ANDREW SCATOLA MD
NPI 1003173493
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Hartford, CT

Active since April 23, 2012PECOS EnrolledAccepts Medicare Assignment
86.41/100
CMS Quality Rating
85 JEFFERSON STREET, HARTFORD HOSPITAL CARDIOLOGY DEPT, HARTFORD, CT 06106(860) 972-1212 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 16, 2024, Jul 27, 2020, Jan 11, 2020 (3 updates tracked since 2020).

About Andrew Scatola Md NPPES

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

ANDREW SCATOLA MD (NPI 1003173493) is an individual advanced heart failure and transplant cardiology provider in Hartford, Connecticut, licensed in Connecticut (066324) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Connecticut School Of Medicine (2012).

NPPES Registry Identity

NPI1003173493
Entity TypeIndividualMale
Primary Taxonomy207RA0001X
Provider Legal NameANDREW SCATOLACredential: MD
Location Address85 JEFFERSON STREET, HARTFORD HOSPITAL CARDIOLOGY DEPTHartford, CT 06106-2601
Mailing Address80 Seymour Street, Hartford Hospital Cardiology DeptHartford, CT 06102-8000 · (860) 972-1212
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2012
Enumeration DateApril 23, 2012
Last NPPES UpdateMay 16, 20243 updates tracked since enumeration
NPPES CertifiedMay 16, 2024
NPI 1003173493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0001X
License Licensed in CT · 066324
Definition

Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 066324 (CT), 284863 (NY)
85 JEFFERSON STREET, Hartford, CT 06106

Secondary Practice Locations 2

Location 180 Seymour Street, Hartford Hospital Cardiology DeptHartford, CT 06102-8000 · Phone (860) 972-1212
Location 285 Seymour Street, Hartford Hospital Cardiology DeptHartford, CT 06106-5501 · Phone (860) 972-1212

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

Andrew Scatola Md 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 ID7810216140
PECOS Enrollment IDI20200827003622
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 6

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
146 services36 patients
Evaluation of lower heart chamber assist device 93750
An evaluation of a lower heart chamber assist device is a procedure to check the function of an implanted device aiding your heart's lower chambers. This helps ensure optimal heart function by monitoring the device's performance and your heart's response to it.
52 services11 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.
32 services17 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
30 services19 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
26 services15 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 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06106 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
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.

86.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.99
Promoting Interoperability100
Improvement Activities40
Cost43.03

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier69 claims69 services$18.77 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier120 claims338 services$36.69 avg. paid by Medicare
Injection, dobutamine hydrochloride, per 250 mg J1250
Treatment-Injections and Infusions (nononcologic) · category RI000N
1 supplier37 claims572 services$5.05 avg. paid by Medicare
Injection, milrinone lactate, 5 mg J2260
Treatment-Injections and Infusions (nononcologic) · category RI026N
1 supplier94 claims5,977 services$1.31 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Internal Medicine (Interventional Cardiology)
85 JEFFERSON STREET
HARTFORD, CT 06106

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 Andrew Scatola's NPI number?

The NPI number for Andrew Scatola is 1003173493. It was assigned to this individual provider in the NPPES registry on April 23, 2012.

Where is Andrew Scatola located?

Andrew Scatola practices at 85 Jefferson Street Hartford Hospital Cardiology Dept, Hartford, CT 06106. The listed phone number is (860) 972-1212.

What is Andrew Scatola's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Andrew Scatola enrolled in Medicare?

Yes. Andrew Scatola 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.

When was this NPI record last updated?

The NPPES record for Andrew Scatola was last updated on May 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.