FRED PESCATORE M.D.
NPI 1295748358
General Practice in New York, NY

NPI Status: Active since August 13, 2006

Contact Information

274 MADISON AVE
SUITE 402
NEW YORK, NY
ZIP 10016
Phone: (212) 779-2944
Fax: (212) 779-2941

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  • Individual
  • Male
  • Years of Experience 40
  • General Practice
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About FRED PESCATORE

This page provides the complete NPI Profile along with additional information for Fred Pescatore, a primary care provider established in New York, New York with a medical specialization in General Practice and more than 40 years of experience. The healthcare provider is registered in the NPI registry with number 1295748358 assigned on August 2006. The practitioner's primary taxonomy code is 208D00000X with license number 192888 (NY). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1295748358
Provider Name
FRED PESCATORE M.D.
Gender
Male
Entity Type
Individual
Location Address
274 MADISON AVE SUITE 402 NEW YORK, NY 10016
Location Phone
(212) 779-2944
Location Fax
(212) 779-2941
Mailing Address
274 MADISON AVE SUITE 402 NEW YORK, NY 10016
Mailing Phone
(212) 779-2944
Mailing Fax
(212) 779-2941
Medical School Name
OTHER
Graduation Year
1986
Is Sole Proprietor?
Yes
Enumeration Date
08-13-2006
Last Update Date
07-08-2007
Code Navigator

A primary care provider (PCP) like Fred Pescatore sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

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

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
License No.
192888
License State
NY
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

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
29J601MEDICARE ID-TYPE UNSPECIFIED (04)NY 
F86027MEDICARE UPIN (02)NY 

Medicare Participation & PECOS Enrollment Status

Fred Pescatore 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.

Fred Pescatore 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

  • PECOS PAC ID: 7810998473

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20070124000583

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • 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 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

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Orthotic Devices

  • DME-Orthotic Devices (DF008N)

    Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each (HCPCS:A4352)

    1 DME suppliers used 108 Medicare Claims 171600 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 401 times for 123 patients

Established patient office or other outpatient visit, 40-54 minutes

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.

This service was performed 21 times for 20 patients

Insertion of needle into vein for collection of blood sample

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

This service was performed 69 times for 35 patients

New patient office or other outpatient visit, 60-74 minutes

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

This service was performed 18 times for 18 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

This service was performed 26 times for 19 patients

Reviews for FRED PESCATORE M.D.

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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 1295748358, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
2
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
5
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
3
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
8
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 9 → 18 → 9 7 → 14 → 5 8 → 16 → 7 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 8 + 5 + 1 + 4 + 4 + 1 + 6 + 3 + 1 + 0 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1295748358.

Other Providers at the Same Location


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

Audiologist (Assistive Technology Practitioner)
274 MADISON AVE, SUITE 1203
NEW YORK, NY 10016
Dentist (General Practice)
274 MADISON AVE, SUITE 1201
NEW YORK, NY 10016
Internal Medicine
274 MADISON AVE, SUITE 304
NEW YORK, NY 10016
Chiropractor
274 MADISON AVE, 201
NEW YORK, NY 10016
Physical Therapist
274 MADISON AVE, SUITE 201
NEW YORK, NY 10016
Physical Medicine & Rehabilitation
274 MADISON AVE, SUITE 201
NEW YORK, NY 10016
Orthopaedic Surgery
274 MADISON AVE, SUITE 201
NEW YORK, NY 10016
Psychologist (Clinical)
274 MADISON AVE, SUITE 1500
NEW YORK, NY 10016
Audiologist-Hearing Aid Fitter
274 MADISON AVE, SUITE 1203
NEW YORK, NY 10016
Registered Nurse
274 MADISON AVE, STE 1301
NEW YORK, NY 10016
Clinic/Center (Health Service)
274 MADISON AVE, STE 705
NEW YORK, NY 10016
Occupational Therapist
274 MADISON AVE, SUITE 201
NEW YORK, NY 10016
Audiologist
274 MADISON AVE, SUITE 1203
NEW YORK, NY 10016
Chiropractor
274 MADISON AVE, SUITE: 1106
NEW YORK, NY 10016
Psychologist (Clinical)
274 MADISON AVE, SUITE 704
NEW YORK, NY 10016
Psychologist
274 MADISON AVE, SUITE 1204
NEW YORK, NY 10016
Specialist
274 MADISON AVE, 2ND FLOOR
NEW YORK, NY 10016
Podiatrist (Foot Surgery)
274 MADISON AVE, ROOM 605
NEW YORK, NY 10016
Podiatrist (Foot Surgery)
274 MADISON AVE, ROOM 605
NEW YORK, NY 10016
Podiatrist (Foot Surgery)
274 MADISON AVE, ROOM 605
NEW YORK, NY 10016

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295748358, enumerated as an "individual" on August 13, 2006.

The provider is located at 274 MADISON AVE SUITE 402 NEW YORK, NY 10016 and the phone number is (212) 779-2944.

General Practice with taxonomy code 208D00000X.

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