SALVATORE MICHAEL CARUANA MD
NPI 1427181569
Otolaryngology in New York, NY
Quality Rating: 99.39 out of 100 score
NPI Status: Active since March 14, 2007
Contact Information
180 FORT WASHINGTON AVE
7TH FLOOR
NEW YORK, NY
ZIP 10032
Phone: (212) 305-8555
Fax: (212) 305-3975
- NPI Profile Information
- Primary Taxonomy
- Insurance Plans Accepted
- Medicare Participation & PECOS Status
- Areas of Expertise
- Durable Medical Equipment
- Physician Visit Costs
- Overall Quality Performance
- Hospital Affiliations - Privileges
- NPI Validation
- Other Providers Same Location
- Frequently Asked Questions
- Individual
- Male
- Years of Experience 37
- Otolaryngology
- Accepts Medicare Approved Payment
- PECOS Enrolled
About SALVATORE CARUANA
This page provides the complete NPI Profile along with additional information for Salvatore Caruana, a provider established in New York, New York with a medical specialization in Otolaryngology and more than 37 years of experience. He graduated from Icahn School Of Medicine At Mount Sinai in 1989. The healthcare provider is registered in the NPI registry with number 1427181569 assigned on March 2007. The practitioner's primary taxonomy code is 207Y00000X with license number 187711 (NY). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1427181569
- Provider Name
- SALVATORE MICHAEL CARUANA MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 180 FORT WASHINGTON AVE 7TH FLOOR NEW YORK, NY 10032
- Location Phone
- (212) 305-8555
- Location Fax
- (212) 305-3975
- Mailing Address
- 180 FORT WASHINGTON AVE 7TH FLOOR NEW YORK, NY 10032
- Mailing Phone
- (212) 305-8555
- Mailing Fax
- (212) 305-3975
- Medical School Name
- ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
- Graduation Year
- 1989
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-14-2007
- Last Update Date
- 04-07-2014
- 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
Otolaryngology
- Taxonomy Code
- 207Y00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 187711
- License State
- NY
- Taxonomy Description
- An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
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 |
---|---|---|---|
03Z48XVTP1 | MEDICARE PIN (08) | NY | |
G59986 | MEDICARE UPIN (02) |
Medicare Participation & PECOS Enrollment Status
Salvatore Caruana is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Salvatore Caruana 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: 7719063635
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: I20080318000492
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? Yes
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.
Unknown
Other-Enteral and Parenteral (OB006N)
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape (HCPCS:B4034)
2 DME suppliers used 11 Medicare Claims 330 Services Paid
Durable Medical Equipment
DME-Other DME (DE000N)
Respiratory suction pump, home model, portable or stationary, electric (HCPCS:E0600)
1 DME suppliers used 13 Medicare Claims 13 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.
Diagnostic exam of nasal passages using an endoscope
Diagnostic exam of voice box using a flexible endoscope
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Laminectomy or laminotomy (partial removal of spine bones)
New patient office or other outpatient visit, 30-44 minutes
New patient office or other outpatient visit, 45-59 minutes
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing
Removal of impacted ear wax
Upper gastrointestinal (GI) endoscopy for acid reflux
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
This service was performed 63 times for 41 patientsThis procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
This service was performed 329 times for 221 patientsThis 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.
This service was performed 363 times for 224 patientsThis 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 94 times for 74 patientsA laminectomy or laminotomy is a surgical procedure that involves removing part of the bone in your spine, specifically the lamina, to alleviate pressure on your spinal cord or nerves. This can help reduce pain and improve mobility if you're suffering from conditions like herniated discs or spinal stenosis.
This service was performed for 1-10 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 100 times for 100 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 25 times for 25 patientsThis procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.
This service was performed 46 times for 41 patientsImpacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
This service was performed 43 times for 39 patientsAn upper GI endoscopy is a procedure to examine your esophagus and stomach using a thin, flexible tube called an endoscope. It helps diagnose conditions like acid reflux by identifying any inflammation or damage. It's generally safe, performed under sedation, and takes about 15-30 minutes.
This service was performed for 1-10 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $37.56 for a new patient copayment and $20.36 for an established patient copayment.
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 10032 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $150.24
- Minimum New Patient Price $65.69
- Maximum New Patient Price $198.19
- Average New Patient Copayment $37.56
- Minimum New Patient Copayment $16.42
- Maximum New Patient Copayment $49.54
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $81.44
- Minimum Established Patient Price $21.2
- Maximum Established Patient Price $160.66
- Average Established Patient Copayment $20.36
- Minimum Established Patient Copayment $5.3
- Maximum Established Patient Copayment $40.16
* 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.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 99.39, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 99.39 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 81.07
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: 100
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Salvatore Caruana is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
NEW YORK-PRESBYTERIAN HOSPITAL | 525 EAST 68TH STREET NEW YORK, NY 10065 | (212) 746-5454 | Acute Care Hospitals |
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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 | 4 | 2 | 7 | 1 | 8 | 1 | 5 | 6 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 4 | 4 | 7 | 2 | 8 | 2 | 5 | 12 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 4 + 4 + 7 + 2 + 8 + 2 + 5 + 1 + 2 + 24 = 61 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 61 = 9 | 9 |
The NPI number 1427181569 is valid because the calculated check digit 9 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.
HEIDI KLINGBEIL MD
Family Medicine
(Geriatric Medicine)
180 FORT WASHINGTON AVE
SUITE 199
NEW YORK, NY
ZIP 10032
BRIAN K DAVIS-JOSEPH MD
Urology
180 FORT WASHINGTON AVE
HARKNESS PAVILION; STE 212
NEW YORK, NY
ZIP 10032
DR. FREDERIC KASS M.D.
Psychiatry & Neurology
(Psychiatry)
180 FORT WASHINGTON AVE
HARKNESS 244
NEW YORK, NY
ZIP 10032
DR. PETER H.R. GREEN MD
Internal Medicine
(Gastroenterology)
180 FORT WASHINGTON AVE
HARKNESS PAVILLION, SUITE 956
NEW YORK, NY
ZIP 10032
DR. ADI COHEN M.D.
Internal Medicine
(Endocrinology, Diabetes & Metabolism)
180 FORT WASHINGTON AVE
NEW YORK, NY
ZIP 10032
DR. MARCELLA DONOVAN WALKER M.D.
Internal Medicine
(Endocrinology, Diabetes & Metabolism)
180 FORT WASHINGTON AVE
NEW YORK, NY
ZIP 10032
DR. MISHAELA RUTH RUBIN M.D.
Internal Medicine
(Endocrinology, Diabetes & Metabolism)
180 FORT WASHINGTON AVE
NEW YORK, NY
ZIP 10032
KRISTEN SLESAR
Social Worker
(Clinical)
180 FORT WASHINGTON AVE
HARKNESS PAVILION, SOCIAL WORK DEPARTMENT
NEW YORK, NY
ZIP 10032
DR. CAROLYN BETH BECKER M.D.
Internal Medicine
(Endocrinology, Diabetes & Metabolism)
180 FORT WASHINGTON AVE
NEW YORK, NY
ZIP 10032
DR. PAMELA URY FREDA M.D.
Internal Medicine
(Endocrinology, Diabetes & Metabolism)
180 FORT WASHINGTON AVE
NEW YORK, NY
ZIP 10032
DR. JOHN PAUL BILEZIKIAN M.D.
Internal Medicine
(Endocrinology, Diabetes & Metabolism)
180 FORT WASHINGTON AVE
NEW YORK, NY
ZIP 10032
DR. ETHEL SILVERMAN SIRIS M.D.
Internal Medicine
(Endocrinology, Diabetes & Metabolism)
180 FORT WASHINGTON AVE
NEW YORK, NY
ZIP 10032
DR. JUDY KORNER M.D.
Internal Medicine
(Endocrinology, Diabetes & Metabolism)
180 FORT WASHINGTON AVE
NEW YORK, NY
ZIP 10032
DR. SHONNI JOY SILVERBERG M.D.
Internal Medicine
(Endocrinology, Diabetes & Metabolism)
180 FORT WASHINGTON AVE
NEW YORK, NY
ZIP 10032
DR. SUZANNE KWOKA LEWIS M.D.
Internal Medicine
(Gastroenterology)
180 FORT WASHINGTON AVE
THE HARKNESS PAVILION, SUITE 956
NEW YORK, NY
ZIP 10032
DR. SHARON LAVERNE WARDLAW M.D.
Internal Medicine
(Endocrinology, Diabetes & Metabolism)
180 FORT WASHINGTON AVE
NEW YORK, NY
ZIP 10032
DR. ELIZABETH JOAN SHANE M.D.
Internal Medicine
(Endocrinology, Diabetes & Metabolism)
180 FORT WASHINGTON AVE
NEW YORK, NY
ZIP 10032
DR. ZAFAR SHARIF MD
Psychiatry & Neurology
(Psychiatry)
180 FORT WASHINGTON AVE
NEW YORK, NY
ZIP 10032
DR. MATTHEW BARTELS M.D.
Rehabilitation Practitioner
180 FORT WASHINGTON AVE
SUITE 199
NEW YORK, NY
ZIP 10032
TRUSTEES OF COLUMBIA UNIVERSITY DEPARTMENT OF REHABILITATION MEDICINE
Rehabilitation Practitioner
180 FORT WASHINGTON AVE
SUITE 199
NEW YORK, NY
ZIP 10032
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427181569, enumerated as an "individual" on March 14, 2007.
The provider is located at 180 FORT WASHINGTON AVE 7TH FLOOR NEW YORK, NY 10032 and the phone number is (212) 305-8555.
Otolaryngology with taxonomy code 207Y00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
Salvatore Caruana is affiliated with: NEW YORK-PRESBYTERIAN HOSPITAL.