DANIEL JOSEPH SUCATO MD MS
NPI 1285696344
Orthopaedic Surgery in Dallas, TX
NPI Status: Active since April 04, 2006
Contact Information
2222 WELBORN ST
DALLAS, TX
ZIP 75219
Phone: (214) 559-5000
Fax: (214) 443-7309
- Individual
- Male
- Orthopaedic Surgery
- Accepts Insurance
- PECOS Enrolled
About DANIEL SUCATO
This page provides the complete NPI Profile along with additional information for Daniel Sucato, a provider established in Dallas, Texas with a medical specialization in Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1285696344 assigned on April 2006. The practitioner's primary taxonomy code is 207X00000X with license number K3486 (TX). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1285696344
- Provider Name
- DANIEL JOSEPH SUCATO MD MS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2222 WELBORN ST DALLAS, TX 75219
- Location Phone
- (214) 559-5000
- Location Fax
- (214) 443-7309
- Mailing Address
- 2222 WELBORN ST DALLAS, TX 75219
- Mailing Phone
- (214) 559-5000
- Mailing Fax
- (214) 443-7309
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-04-2006
- Last Update Date
- 09-14-2015
- Code Navigator
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
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- K3486
- License State
- TX
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Gold 4 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
- BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Elite Gold HMO 004 (Two free PCP visits, $0 Pediatric PCP visits) - HMO
- BSW Elite Gold HMO 012 - HMO
- BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) - HMO
- BSW Prime Silver HMO 005 - HMO
- BSW Savers Bronze HMO H S A 006 - HMO
- BSW Vital Bronze HMO 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Vital Bronze HMO 009 (One free PCP visit, $0 Pediatric PCP visit) - HMO
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 12 - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
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 |
|---|---|---|---|
| 037124703 | MEDICAID (05) | TX | |
| G70403 | MEDICARE UPIN (02) | ||
| SU08A880 | MEDICARE ID-TYPE UNSPECIFIED (04) | TX |
Medicare Participation & PECOS Enrollment Status
Daniel Sucato 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 75219 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $88.19
- Minimum New Patient Price $57.18
- Maximum New Patient Price $172.86
- Average New Patient Copayment $22.04
- Minimum New Patient Copayment $14.29
- Maximum New Patient Copayment $43.21
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $71.28
- Minimum Established Patient Price $18.48
- Maximum Established Patient Price $141.2
- Average Established Patient Copayment $17.82
- Minimum Established Patient Copayment $4.62
- Maximum Established Patient Copayment $35.3
* 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.
Reviews for DANIEL JOSEPH SUCATO MD MS
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 8 | 5 | 6 | 9 | 6 | 3 | 4 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 12 | 9 | 12 | 3 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 1 + 2 + 9 + 1 + 2 + 3 + 8 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1285696344 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DANA R. DEMPSEY CTRS
Recreation Therapist
2222 WELBORN ST
DALLAS, TX
ZIP 75219
DR. PETER R CARTER M.D.
Orthopaedic Surgery
(Hand Surgery)
2222 WELBORN ST
DALLAS, TX
ZIP 75219
REBECCA HOLM PAC
Physician Assistant
2222 WELBORN ST
DALLAS, TX
ZIP 75219
DR. STEVEN P. SPARAGANA M.D.
Psychiatry & Neurology
(Neurology with Special Qualifications in Child Neurology)
2222 WELBORN ST
DALLAS, TX
ZIP 75219
KIMBERLY ANN KAIPUS MSPT, PCS
Physical Therapist
(Pediatrics)
2222 WELBORN ST
DALLAS, TX
ZIP 75219
DR. NEIL SARAN MD
Orthopaedic Surgery
(Pediatric Orthopaedic Surgery)
2222 WELBORN ST
DALLAS, TX
ZIP 75219
MRS. JENNIFER LOUISE ROYO PA-C
Physician Assistant
(Medical)
2222 WELBORN ST
DALLAS, TX
ZIP 75219
CYNTHIA LUTER PA-C
Physician Assistant
2222 WELBORN ST
DALLAS, TX
ZIP 75219
MRS. TARA SOLOMON PA-C
Physician Assistant
2222 WELBORN ST
DALLAS, TX
ZIP 75219
MS. MARGENE COOK OTR, ATP
Occupational Therapist
2222 WELBORN ST
DALLAS, TX
ZIP 75219
MS. SUSAN RUTH LEIBOLD RN, MSSN, CNS-P
Clinical Nurse Specialist
(Pediatrics)
2222 WELBORN ST
4TH FLOOR
DALLAS, TX
ZIP 75219
CAROL ANN CHAMBERS PT
Physical Therapist
(Pediatrics)
2222 WELBORN ST
DALLAS, TX
ZIP 75219
MRS. BRENDA MICHELLE HOUSE PT, MSPT, CCCE
Physical Therapist
2222 WELBORN ST
DALLAS, TX
ZIP 75219
LISA RENEE KING PT, DPT
Physical Therapist
2222 WELBORN ST
DALLAS, TX
ZIP 75219
MRS. TAMARA NORTON PT, MSPT, PCS, ATP
Physical Therapist
(Pediatrics)
2222 WELBORN ST
DALLAS, TX
ZIP 75219
REBECCA K BERNHARDT P.T.
Physical Therapist
2222 WELBORN ST
DALLAS, TX
ZIP 75219
GWENN CAROL GUTHRIE PT
Physical Therapist
(Pediatrics)
2222 WELBORN ST
DALLAS, TX
ZIP 75219
ROSA H COOKSEY
Physical Therapist
(Pediatrics)
2222 WELBORN ST
DALLAS, TX
ZIP 75219
AMY LAKE
Occupational Therapist
2222 WELBORN ST
DALLAS, TX
ZIP 75219
MR. JOHN JAY WILSON C.O.T.A./L.
Occupational Therapy Assistant
2222 WELBORN ST
DALLAS, TX
ZIP 75219
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285696344, enumerated as an "individual" on April 04, 2006.
The provider is located at 2222 WELBORN ST DALLAS, TX 75219 and the phone number is (214) 559-5000.
Orthopaedic Surgery with taxonomy code 207X00000X.
The provider might be accepting Accepts: Aetna CVS Health, Baylor Scott and White Health. Please consult your insurance carrier or call the provider to verify.
