DONALD E PELTO DPM
NPI 1164756631
Podiatrist in Worcester, MA
Quality Rating: 97.82 out of 100 score
NPI Status: Active since September 30, 2009
Contact Information
299 LINCOLN ST
SUITE 202
WORCESTER, MA
ZIP 01605
Phone: (508) 757-4003
Fax: (508) 755-7592
- Individual
- Male
- Years of Experience 20
- Podiatrist
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About DONALD PELTO
This page provides the complete NPI Profile along with additional information for Donald Pelto, a provider established in Worcester, Massachusetts with a medical specialization in Podiatrist and more than 20 years of experience. The healthcare provider is registered in the NPI registry with number 1164756631 assigned on September 2009. The practitioner's primary taxonomy code is 213E00000X with license number 2343 (MA). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1164756631
- Provider Name
- DONALD E PELTO DPM
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 299 LINCOLN ST SUITE 202 WORCESTER, MA 01605
- Location Phone
- (508) 757-4003
- Location Fax
- (508) 755-7592
- Mailing Address
- 299 LINCOLN ST STE 202 WORCESTER, MA 01605
- Mailing Phone
- (508) 757-4003
- Mailing Fax
- (508) 755-7592
- Medical School Name
- OTHER
- Graduation Year
- 2006
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-30-2009
- Last Update Date
- 06-18-2020
- Code Navigator
A podiatrist like Donald Pelto provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Podiatrist
- Taxonomy Code
- 213E00000X
- Type
- Podiatric Medicine & Surgery Service Providers
- License No.
- 2343
- License State
- MA
- Taxonomy Description
- A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Donald Pelto is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Donald Pelto is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 9931248648
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20091209000094
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Orthotic Devices
DME-Orthotic Devices (DF000N)
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe (HCPCS:A5500)
2 DME suppliers used 15 Medicare Claims 30 Services Paid
DME-Orthotic Devices (DF000N)
For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each (HCPCS:A5514)
2 DME suppliers used 11 Medicare Claims 66 Services Paid
DME-Orthotic Devices (DF003N)
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf (HCPCS:L4361)
1 DME suppliers used 16 Medicare Claims 16 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Complete ultrasound study of arm and leg arteries
Destruction of skin growth, 1-14 growths
Established patient office or other outpatient visit, 10-19 minutes
Established patient office or other outpatient visit, 20-29 minutes
Injection into tendon or ligament
Injection, dexamethasone sodium phosphate, 1 mg
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
Limited ultrasound scan of joint or other extremity structure lacking blood vessels
New patient office or other outpatient visit, 30-44 minutes
New patient office or other outpatient visit, 45-59 minutes
Removal of fingernails or toenails, 1-5 nails
Removal of fingernails or toenails, 6 or more nails
Removal of noncancer thickened skin growth, 1 growth
Removal of noncancer thickened skin growth, 2-4 growths
Removal of noncancer thickened skin growth, more than 4 growths
Removal of skin and tissue, 20.0 sq cm or less
Simple or single drainage of skin abscess
Simple separation of fingernail or toenail from nail bed, first nail
Trimming of fingernails or toenails
X-ray of ankle, 2 views
X-ray of foot, 2 views
X-ray of foot, minimum of 3 views
X-ray of heel, minimum of 2 views
This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.
This service was performed 33 times for 33 patients"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
This service was performed 15 times for 14 patientsThis is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
This service was performed 111 times for 94 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 255 times for 188 patientsAn injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
This service was performed 15 times for 13 patientsDexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
This service was performed 85 times for 30 patientsTriamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
This service was performed 85 times for 30 patientsA limited ultrasound scan of a joint or other extremity structure lacking blood vessels is a non-invasive procedure that uses sound waves to create images of the inside of your body. This helps in diagnosing and monitoring conditions related to your joints or other similar structures.
This service was performed 27 times for 23 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 164 times for 164 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 17 times for 17 patientsThis procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
This service was performed 335 times for 142 patientsThis procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
This service was performed 215 times for 100 patientsThis procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
This service was performed 56 times for 33 patientsThis procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
This service was performed 188 times for 79 patientsThis procedure involves the removal of more than four noncancerous, thickened skin growths. It's a simple process where a healthcare professional uses a specialized tool to carefully remove these growths, promoting healthier skin.
This service was performed 33 times for 15 patientsThis procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
This service was performed 77 times for 31 patientsA simple or single drainage of skin abscess is a procedure to remove pus from a skin infection. A small cut is made on the abscess, the pus is drained out, and the area is cleaned. This helps to reduce pain, speed up recovery, and prevent the spread of infection.
This service was performed 16 times for 15 patientsThis procedure involves the gentle removal of the first nail from its bed, often due to injury or infection. It's performed under local anesthesia to minimize discomfort. The nail will gradually regrow over time.
This service was performed 16 times for 15 patientsTrimming of fingernails or toenails is a simple procedure for maintaining hygiene and preventing nail-related issues. It involves cutting the nails straight across, then smoothing any sharp edges with a file. Regular nail care can help prevent infections and discomfort.
This service was performed 313 times for 132 patientsAn X-ray of the ankle, 2 views, is a quick, painless test that produces images of the bones and joints in your ankle. Two different angles are used to provide a more complete picture. It helps detect fractures, sprains, arthritis, or other abnormalities. It's safe and typically takes only a few minutes.
This service was performed 20 times for 17 patientsAn X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.
This service was performed 31 times for 24 patientsAn X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
This service was performed 191 times for 120 patientsAn X-ray of the heel, minimum of 2 views, is a diagnostic procedure where safe radiation beams capture images of your heel from at least two different angles. This helps in identifying issues such as fractures, bone spurs, or arthritis. You'll remain still while the images are taken.
This service was performed 31 times for 24 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $22.67 for a new patient copayment and $18.3 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 01605 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.7
- Minimum New Patient Price $58.86
- Maximum New Patient Price $177.36
- Average New Patient Copayment $22.67
- Minimum New Patient Copayment $14.71
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $73.22
- Minimum Established Patient Price $19.11
- Maximum Established Patient Price $144.84
- Average Established Patient Copayment $18.3
- Minimum Established Patient Copayment $4.77
- Maximum Established Patient Copayment $36.21
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 97.82, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The provider also has detailed performance information the following quality measures: .
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
-
Final Score: 97.82 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
-
Quality Score: 96.04
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
-
Promoting Interoperability Score: 100
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Advance Care Plan | 97% | 568 |
| Closing the Referral Loop: Receipt of Specialist Report | 37% | 185 |
| Diabetes: Eye Exam | 0% | 156 |
| Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 100% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 156 |
| Diabetes: Medical Attention for Nephropathy | 79% | 156 |
| Documentation of Current Medications in the Medical Record | 100% | 2326 |
| e-Prescribing | 98% | 482 |
| Falls: Screening for Future Fall Risk | 0% | 544 |
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 28% | 1407 |
| Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 0% | 2117 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 18% | 667 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 18% | 667 |
| Provide Patients Electronic Access to Their Health Information | 74% | 1801 |
| Use of High-Risk Medications in Older Adults | 4% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 544 |
| Use of High-Risk Medications in Older Adults | 2% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 543 |
| Use of High-Risk Medications in Older Adults | 3% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 544 |
Reviews for DONALD E PELTO DPM
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 6 | 4 | 7 | 5 | 6 | 6 | 3 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 14 | 5 | 12 | 6 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 1 + 4 + 5 + 1 + 2 + 6 + 6 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1164756631 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1013964352 | JAMES M SHENKO MD PC Organization | Specialist | 299 LINCOLN ST WORCESTER, MA 01605 (508) 852-2001 |
| 1225109903 | DR. JASJIT SINGH GILL D.M.D Individual | Dentist (Oral and Maxillofacial Surgery) | 299 LINCOLN ST SUITE 204 WORCESTER, MA 01605 (508) 852-0021 |
| 1659442325 | DR. CHRISTOPHER KEVIN CLANCY D.M.D Individual | Dentist (Oral and Maxillofacial Surgery) | 299 LINCOLN ST SUITE 204 WORCESTER, MA 01605 (508) 852-0021 |
| 1225213481 | J LEITAO-PINA MD PC Organization | Clinic/Center (Primary Care) | 299 LINCOLN ST SUITE 201 WORCESTER, MA 01605 (508) 853-8700 |
| 1205989191 | RICHARD MONTILLA M.D. Individual | Surgery (Plastic and Reconstructive Surgery) | 299 LINCOLN ST SUITE 201 WORCESTER, MA 01605 (508) 852-2001 |
| 1184179145 | JAMES M SHENKO, MD PC Organization | Plastic Surgery (Surgery of the Hand) | 299 LINCOLN ST SUITE 201 WORCESTER, MA 01605 (508) 852-2001 |
| 1821576042 | MRS. MOLLY KLEVEN BERRY LICSW Individual | Social Worker (Clinical) | 299 LINCOLN ST WORCESTER, MA 01605 (774) 420-3855 |
| 1104804640 | DR. NEIL J FELDMAN DPM Individual | Podiatrist (Foot Surgery) | 299 LINCOLN ST SUITE 202 WORCESTER, MA 01605 (508) 757-4003 |
| 1942814264 | NORTHEAST FAMILY SERVICES Organization | Counselor (Mental Health) | 299 LINCOLN ST WORCESTER, MA 01605 (774) 320-0361 |
| 1508038217 | ROBERT R GRONDIN DPM Individual | Podiatrist (Foot Surgery) | 299 LINCOLN ST SUITE 202 WORCESTER, MA 01605 (508) 757-4003 |
| 1326504606 | KATHERINE EDWARDS Individual | Social Worker | 299 LINCOLN ST WORCESTER, MA 01605 (774) 420-3844 |
| 1437849775 | KATHLEEN O'BRIEN Individual | Counselor (Mental Health) | 299 LINCOLN ST WORCESTER, MA 01605 (774) 206-1125 |
| 1902403785 | ELIZABETH-MARIA ANTONIA BAKER Individual | Counselor (Mental Health) | 299 LINCOLN ST WORCESTER, MA 01605 (508) 752-4665 |
| 1871184325 | ALEXANDRA FAULKNER Individual | Behavior Analyst | 299 LINCOLN ST WORCESTER, MA 01605 (774) 206-1125 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164756631, enumerated in the NPI registry as an "individual" on September 30, 2009
The provider is located at 299 Lincoln St Suite 202 Worcester, Ma 01605 and the phone number is (508) 757-4003
The provider's speciality is Podiatrist with taxonomy code 213E00000X
The provider has more than 20 years of experience.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information. The provider obtained a high score in the following performance measures: Advance Care Plan, Documentation of Current Medications in the Medical Record, e-Prescribing , Use of High-Risk Medications in Older Adults. The quality ratings are based on unbiased reviews and reported submissions to Medicare's Quality Payment Program.
Medicare beneficiaries should expect a typical cost of $90.7 with an average copayment of $22.67 for new patient appointments. Established patients should expect a typical charge of $73.22 and an average copayment of 18.3. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Complete ultrasound study of arm and leg arteries, Destruction of skin growth, 1-14 growths, Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes, Injection into tendon or ligament, Injection, dexamethasone sodium phosphate, 1 mg, Injection, triamcinolone acetonide, not otherwise specified, 10 mg, Limited ultrasound scan of joint or other extremity structure lacking blood vessels, New patient office or other outpatient visit, 30-44 minutes, New patient office or other outpatient visit, 45-59 minutes, Removal of fingernails or toenails, 1-5 nails, Removal of fingernails or toenails, 6 or more nails, Removal of noncancer thickened skin growth, 1 growth, Removal of noncancer thickened skin growth, 2-4 growths, Removal of noncancer thickened skin growth, more than 4 growths, Removal of skin and tissue, 20.0 sq cm or less, Simple or single drainage of skin abscess, Simple separation of fingernail or toenail from nail bed, first nail, Trimming of fingernails or toenails, X-ray of ankle, 2 views, X-ray of foot, 2 views, X-ray of foot, minimum of 3 views and X-ray of heel, minimum of 2 views.
This NPI record was last updated on September 30, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.