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DR. ANTHONY MICHAEL CALABRETTA M.D.
NPI 1003106089
Surgery in Wooster, OH

Active since April 12, 2011PECOS EnrolledAccepts Medicare Assignment
99.15/100
CMS Quality Rating
128 E MILLTOWN RD, SUITE 101, WOOSTER, OH 44691(330) 287-2595(330) 202-3487 Get Directions Write a Review

NPPES record last updated: July 25, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Anthony Michael Calabretta M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANTHONY MICHAEL CALABRETTA M.D. (NPI 1003106089) is an individual surgery provider in Wooster, Ohio, licensed in Ohio (35128201) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Wooster Community Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1003106089
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. ANTHONY MICHAEL CALABRETTACredential: M.D.
Location Address128 E MILLTOWN RD, SUITE 101Wooster, OH 44691-6109
Mailing Address1761 Beall AveWooster, OH 44691-2342 · (440) 212-4541
Phone(330) 287-2595
Fax(330) 202-3487
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 12, 2011
Last NPPES UpdateJuly 25, 2016
✔ NPI 1003106089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in OH · 35128201
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

128 E MILLTOWN RD, Wooster, OH 44691
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Other Identifiers 1

Medicare UPINH312730OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Anthony Michael Calabretta M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618110271
PECOS Enrollment IDI20160721001178
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
37 services35 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
34 services34 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
29 services12 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services17 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
17 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wooster Community Hospital

Acute Care Hospitals · Wooster, OH
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360036
Location1761 Beall AvenueWooster, OH 44691 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44691 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAUL NIELSEN LLC
Family Medicine
128 E MILLTOWN RD, SUITE 105
WOOSTER, OH 44691
Wayne County (330) 345-8060
AMY S JOLLIFF MD
Family Medicine
128 E MILLTOWN RD, SUITE 105
WOOSTER, OH 44691
Wayne County (330) 345-8060
MILLTOWN MEDICAL ACUPUNCTURE LLC
Acupuncturist
128 E MILLTOWN RD, SUITE 105
WOOSTER, OH 44691
Wayne County (330) 345-8060
JOHN K MILLER MD
Family Medicine
128 E MILLTOWN RD, SUITE 105
WOOSTER, OH 44691
Wayne County (330) 345-8060
LAURA KIMBERLY WILKINSON RN, PMHCNS-BC
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
128 E MILLTOWN RD, SUITE 202
WOOSTER, OH 44691
Wayne County (330) 345-6555
TAMERA LYNN ROBOTHAM M.D.
Surgery
128 E MILLTOWN RD, SUITE 101
WOOSTER, OH 44691
Wayne County (330) 287-2595
ERIN BARNER NP-C
Nurse Practitioner (Family)
128 E MILLTOWN RD
WOOSTER, OH 44691
Wayne County (330) 345-8060
MILLTOWN FAMILY PHYSICIANS, INC.
Family Medicine
128 E MILLTOWN RD, STE. 105
WOOSTER, OH 44691
Wayne County (330) 345-8060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anthony Calabretta's NPI number?

The NPI number for Anthony Calabretta is 1003106089. It was assigned to this individual provider in the NPPES registry on April 12, 2011.

Where is Anthony Calabretta located?

Anthony Calabretta practices at 128 E Milltown Rd Suite 101, Wooster, OH 44691. The listed phone number is (330) 287-2595.

What is Anthony Calabretta's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Anthony Calabretta enrolled in Medicare?

Yes. Anthony Calabretta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Anthony Calabretta accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Anthony Calabretta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Anthony Calabretta affiliated with any hospitals?

According to CMS data, Anthony Calabretta is affiliated with Wooster Community Hospital.

When was this NPI record last updated?

The NPPES record for Anthony Calabretta was last updated on July 25, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.