DR. PIETRO ALESSANDRO AMBROGIO CANETTA M.D. NPI 1003015439

Internal Medicine (Nephrology) in New York, NY

NPI 1003015439 Individual Male Years of Experience 18 Internal Medicine Nephrology PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 97.3

NPI Profile for DR. PIETRO ALESSANDRO AMBROGIO CANETTA M.D.

Pietro Canetta is an internal medicine provider established in New York, New York and his medical specialization is internal medicine (nephrology) with more than 18 years of experience. He graduated from Columbia University College Of Physicians And Surgeons in 2005. The NPI number of Pietro Canetta is 1003015439 and was assigned on July 2007. The practitioner's primary taxonomy code is 207RN0300X with license number 244282 (NY). The provider is registered as an individual and his NPI record was last updated 12 years ago.

An internist like Dr. Pietro Alessandro Ambrogio Canetta M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Pietro Canetta 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.

Pietro Canetta is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with New York-presbyterian Hospital.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 97.3, 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.

NPI

1003015439

Provider NameDR. PIETRO ALESSANDRO AMBROGIO CANETTA M.D.
Provider Location Address622 W 168TH ST PH4-124 NEW YORK, NY 10032
Provider Mailing Address622 W 168TH ST PH4-124 NEW YORK, NY 10032
GenderMale
NPI Entity TypeIndividual
Medical School NameCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year2005
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date07-16-2007
Last Update Date09-24-2010


Primary Taxonomy

Taxonomy Code207RN0300X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationNephrology
License No.244282
License StateNY
Taxonomy DescriptionAn internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Business Address

DR. PIETRO ALESSANDRO AMBROGIO CANETTA M.D.
622 W 168TH ST
PH4-124
NEW YORK, NY
ZIP 10032
Phone: (212) 305-5020
Fax: (212) 305-6692

Get Directions


Mailing Address

DR. PIETRO ALESSANDRO AMBROGIO CANETTA M.D.
622 W 168TH ST
PH4-124
NEW YORK, NY
ZIP 10032
Phone: (212) 305-5020
Fax: (212) 305-6692



PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID4284768797
PECOS Enrollment IDI20100819000858
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 order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's 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.

MIPS Measure Score Weight Score
Quality 40% 100
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 (PI) 25% 78.9
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 15% 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 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 20% 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 Final Score - 97.3
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.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 53Hemodialysis procedure with one physician evaluation (HCPCS:90935)
  • 32Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Pietro Canetta is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
NEW YORK-PRESBYTERIAN HOSPITAL525 EAST 68TH STREET
NEW YORK, NY 10065
(212) 746-5454Acute Care Hospitals330101

NPI Validation Check Digit Calculation


The following table explains step by step the 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.
1003015439
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003011046
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 1 + 0 + 4 + 6 + 24 = 41
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 41 = 99

The NPI number 1003015439 is valid because the calculated check digit 9 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
1982608493EASTSIDE ORTHOTICS AND PROSTHETICS, INC.
Organization
Prosthetic/Orthotic Supplier622 W 168TH ST VC333
NEW YORK, NY 10032
(212) 305-3275
1184617573 ULRICH PETER JORDE M.D.
Individual
Internal Medicine (Cardiovascular Disease)622 W 168TH ST PH 12 - ROOM 134
NEW YORK, NY 10032
(212) 305-9264
1649264474 ROBERT E BEST MD
Individual
Pediatrics622 W 168TH ST STE 137
NEW YORK, NY 10032
(212) 305-2500
1164413951DR. JAMES JOSEPH CIMINO M.D.
Individual
Internal Medicine622 W 168TH ST VC-5
NEW YORK, NY 10032
(212) 305-8127
1720067341DR. FAIZ AHMAD MD
Individual
Emergency Medicine (Pediatric Emergency Medicine)622 W 168TH ST PH 137-1
NEW YORK, NY 10032
(212) 305-9825
1629057070DR. DAVID C. RILEY M.D.
Individual
Emergency Medicine622 W 168TH ST PH 1-137
NEW YORK, NY 10032
(212) 305-2995
1063483154MR. PETER SCHLOSSBERG MD
Individual
Radiology (Diagnostic Radiology)622 W 168TH ST
NEW YORK, NY 10032
(212) 305-9335
1184695587DR. MARY JOUNG WON CHOI MD
Individual
Emergency Medicine622 W 168TH ST PH1-137
NEW YORK, NY 10032
(212) 305-4541
1265406896PROF. RACHEL AMY GRAY CRNA
Individual
Nurse Anesthetist, Certified Registered622 W 168TH ST
NEW YORK, NY 10032
(212) 305-9878
1962476135 LARAE KLARENBEEK MITCHELL PT
Individual
Physical Therapist622 W 168TH ST
NEW YORK, NY 10032
(212) 305-7680
1801862529DR. ALEXANDER SHILKRUT DO, MD
Individual
Obstetrics & Gynecology622 W 168TH ST
NEW YORK, NY 10032
(212) 305-4098
1750358024MS. SEEWAI KWAN PT, DPT
Individual
Physical Therapist622 W 168TH ST
NEW YORK, NY 10032
(212) 305-0000
1538127063 ANDREA CATHERINE SMITH PT DPT
Individual
Physical Therapist622 W 168TH ST
NEW YORK, NY 10032
(212) 932-4065
1467405647DR. STEVEN ROBERT ISAACSON M.D.
Individual
Radiology (Radiation Oncology)622 W 168TH ST BABIES HOSP (N) BASMT RM 11
NEW YORK, NY 10032
(212) 305-2611
1790739217TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
Organization
Transplant Surgery622 W 168TH ST PH14-C
NEW YORK, NY 10032
(212) 305-0914
1750338638 SUSAN CECH NP
Individual
Nurse Practitioner (Adult Health)622 W 168TH ST ROOM PH1271
NEW YORK, NY 10032
(212) 305-4920
1073560397 TOMER DAVIDOV MD
Individual
Surgery622 W 168TH ST PH-14 FLOOR, CENTER
NEW YORK, NY 10032
(212) 305-6523
1245271576DR. JOHN F. RENZ MD
Individual
Transplant Surgery622 W 168TH ST PH14-C
NEW YORK, NY 10032
(212) 305-0914
1821030081DR. MICHELLE LEE M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)622 W 168TH ST
NEW YORK, NY 10032
(212) 305-3725
1154367175DR. RIVA R KO MD
Individual
Anesthesiology622 W 168TH ST
NEW YORK, NY 10032
(212) 305-3226

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. Pietro Alessandro Ambrogio Canetta M.d. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.