DR. JULIE LYNN CANTATORE-FRANCIS MD
NPI 1235334913
Dermatology - Pediatric Dermatology in Shelton, CT
NPI Status: Active since June 20, 2007
Contact Information
4 CORPORATE DR
SUITE 386
SHELTON, CT
ZIP 06484
Phone: (203) 538-5682
Fax: (203) 538-5685
- Individual
- Female
- Years of Experience 23
- Dermatology
- Pediatric Dermatology
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About JULIE CANTATORE-FRANCIS
This page provides the complete NPI Profile along with additional information for Julie Cantatore-francis, a provider established in Shelton, Connecticut with a medical specialization in Dermatology, focusing in pediatric dermatology and more than 23 years of experience. She graduated from State University Of New York At Stony Brook, School Of Medicine in 2003. The healthcare provider is registered in the NPI registry with number 1235334913 assigned on June 2007. The practitioner's primary taxonomy code is 207NP0225X with license number 051588 (CT). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1235334913
- Provider Name
- DR. JULIE LYNN CANTATORE-FRANCIS MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4 CORPORATE DR SUITE 386 SHELTON, CT 06484
- Location Phone
- (203) 538-5682
- Location Fax
- (203) 538-5685
- Mailing Address
- 4 CORPORATE DR SHELTON, CT 06484
- Mailing Phone
- (203) 538-5682
- Medical School Name
- STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
- Graduation Year
- 2003
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-20-2007
- Last Update Date
- 07-10-2023
- Code Navigator
A dermatologist like Julie Cantatore-francis is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.
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
Dermatology Pediatric Dermatology
- Taxonomy Code
- 207NP0225X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 051588
- License State
- CT
- Taxonomy Description
- A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 173000000X | Other Service Providers | Legal Medicine | 051588 (CT) |
Medicare Participation & PECOS Enrollment Status
Julie Cantatore-francis 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.
Julie Cantatore-francis 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), a Home Health Agency (HHA) and Power Mobility Devices.
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: 8022186881
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: I20140115000313
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: Yes
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.
Biopsy of related skin growth, each additional growth
Biopsy of related skin growth, first growth
Destruction of precancer skin growth, 1 growth
Destruction of precancer skin growth, 2-14 growths
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
Established patient office or other outpatient visit, 30-39 minutes
New patient office or other outpatient visit, 30-44 minutes
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
This service was performed 25 times for 24 patientsA biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
This service was performed 73 times for 65 patients"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
This service was performed 81 times for 51 patientsThis procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
This service was performed 98 times for 32 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 25 times for 21 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 13 times for 12 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 179 times for 115 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 12 times for 11 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 12 times for 12 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $23.46 for a new patient copayment and $18.88 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 06484 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $93.86
- Minimum New Patient Price $60.82
- Maximum New Patient Price $183.1
- Average New Patient Copayment $23.46
- Minimum New Patient Copayment $15.2
- Maximum New Patient Copayment $45.77
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $75.55
- Minimum Established Patient Price $19.76
- Maximum Established Patient Price $149.26
- Average Established Patient Copayment $18.88
- Minimum Established Patient Copayment $4.94
- Maximum Established Patient Copayment $37.31
* 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.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Annual registration in the Prescription Drug Monitoring Program | Yes | N/A |
| Annual registration by eligible clinician or group in the prescription drug monitoring program of the state where they practice. Activities that simply involve registration are not sufficient. MIPS eligible clinicians and groups must participate for a minimum of 6 months. | ||
| Biopsy Follow-Up | 20% | 212 |
| Percentage of new patients whose biopsy results have been reviewed and communicated to the primary care/referring physician and patient by the performing physician | ||
| Documentation of Current Medications in the Medical Record | 69% | 1721 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| Engagement of patients through implementation of improvements in patient portal | Yes | N/A |
| Access to an enhanced patient portal that provides up to date information related to relevant chronic disease health or blood pressure control, and includes interactive features allowing patients to enter health information and/or enables bidirectional communication about medication changes and adherence. | ||
| e-Prescribing | 99% | 4672 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Immunization Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data. | ||
| Implementation of documentation improvements for practice/process improvements | Yes | N/A |
| Implementation of practices/processes that document care coordination activities (e.g., a documented care coordination encounter that tracks all clinical staff involved and communications from date patient is scheduled for outpatient procedure through day of procedure). | ||
| Implementation of improvements that contribute to more timely communication of test results | Yes | N/A |
| Timely communication of test results defined as timely identification of abnormal test results with timely follow-up. | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop | Yes | N/A |
| Performance of regular practices that include providing specialist reports back to the referring individual MIPS eligible clinician or group to close the referral loop or where the referring individual MIPS eligible clinician or group initiates regular inquiries to specialist for specialist reports which could be documented or noted in the EHR technology. | ||
| Medication Reconciliation | 12% | 574 |
| The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
| One-Time Screening for Hepatitis C Virus (HCV) for Patients at Risk | 3% | 168 |
| Percentage of patients aged 18 years and older with one or more of the following: a history of injection drug use, receipt of a blood transfusion prior to 1992, receiving maintenance hemodialysis, OR birthdate in the years 1945-1965 who received one-time screening for hepatitis C virus (HCV) infection | ||
| Pain Assessment and Follow-Up | 34% | 1721 |
| Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present | ||
| Patient-Specific Education | 82% | 2654 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Pneumococcal Vaccination Status for Older Adults | 64% | 208 |
| Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
| Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 92% | 507 |
| Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user | ||
| Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
| • Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
| Provide Patient Access | 82% | 2654 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 0% | 2654 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Specialized Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI. | ||
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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 | 2 | 3 | 5 | 3 | 3 | 4 | 9 | 1 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 6 | 3 | 8 | 9 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 6 + 3 + 8 + 9 + 2 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1235334913 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1902893274 | MS. PAULINE COMFREY APRN Individual | Nurse Practitioner (Pediatrics) | 4 CORPORATE DR SUITE 290 SHELTON, CT 06484 (203) 452-8322 |
| 1033182985 | MRS. MARGARET M LUX DRURY MA,PT Individual | Physical Therapist | 4 CORPORATE DR SHELTON, CT 06484 (203) 925-4201 |
| 1366488256 | MISS DOROTHY GUTWEIN M.D. Individual | Obstetrics & Gynecology | 4 CORPORATE DR SUITE #484 SHELTON, CT 06484 (203) 944-9898 |
| 1891723995 | MR. MICHAEL O'REILLY M.D. Individual | Obstetrics & Gynecology | 4 CORPORATE DR SUITE # 484 SHELTON, CT 06484 (203) 944-9898 |
| 1326051038 | DR. DIANE M GALLO M.D. Individual | Pediatrics | 4 CORPORATE DR SUITE 290 SHELTON, CT 06484 (203) 452-8322 |
| 1922011766 | DR. RICHARD E CARROLL M.D. Individual | Pediatrics | 4 CORPORATE DR SUITE 290 SHELTON, CT 06484 (203) 452-8322 |
| 1770696692 | DR. CORRIE C STEEVES M.D. Individual | Pediatrics | 4 CORPORATE DR SUITE 290 SHELTON, CT 06484 (203) 452-8322 |
| 1942548847 | DERMATOLOGY PHYSICIANS OF CONNECTICUT PC Organization | Specialist | 4 CORPORATE DR STE 386 SHELTON, CT 06484 (203) 856-6373 |
| 1548227267 | DOMENIC WILLIAM CASABLANCA M.D. Individual | Family Medicine | 4 CORPORATE DR SUITE 195 SHELTON, CT 06484 (203) 225-0375 |
| 1649606385 | CONNECTICUT SKINHEALTH LLP Organization | Specialist | 4 CORPORATE DR SUITE 386 SHELTON, CT 06484 (203) 538-5685 |
| 1033163605 | LENORE M SNOWDEN OPALAK M.D. Individual | Internal Medicine | 4 CORPORATE DR SUITE 394 SHELTON, CT 06484 (203) 225-0375 |
| 1184021396 | COSMETIC AND RECONSTRUCTIVE SURGERY ASSOCIATES OF CONNECTICUT, PC Organization | Specialist | 4 CORPORATE DR SUITE 288 SHELTON, CT 06484 (203) 935-8160 |
| 1083760912 | DR. PETER M. FERRARA DDS Individual | Dentist (General Practice) | 4 CORPORATE DR SUITE 383 SHELTON, CT 06484 (203) 242-7721 |
| 1942646179 | MARGARET BETH KISSEL M.D. Individual | Pediatrics | 4 CORPORATE DR SUITE 290 SHELTON, CT 06484 (203) 452-8322 |
| 1164449906 | DR. PIOTR WALDEMAR BAGINSKI MD Individual | Internal Medicine | 4 CORPORATE DR SUITE 283 SHELTON, CT 06484 (203) 944-9775 |
| 1811961469 | DR. JOHN SANTILLI M.D. Individual | Specialist | 4 CORPORATE DR STE 295 SHELTON, CT 06484 (203) 374-6103 |
| 1427004563 | HEART SPECIALISTS PC OF SOUTHERN CONNECTICUT Organization | Internal Medicine (Cardiovascular Disease) | 4 CORPORATE DR SUITE 100 SHELTON, CT 06484 (203) 929-9799 |
| 1710058631 | BAGINSKI MEDICAL LLC Organization | Internal Medicine | 4 CORPORATE DR SUITE 283 SHELTON, CT 06484 (203) 944-9775 |
| 1598899148 | WOMEN'S HEALTH CENTER, PC Organization | Obstetrics & Gynecology (Gynecology) | 4 CORPORATE DR SHELTON SUITE 484 SHELTON, CT 06484 (203) 944-9898 |
| 1275755902 | ALLERGY & PULMONARY SPECIALISTS PC Organization | Allergy & Immunology | 4 CORPORATE DR SUITE 268 SHELTON, CT 06484 (203) 402-0377 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235334913, enumerated in the NPI registry as an "individual" on June 20, 2007
The provider is located at 4 Corporate Dr Suite 386 Shelton, Ct 06484 and the phone number is (203) 538-5682
The provider's speciality is Dermatology with taxonomy code 207NP0225X with a focus in Pediatric Dermatology
The provider has more than 23 years of experience. She graduated from State University Of New York At Stony Brook, School Of Medicine in 2003.
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), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $93.86 with an average copayment of $23.46 for new patient appointments. Established patients should expect a typical charge of $75.55 and an average copayment of 18.88. 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: Biopsy of related skin growth, each additional growth, Biopsy of related skin growth, first growth, Destruction of precancer skin growth, 1 growth, Destruction of precancer skin growth, 2-14 growths, 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, Established patient office or other outpatient visit, 30-39 minutes and New patient office or other outpatient visit, 30-44 minutes.
This NPI record was last updated on June 20, 2007. 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].
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