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DR. FRANK FOTO M.D.
NPI 1326157264
Internal Medicine - Rheumatology in Ossining, NY

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
310 N HIGHLAND AVE, SUITE 7, OSSINING, NY 10562(914) 762-5555(914) 923-7033 Get Directions Write a Review

NPPES record last updated: September 3, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Frank Foto M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. FRANK FOTO M.D. (NPI 1326157264) is an individual rheumatology provider in Ossining, New York, licensed in New York (164114) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Phelps Hospital, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1326157264
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. FRANK FOTOCredential: M.D.
Location Address310 N HIGHLAND AVE, SUITE 7Ossining, NY 10562-6300
Mailing Address310 N Highland Ave, Suite 7Ossining, NY 10562-6300 · (914) 762-5555 · Fax (914) 923-7033
Phone(914) 762-5555
Fax(914) 923-7033
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateAugust 30, 2006
Last NPPES UpdateSeptember 3, 2010
✔ NPI 1326157264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in NY · 164114
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
310 N HIGHLAND AVE, Ossining, NY 10562
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINA03714NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Frank Foto M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709051444
PECOS Enrollment IDI20111208000572
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 10

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.

Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318
Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.
1,440 services17 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
500 services47 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
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.
439 services229 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
113 services103 patients
Insertion of needle into vein for collection of blood sample 36415
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.
110 services62 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
73 services50 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Phelps Hospital

Acute Care Hospitals · Sleepy Hollow, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330261
Location701 N BroadwaySleepy Hollow, NY 10591 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10562 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HUDSON VALLEY DIAGNOSTIC IMAGING, PC
Clinic/Center (Radiology)
310 N HIGHLAND AVE, STE 3
OSSINING, NY 10562
Westchester County (914) 923-0201
DEAN R CUMMINS MD PHD
Ophthalmology
310 N HIGHLAND AVE, SUITE #6
OSSINING, NY 10562
Westchester County (914) 944-4800
HUDSON VALLEY RHEUMATOLOGY PC
Internal Medicine (Rheumatology)
310 N HIGHLAND AVE, SUITE 7
OSSINING, NY 10562
Westchester County (914) 762-5555
DR. ANDREW LEWIS M.D.
Specialist
310 N HIGHLAND AVE, STE 3
OSSINING, NY 10562
Westchester County (914) 923-0201
CHARLES J ABATE MD
Internal Medicine (Pulmonary Disease)
310 N HIGHLAND AVE, CARE MOUNT MEDICAL, P.C
OSSINING, NY 10562
Westchester County (914) 762-4141
HUDSON RIVER PULMONARY & INT MED PC
Internal Medicine
310 N HIGHLAND AVE, #2
OSSINING, NY 10562
Westchester County (914) 762-4141

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 Frank Foto's NPI number?

The NPI number for Frank Foto is 1326157264. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Frank Foto located?

Frank Foto practices at 310 N Highland Ave Suite 7, Ossining, NY 10562. The listed phone number is (914) 762-5555.

What is Frank Foto's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Frank Foto enrolled in Medicare?

Yes. Frank Foto is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Frank Foto affiliated with any hospitals?

According to CMS data, Frank Foto is affiliated with Phelps Hospital.

When was this NPI record last updated?

The NPPES record for Frank Foto was last updated on September 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.