DR. DOMENICO CALCATERRA MD NPI 1003018250

Thoracic Surgery (Cardiothoracic Vascular Surgery) in Indianapolis, IN

NPI 1003018250 Individual Male Years of Experience 31 Thoracic Surgery (Cardiothoracic Vascula... PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 95.2

NPI Profile for DR. DOMENICO CALCATERRA MD

Domenico Calcaterra is a provider established in Indianapolis, Indiana and his medical specialization is thoracic surgery (cardiothoracic vascular surgery) with more than 31 years of experience. The NPI number of Domenico Calcaterra 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.

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.

Domenico Calcaterra 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 Venice Regional Bayfront Health.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 95.2, 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.

The typical physician office visit costs for Medicare beneficiaries in this area are: $41.88 for a new patient copayment and $17.24 for an established patient copayment.

NPI

1003018250

Provider NameDR. DOMENICO CALCATERRA MD
Provider Location Address1801 N SENATE BLVD STE 3300 INDIANAPOLIS, IN 46202
Provider Mailing Address5304 4TH AVENUE CIR E BRADENTON, FL 34208
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1992
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-01-2007
Last Update Date10-26-2021


Primary Taxonomy

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.

Business Address

DR. DOMENICO CALCATERRA MD
1801 N SENATE BLVD
STE 3300
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 923-1787
Fax: (317) 962-6259

Get Directions


Mailing Address

DR. DOMENICO CALCATERRA MD
5304 4TH AVENUE CIR E
BRADENTON, FL
ZIP 34208
Phone: (941) 744-2640
Fax: (941) 744-2650



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 ID6406914076
PECOS Enrollment IDI20190918002348
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

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 46202 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99205
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$54.76 $167.54 $167.54
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$13.69 $41.88 $41.88
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$16.96 $137.16 $68.99
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.24 $34.29 $17.24

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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% 74.3
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 - 95.2
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.

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. Domenico Calcaterra is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
VENICE REGIONAL BAYFRONT HEALTH540 THE RIALTO
VENICE, FL 34285
(941) 485-7711Acute Care Hospitals100070

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 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.
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
1629078316METHODIST UROLOGY, LLC
Organization
Urology1801 N SENATE BLVD SUITE 220
INDIANAPOLIS, IN 46202
(317) 962-3700
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
1356305254 IRMINA GRADUS-PIZLO M.D.
Individual
Internal Medicine (Cardiovascular Disease)1801 N SENATE BLVD
INDIANAPOLIS, IN 46202
(317) 962-0533
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

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. Domenico Calcaterra Md 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.