PAUL JOSEPH PANTANO II DPM NPI 1023112604

Podiatrist in Waltham, MA

NPI 1023112604 Individual Male Years of Experience 43 Podiatrist PECOS Enrolled May Accept Medicare Approved Payment Medicare Quality Reporting

About PAUL PANTANO

Paul Pantano is a provider established in Waltham, Massachusetts and his medical specialization is podiatrist with more than 43 years of experience. The NPI number of Paul Pantano is 1023112604 and was assigned on September 2006. The practitioner's primary taxonomy code is 213E00000X with license number 1547 (MA). The provider is registered as an individual and his NPI record was last updated 11 years ago.

A podiatrist like Paul Joseph Pantano Ii Dpm provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.

Paul Pantano is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA)

Paul Pantano is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: engagement of new medicaid patients and follow-up. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1023112604

Provider Name PAUL JOSEPH PANTANO II DPM
Provider Location Address32 SOUTH ST SUITE 300A WALTHAM, MA 02453
Provider Mailing AddressPO BOX 540326 WALTHAM, MA 02454
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1979
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date09-12-2006
Last Update Date11-01-2010


Primary Taxonomy

Taxonomy Code213E00000X
ClassificationPodiatrist
TypePodiatric Medicine & Surgery Service Providers
License No.1547
License StateMA
Taxonomy DescriptionA podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Business Address

PAUL JOSEPH PANTANO II DPM
32 SOUTH ST
SUITE 300A
WALTHAM, MA
ZIP 02453
Phone: (781) 893-1443
Fax: (781) 231-9320

Get Directions


Mailing Address

PAUL JOSEPH PANTANO II DPM
PO BOX 540326
WALTHAM, MA
ZIP 02454
Phone: (781) 893-1443
Fax: (781) 231-9320



Medicare Participation

Registered in PECOS? Yes 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.
PECOS PAC ID7113936758
PECOS Enrollment IDI20060411000113
Accepts Medicare Assignment? Maybe "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 DevicesNo

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 659Removal of 2 to 4 thickened skin growths (HCPCS:11056)
  • 646Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • 134Removal of single thickened skin growth (HCPCS:11055)
  • 87Removal of tissue from 1 to 5 finger or toe nails (HCPCS:11720)
  • 29Removal of tissue from wounds per session (HCPCS:97597)
  • 17Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • 17Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)
  • 15Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients

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
Y70637MEDICARE ID-TYPE UNSPECIFIED (04)
T58697MEDICARE UPIN (02)
0340855MEDICAID (05)MA

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1972546224MARK TULER DPM
Organization
Podiatrist32 SOUTH ST SUITE 301
WALTHAM, MA 02453
(781) 893-8208
1700822814DR. MARK TULER DPM
Individual
Podiatrist32 SOUTH ST SUITE 301
WALTHAM, MA 02453
(781) 893-8208
1811900301MS. HENRIETTA MIRIAM MENCO MSW
Individual
Social Worker (Clinical)32 SOUTH ST SUITE 201A
WALTHAM, MA 02453
(781) 696-5235
1871673582DR. CHRISTINE M WOLFF PHD
Individual
Psychologist32 SOUTH ST SUITE 201A WALTHAM WATERTOWN ASSOCIATES
WALTHAM, MA 02453
(781) 891-4452
1831271600 RONALD MOLIN PH.D.
Individual
Psychologist (Clinical)32 SOUTH ST SUITE 201A
WALTHAM, MA 02453
(781) 891-4452
1578601050MS. YILI CAO YILI CAO
Individual
Acupuncturist32 SOUTH ST SUITE 101
WALTHAM, MA 02453
(781) 891-0670
1477675627MS. MICHELLE P HAY LIC.AC.
Individual
Acupuncturist32 SOUTH ST SUITE 301 A
WALTHAM, MA 02453
(617) 501-2588
1194994921ASHOK K. PATEL DMD, PC
Organization
Dentist (General Practice)32 SOUTH ST SUITE 100
WALTHAM, MA 02453
(781) 894-0500
1023277183HENRY JOHN MEROLA, M.D., PC
Organization
Internal Medicine32 SOUTH ST SUITE 205
WALTHAM, MA 02453
(781) 894-8200
1407814338 SEAN A ANDREWS M.D.
Individual
Family Medicine32 SOUTH ST SUITE 300
WALTHAM, MA 02453
(781) 296-5295
1992046718CABIN MEDICAL LLC
Organization
Family Medicine32 SOUTH ST SUITE 300
WALTHAM, MA 02453
(781) 296-5295
1023353281VARUNA TULI MD LLC
Organization
Clinic/Center (Primary Care)32 SOUTH ST SUITE NO 200
WALTHAM, MA 02453
(781) 996-3595
1174947253ADVANCED NUTRITION, LLC
Organization
Dietitian, Registered32 SOUTH ST UNIT 300
WALTHAM, MA 02453
(781) 642-1250
1194775825 KATHRYN ANN ALSUP RD, LDN
Individual
Dietitian, Registered32 SOUTH ST SUITE 300
WALTHAM, MA 02453
(781) 642-1250
1841604493EPIC HEALTHCARE SOLUTIONS LLC
Organization
Home Health32 SOUTH ST SUITE # 301 B
WALTHAM, MA 02453
(781) 325-3905
1083075550 VICTORIA FERRANTE RD, LDN
Individual
Dietitian, Registered32 SOUTH ST SUITE 103
WALTHAM, MA 02453
(781) 736-0001
1902963986DR. HENRY JOHN MEROLA M.D.
Individual
Internal Medicine32 SOUTH ST SUITE 205
WALTHAM, MA 02453
(781) 894-8200
1760750814 VICTORIA L. JANES RD, LDN
Individual
Dietitian, Registered (Nutrition, Metabolic)32 SOUTH ST STE 103
WALTHAM, MA 02453
(781) 788-0088
1982609228DR. DOREEN KAROLL MD
Individual
Pediatrics (Developmental - Behavioral Pediatrics)32 SOUTH ST SUITE 200
WALTHAM, MA 02453
(781) 549-7377
1205231339DOREEN KAROLL, MD
Organization
Pediatrics (Developmental - Behavioral Pediatrics)32 SOUTH ST SUITE 200
WALTHAM, MA 02453
(781) 320-9680

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
The code describing 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.