MARCO PETRAZZUOLI M.D.
NPI 1023057114
Dermatology in Milford, CT

NPI Status: Active since June 05, 2006

Contact Information

849 BOSTON POST RD
SUITE 300
MILFORD, CT
ZIP 06460
Phone: (203) 301-5860
Fax: (203) 301-5861

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  • Individual
  • Male
  • Dermatology
  • PECOS Enrolled

About MARCO PETRAZZUOLI

This page provides the complete NPI Profile along with additional information for Marco Petrazzuoli, a provider established in Milford, Connecticut with a medical specialization in Dermatology. The healthcare provider is registered in the NPI registry with number 1023057114 assigned on June 2006. The practitioner's primary taxonomy code is 207N00000X with license number 048179 (CT). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1023057114
Provider Name
MARCO PETRAZZUOLI M.D.
Gender
Male
Entity Type
Individual
Location Address
849 BOSTON POST RD SUITE 300 MILFORD, CT 06460
Location Phone
(203) 301-5860
Location Fax
(203) 301-5861
Mailing Address
849 BOSTON POST RD SUITE 300 MILFORD, CT 06460
Mailing Phone
(203) 301-5860
Mailing Fax
(203) 301-5861
Is Sole Proprietor?
No
Enumeration Date
06-05-2006
Last Update Date
07-07-2015
Code Navigator

A dermatologist like Marco Petrazzuoli is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
License No.
048179
License State
CT
Taxonomy Description
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
G85551MEDICARE UPIN (02)CT 

Medicare Participation & PECOS Enrollment Status

Marco Petrazzuoli 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.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 06460 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $93.86
  • Minimum New Patient Price $60.82
  • Maximum New Patient Price $183.1
  • Average New Patient Copayment $23.46
  • Minimum New Patient Copayment $15.2
  • Maximum New Patient Copayment $45.77

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $75.55
  • Minimum Established Patient Price $19.76
  • Maximum Established Patient Price $149.26
  • Average Established Patient Copayment $18.88
  • Minimum Established Patient Copayment $4.94
  • Maximum Established Patient Copayment $37.31

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

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1023057114, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
1
Unchanged
Pos 9
1
Doubled → 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 0 → 0 7 → 14 → 5 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 4 + 3 + 0 + 5 + 1 + 4 + 1 + 2 + 24 = 46

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1023057114.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Internal Medicine (Hematology & Oncology)
849 BOSTON POST RD, SUITE 100
MILFORD, CT 06460
Internal Medicine (Cardiovascular Disease)
849 BOSTON POST RD, SUITE 200
MILFORD, CT 06460
Internal Medicine (Hematology & Oncology)
849 BOSTON POST RD, SUITE 100
MILFORD, CT 06460
Internal Medicine (Medical Oncology)
849 BOSTON POST RD, SUITE 100
MILFORD, CT 06460
Obstetrics & Gynecology
849 BOSTON POST RD, 849 BOSTON POST RD SUITE 301
MILFORD, CT 06460
Psychiatry & Neurology (Psychiatry)
849 BOSTON POST RD, SUITE 203
MILFORD, CT 06460
Physician Assistant
849 BOSTON POST RD, SUITE 201
MILFORD, CT 06460
Internal Medicine (Cardiovascular Disease)
849 BOSTON POST RD, 200
MILFORD, CT 06460
Internal Medicine (Cardiovascular Disease)
849 BOSTON POST RD, 200
MILFORD, CT 06460
Internal Medicine (Cardiovascular Disease)
849 BOSTON POST RD, 200
MILFORD, CT 06460
Dermatology (Clinical & Laboratory Dermatological Immunology)
849 BOSTON POST RD, SUITE 300
MILFORD, CT 06460
Internal Medicine (Sleep Medicine)
849 BOSTON POST RD
MILFORD, CT 06460
Nurse Practitioner (Family)
849 BOSTON POST RD, SUITE 300
MILFORD, CT 06460
Nurse Practitioner (Family)
849 BOSTON POST RD
MILFORD, CT 06460
Nurse Practitioner (Family)
849 BOSTON POST RD
MILFORD, CT 06460

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023057114, enumerated as an "individual" on June 05, 2006.

The provider is located at 849 BOSTON POST RD SUITE 300 MILFORD, CT 06460 and the phone number is (203) 301-5860.

Dermatology with taxonomy code 207N00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.