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 NameDR. DOMENICO CALCATERRA MD
Location Address1801 N SENATE BLVD STE 3300 INDIANAPOLIS, IN 46202
Location Phone(317) 923-1787
Mailing Address5304 4TH AVENUE CIR E BRADENTON, FL 34208
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date06-01-2007
Last Update Date10-26-2021

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 Code208G00000X
ClassificationThoracic Surgery (Cardiothoracic Vascular Surgery)
TypeAllopathic & Osteopathic Physicians
License No.38062
License StateIA
Taxonomy DescriptionA 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

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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 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% 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.
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 - 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
1208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)ME97069FLNo

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.

2208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)01071025AINNo

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
201080180MEDICAID (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.
1003018250
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030116210
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
1104829746DR. MICHAEL B PRITZ M.D.
Individual
Neurological Surgery1801 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
Urology1801 N SENATE BLVD SUITE 220
INDIANAPOLIS, IN 46202
(317) 962-3700
1184625261DR. GARY P ZALOGA M.D.
Individual
Internal Medicine (Pulmonary Disease)1801 N SENATE BLVD SUITE 203
INDIANAPOLIS, IN 46202
(317) 962-5820
1548254451DR. MARY KAY TURNER MD
Individual
Surgery1801 N SENATE BLVD STE 740
INDIANAPOLIS, IN 46202
(317) 962-6262
1629053293 EVELYN O NWOSU RN, MSN, NP-C
Individual
Nurse Practitioner1801 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
1568410926MERIDIAN 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
1053354043DR. SAMUEL HOLLINGSWORTH M.D.
Individual
Internal Medicine1801 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]