MR. EDWARD PAUL QUARANTILLO III MD
NPI 1235146242
Family Medicine in Berkeley Springs, WV
Active since August 02, 2006PECOS Enrolled
81 WAR MEMORIAL DRIVE, BERKELEY SPRINGS, WV 25411(304) 258-8805(304) 258-8846 Get Directions Write a Review
About Mr. Edward Paul Quarantillo Iii Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. EDWARD PAUL QUARANTILLO III MD (NPI 1235146242) is an individual family medicine provider in Berkeley Springs, West Virginia, licensed in West Virginia (17667) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
NPI1235146242
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. EDWARD PAUL QUARANTILLO IIICredential: MD
Location Address81 WAR MEMORIAL DRIVEBerkeley Springs, WV 25411
Mailing Address81 War Memorial DriveBerkeley Springs, WV 25411 · (304) 258-8805 · Fax (304) 258-8846
Phone(304) 258-8805
Fax(304) 258-8846
Sole ProprietorNo
Enumeration DateAugust 2, 2006
Last NPPES UpdateApril 7, 20222 updates tracked since enumeration
NPPES CertifiedApril 7, 2022
✔ NPI 1235146242 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 17667
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
81 WAR MEMORIAL DRIVE, Berkeley Springs, WV 25411
Other Identifiers 1
Medicaid0054791000WV
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
✔
Enrolled in Medicare (PECOS)
Mr. Edward Paul Quarantillo Iii Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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 2
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.
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
46 services40 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
36 services29 patients
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 25411 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.
Reported Quality Measures
Dementia: Cognitive Assessment
Percentage of patients, regardless of age, with a diagnosis of dementia for whom an assessment of cognition is performed and the results reviewed at least once within a 12-month period
4%26 patients1/55-star benchmark: 100%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
77%102 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
88%3,115 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
93%5,264 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
28%458 patients2/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
1%463 patients1/55-star benchmark: 98%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
89%1,014 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
26%458 patients2/55-star benchmark: 90%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
19%717 patients1/55-star benchmark: 88%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
75%796 patients4/55-star benchmark: 96%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 26% · 811 patients
32%811 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
24%1,014 patients1/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 3% · 458 patients
6%458 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.
Referred Medical Equipment & Supplies CMS DME claims 9
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Intermittent urinary catheter, with insertion supplies A4353
DME-Orthotic Devices · category DF008N
1 supplier12 claims2,160 services$6.73 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
1 supplier12 claims24 services$5.86 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier13 claims379 services$5.75 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier13 claims5,664 services$0.32 avg. paid by Medicare
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181
DME-Other DME · category DE000N
1 supplier11 claims11 services$13.20 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers11 claims11 services$36.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.
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 Edward Quarantillo's NPI number?
The NPI number for Edward Quarantillo is 1235146242. It was assigned to this individual provider in the NPPES registry on August 2, 2006.
Where is Edward Quarantillo located?
Edward Quarantillo practices at 81 War Memorial Drive, Berkeley Springs, WV 25411. The listed phone number is (304) 258-8805.
What is Edward Quarantillo's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Edward Quarantillo enrolled in Medicare?
Yes. Edward Quarantillo is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Edward Quarantillo was last updated on April 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Edward Paul Quarantillo III, MD · NPI 1235146242
Family Medicine physician in Berkeley Springs, West Virginia. Individual provider, active in the CMS NPPES registry since August 2, 2006.
## Identity
- **NPI:** 1235146242 (Entity type: Individual)
- **Enumerated:** August 2, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 17667 (West Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 81 WAR MEMORIAL DRIVE, Berkeley Springs, WV 25411
- **Phone:** (304) 258-8805 · **Fax:** (304) 258-8846
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 7, 2022
- **Other identifiers:** Medicaid 0054791000 (WV)
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Source: [NPI Profile](https://npiprofile.com/npi/1235146242) · Data from the CMS NPPES public registry.