensed in NJ and NY, with an NPI issued in August 2008. 491 Medicare patients in 2024, $304,654 paid; all of their 89 Part D prescriptions were generic. Orthalign Inc was the largest of 5 companies reporting payments in 2025, $346,421 in all, mostly royalties and licenses.
Overview
| NPI | 1427204106 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Aug 13, 2008 |
| Last updated in NPPES | May 16, 2025 |
| Certified by provider | May 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | 25MA09267200 | NJ |
| Orthopaedic Surgery | 207X00000X | 252444 | NY |
| Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery | 207XS0114X | 252444 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Jan 1, 2025 – Jan 1, 2027 |
| Can order and refer | Yes |
| Accepts assignment | Yes (participating) |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Medicare services in 2024
| Medicare patients | 491 |
|---|---|
| Services billed | 1,544 across 30 procedure codes |
| Paid by Medicare | $304,654 |
Part D prescriptions in 2024
| Prescriptions (claims) | 89 · 94 30-day fills |
|---|---|
| Patients | 59 |
| Total drug cost | $754.13 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2025$346,421 · 127 payments from 5 companies
- 2024$355,019 · 128 payments from 9 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Orthalign Inc | $211,926 | 18 |
| Smith+nephew, Inc. | $124,360 | 106 |
| Vertex Pharmaceuticals Incorporated | $9,950 | 1 |
| Depuy Synthes Sales Inc. | $122.07 | 1 |
| Heron Therapeutics, Inc. | $62.45 | 1 |
What the 2025 payments were for
- Royalty or License$212,335 · 13 payments
- Consulting Fee$106,249 · 28 payments
- Travel and Lodging$14,148 · 33 payments
- Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$8,450 · 2 payments
- Food and Beverage$5,238 · 51 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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