DR. DOMENICO CALCATERRA MD NPI 1003018250
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Indianapolis, IN
About DR. DOMENICO CALCATERRA MD
Domenico Calcaterra is a provider established in Indianapolis, Indiana and his medical specialization is Thoracic Surgery (cardiothoracic Vascular Surgery). The NPI number of this provider is 1003018250 and was assigned on June 2007. The practitioner's primary taxonomy code is 208G00000X with license number 38062 (IA). The provider is registered as an individual and his NPI record was last updated one year ago.
| NPI | 1003018250 |
| Provider Name | DR. DOMENICO CALCATERRA MD |
| Location Address | 1801 N SENATE BLVD STE 3300 INDIANAPOLIS, IN 46202 |
| Location Phone | (317) 923-1787 |
| Mailing Address | 5304 4TH AVENUE CIR E BRADENTON, FL 34208 |
| Gender | Male |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | No |
| Enumeration Date | 06-01-2007 |
| Last Update Date | 10-26-2021 |
Domenico Calcaterra 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..
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 92.2, 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.
Primary Taxonomy
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.
| Taxonomy Code | 208G00000X |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Type | Allopathic & Osteopathic Physicians |
| License No. | 38062 |
| License State | IA |
| Taxonomy Description | A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
1801 N SENATE BLVD
STE 3300
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 923-1787
Fax: (317) 962-6259
Mailing Address
5304 4TH AVENUE CIR E
BRADENTON, FL
ZIP 34208
Phone: (941) 744-2640
Fax: (941) 744-2650
Location Map
PECOS Enrollment and Medicare Participation Status
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 |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
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. |
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| Promoting Interoperability (PI) | 25% | 73.9 | |
|
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. |
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| 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. |
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| 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. |
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| MIPS Final Score | - | 92.2 | |
| 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. | |||
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 208G00000X | Allopathic & Osteopathic Physicians | Thoracic Surgery (Cardiothoracic Vascular Surgery) | ME97069 | FL | No | |
Taxonomy Description: a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. | |||||||
| 2 | 208G00000X | Allopathic & Osteopathic Physicians | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 01071025A | IN | No | |
Taxonomy Description: a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. | |||||||
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 201080180 | MEDICAID (05) | IN |
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 | 0 | 0 | 3 | 0 | 1 | 8 | 2 | 5 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 1 | 16 | 2 | 10 | |
| 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 + 6 + 2 + 1 + 0 + 24 = 40 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1003018250 is valid because the calculated check digit 0 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 |
|---|---|---|---|
| 1104829746 | DR. MICHAEL B PRITZ M.D. Individual | Neurological Surgery | 1801 N SENATE BLVD SUITE 535 INDIANAPOLIS, IN 46202 (317) 396-1300 |
| 1659378149 | DOUGLAS JOHNSTONE Individual | Internal Medicine (Nephrology) | 1801 N SENATE BLVD SUITE 355 INDIANAPOLIS, IN 46202 (317) 924-8420 |
| 1134126618 | MARY A MARGOLIS M.D. Individual | Internal Medicine (Nephrology) | 1801 N SENATE BLVD SUITE 355 INDIANAPOLIS, IN 46202 (317) 924-8420 |
| 1598762080 | WENDY LOUISE KINDIG Individual | Internal Medicine (Nephrology) | 1801 N SENATE BLVD SUITE 355 INDIANAPOLIS, IN 46202 (317) 924-8420 |
| 1700884319 | SHELBY J BAKER N.P. Individual | Internal Medicine (Nephrology) | 1801 N SENATE BLVD SUITE 355 INDIANAPOLIS, IN 46202 (317) 924-8420 |
| 1952301491 | DANIEL M NEWMAN MD Individual | Urology | 1801 N SENATE BLVD SUITE 220 INDIANAPOLIS, IN 46202 (317) 962-3700 |
| 1184625261 | DR. GARY P ZALOGA M.D. Individual | Internal Medicine (Pulmonary Disease) | 1801 N SENATE BLVD SUITE 203 INDIANAPOLIS, IN 46202 (317) 962-5820 |
| 1548254451 | DR. MARY KAY TURNER MD Individual | Surgery | 1801 N SENATE BLVD STE 740 INDIANAPOLIS, IN 46202 (317) 962-6262 |
| 1629053293 | EVELYN O NWOSU RN, MSN, NP-C Individual | Nurse Practitioner | 1801 N SENATE BLVD SUITE 535 INDIANAPOLIS, IN 46202 (317) 396-1300 |
| 1831174572 | PAUL JOHN BORGMEIER JR. M.D. Individual | Internal Medicine (Rheumatology) | 1801 N SENATE BLVD STE 315 INDIANAPOLIS, IN 46202 (317) 962-3500 |
| 1255395182 | PRAKASH N PANDE M.D. Individual | Internal Medicine (Cardiovascular Disease) | 1801 N SENATE BLVD INDIANAPOLIS, IN 46202 (317) 962-0066 |
| 1225093826 | JACQUELINE A O'DONNELL M.D. Individual | Internal Medicine (Cardiovascular Disease) | 1801 N SENATE BLVD INDIANAPOLIS, IN 46202 (317) 962-0560 |
| 1124086566 | SHERYLL A. JEFFERS NP Individual | Nurse Practitioner (Adult Health) | 1801 N SENATE BLVD MPC-2 SUITE 300 INDIANAPOLIS, IN 46202 (317) 924-5444 |
| 1306804711 | RICHARD R SCHUMACHER M.D. Individual | Internal Medicine (Cardiovascular Disease) | 1801 N SENATE BLVD E300E INDIANAPOLIS, IN 46202 (317) 274-8660 |
| 1568410926 | MERIDIAN MEDICAL GROUP PC Organization | Clinic/Center (Ambulatory Surgical) | 1801 N SENATE BLVD SUITE 400 INDIANAPOLIS, IN 46202 (317) 962-6300 |
| 1598714099 | ROBERT J WHITMORE MD Individual | Internal Medicine (Gastroenterology) | 1801 N SENATE BLVD SUITE #400 INDIANAPOLIS, IN 46202 (317) 962-6300 |
| 1023067592 | DAVID NEIL BROWN MD Individual | Internal Medicine (Gastroenterology) | 1801 N SENATE BLVD STE 400 INDIANAPOLIS, IN 46202 (317) 962-6300 |
| 1205876661 | EDWARD R GABOVITCH M.D. Individual | Internal Medicine (Rheumatology) | 1801 N SENATE BLVD SUITE 315 INDIANAPOLIS, IN 46202 (317) 962-3500 |
| 1447291257 | MEG MOORMAN NP Individual | Nurse Practitioner (Obstetrics & Gynecology) | 1801 N SENATE BLVD SUITE 210 INDIANAPOLIS, IN 46202 (317) 962-5566 |
| 1053354043 | DR. SAMUEL HOLLINGSWORTH M.D. Individual | Internal Medicine | 1801 N SENATE BLVD STE 400 INDIANAPOLIS, IN 46202 (317) 962-5581 |
Frequently Asked Questions
What is Dr. Domenico Calcaterra MD NPI number?
The NPI number assigned to this healthcare provider is 1003018250, registered as an "individual" on June 01, 2007
Where is Dr. Domenico Calcaterra MD located?
The provider is located at 1801 N Senate Blvd Ste 3300 Indianapolis, In 46202 and the phone number is (317) 923-1787
Which is Dr. Domenico Calcaterra MD specialty?
The provider's speciality is Thoracic Surgery (Cardiothoracic Vascular Surgery)
What insurance does Dr. Domenico Calcaterra MD accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Dr. Domenico Calcaterra MD registered in PECOS?
Yes, as of January 10, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare 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.
What are Dr. Domenico Calcaterra MD Quality Ratings?
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.
How much is a visit to Dr. Domenico Calcaterra MD?
Medicare beneficiaries should expect a typical cost of $167.54 with an average copayment of $41.88 for new patient appointments. Established patients should expect a typical charge of $68.99 and an average copayment of 17.24. Please review your insurance plan or contact the provider directly to determine your specific costs.
How do I update my NPI information?
The NPI record of Dr. Domenico Calcaterra MD was last updated on June 01, 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]
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 at: [email protected]