DR. CARLO M PERFETTO M.D.
NPI 1568457182
Urology in Orchard Park, NY
NPI Status: Active since September 20, 2005
Contact Information
500 STERLING DR
ORCHARD PARK, NY
ZIP 14127
Phone: (716) 677-2273
Fax: (716) 677-2477
- Individual
- Male
- Urology
- PECOS Enrolled
- Medicare Quality Reporting
About CARLO PERFETTO
This page provides the complete NPI Profile along with additional information for Carlo Perfetto, a provider established in Orchard Park, New York with a medical specialization in Urology. The healthcare provider is registered in the NPI registry with number 1568457182 assigned on September 2005. The practitioner's primary taxonomy code is 208800000X with license number 1611227 (NY). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1568457182
- Provider Name
- DR. CARLO M PERFETTO M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 500 STERLING DR ORCHARD PARK, NY 14127
- Location Phone
- (716) 677-2273
- Location Fax
- (716) 677-2477
- Mailing Address
- 500 STERLING DR ORCHARD PARK, NY 14127
- Mailing Phone
- (716) 677-2273
- Mailing Fax
- (716) 677-2477
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-20-2005
- Last Update Date
- 08-13-2015
- Code Navigator
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
Urology
- Taxonomy Code
- 208800000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 1611227
- License State
- NY
- Taxonomy Description
- A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| P010161122 | OTHER (01) | NY | BLUE CHOICE |
| 1909186 | OTHER (01) | NY | INDEPENDENT HEALTH |
| 0445 | OTHER (01) | NY | BLUE CROSS ROCHESTER |
| 161511795 | OTHER (01) | NY | NORTH AMERICAN |
| 340013074 | OTHER (01) | NY | RAILROAD MEDICARE |
| 161511795 | OTHER (01) | NY | UNITED HEALTHCARE EMPIRE |
| 00010136501 | OTHER (01) | NY | UNIVERA |
| 01088453 | MEDICAID (05) | NY | |
| 005104327 | OTHER (01) | NY | COMMUNITY BLUE |
| 9525327 | OTHER (01) | NY | GHI |
| 161511795 | OTHER (01) | NY | NOVA |
| 161511795 | OTHER (01) | NY | HUMANA |
| 14360D | MEDICARE ID-TYPE UNSPECIFIED (04) | NY | |
| MDB035 | OTHER (01) | NY | PREFERRED CARE |
| B71022 | MEDICARE UPIN (02) | NY |
Medicare Participation & PECOS Enrollment Status
Carlo Perfetto 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: Durable Medical Equipment (DME) 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
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
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 14127 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $126.4
- Minimum New Patient Price $54.87
- Maximum New Patient Price $166.88
- Average New Patient Copayment $31.6
- Minimum New Patient Copayment $13.71
- Maximum New Patient Copayment $41.72
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.57
- Minimum Established Patient Price $17.54
- Maximum Established Patient Price $136.14
- Average Established Patient Copayment $17.14
- Minimum Established Patient Copayment $4.38
- Maximum Established Patient Copayment $34.03
* 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 |
|---|---|---|
| Colorectal Cancer Screening | 5% | 241 |
| Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer | ||
| Pneumococcal Vaccination Status for Older Adults | 0% | 412 |
| Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 58% | 466 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older | 27% | 89 |
| Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months | ||
Reviews for DR. CARLO M PERFETTO M.D.
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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 | 5 | 6 | 8 | 4 | 5 | 7 | 1 | 8 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 12 | 8 | 8 | 5 | 14 | 1 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 2 + 8 + 8 + 5 + 1 + 4 + 1 + 1 + 6 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1568457182 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1487648465 | THERESA BUCZEK RPAC Individual | Urology | 500 STERLING DR ORCHARD PARK, NY 14127 (716) 677-2273 |
| 1477560738 | MARK J DOERR MD Individual | Urology | 500 STERLING DR ORCHARD PARK, NY 14127 (716) 677-2273 |
| 1851387419 | DR. LOUIS R BAUMANN M.D. Individual | Urology | 500 STERLING DR ORCHARD PARK, NY 14127 (716) 677-2273 |
| 1518902899 | MRS. SHANNON M BUNCH RPA-C Individual | Urology | 500 STERLING DR ORCHARD PARK, NY 14127 (716) 677-2273 |
| 1083726251 | LISA DOMAGALA RPA-C Individual | Physician Assistant (Medical) | 500 STERLING DR ORCHARD PARK, NY 14127 (716) 677-2273 |
| 1447429576 | DR. PHILLIP JAMES SEEREITER JR. M.D. Individual | Urology | 500 STERLING DR ORCHARD PARK, NY 14127 (716) 677-2273 |
| 1649621624 | MR. MATTHEW RADEL Individual | Physician Assistant | 500 STERLING DR ORCHARD PARK, NY 14127 (716) 677-2273 |
| 1134114051 | DR. ANTHONY R RICOTTONE M.D. Individual | Urology | 500 STERLING DR ORCHARD PARK, NY 14127 (716) 677-2273 |
| 1790919728 | MATTHEW JAMES SHELDON MD Individual | Urology | 500 STERLING DR ORCHARD PARK, NY 14127 (716) 677-2273 |
| 1932171659 | MR. JAMES PAUL REW PA Individual | Physician Assistant | 500 STERLING DR ORCHARD PARK, NY 14127 (716) 677-2273 |
| 1831538057 | DR. MATTHEW SEAN BRENNAN DO Individual | Urology | 500 STERLING DR ORCHARD PARK, NY 14127 (716) 677-2273 |
| 1275709164 | VALERIE L BURKHARD M.D. Individual | Urology | 500 STERLING DR ORCHARD PARK, NY 14127 (716) 677-2273 |
| 1023247921 | MICHAEL IGNATIUS HANZLY JR. DO Individual | Urology | 500 STERLING DR ORCHARD PARK, NY 14127 (716) 844-5600 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568457182, enumerated in the NPI registry as an "individual" on September 20, 2005
The provider is located at 500 Sterling Dr Orchard Park, Ny 14127 and the phone number is (716) 677-2273
The provider's speciality is Urology with taxonomy code 208800000X
The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross 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: Durable Medical Equipment (DME) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $126.4 with an average copayment of $31.6 for new patient appointments. Established patients should expect a typical charge of $68.57 and an average copayment of 17.14. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on September 20, 2005. 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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