DR. MATTHEW DEL GUZZO M.D.
NPI 1447517859
Radiology - Diagnostic Radiology in New York, NY


Quality Rating: 80.69 out of 100 score

NPI Status: Active since April 23, 2012

Contact Information

1000 10TH AVE
NEW YORK, NY
ZIP 10019
Phone: (212) 523-4000

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  • Individual
  • Male
  • Years of Experience 13
  • Radiology
  • Diagnostic Radiology
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About MATTHEW DEL GUZZO

Matthew Del Guzzo is a provider established in New York, New York and his medical specialization is Radiology with a focus in diagnostic radiology with more than 13 years of experience. The healthcare provider is registered in the NPI registry with number 1447517859 assigned on April 2012. The practitioner's primary taxonomy code is 2085R0202X with license number 61688 (CT). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1447517859
Provider Name
DR. MATTHEW DEL GUZZO M.D.
Gender
Male
Entity Type
Individual
Location Address
1000 10TH AVE NEW YORK, NY 10019
Location Phone
(212) 523-4000
Mailing Address
111 FOUNDERS PLZ STE 400 EAST HARTFORD, CT 06108
Mailing Phone
(860) 289-3375
Mailing Fax
Medical School Name
OTHER
Graduation Year
2012
Is Sole Proprietor?
Yes
Enumeration Date
04-23-2012
Last Update Date
08-21-2018
Code Navigator

Matthew Del Guzzo 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.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 80.69, 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 typical physician office visit costs for Medicare beneficiaries in this area are: $26.59 for a new patient copayment and $21.49 for an established patient copayment.

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

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
License No.
61688
License State
CT
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

PECOS Enrollment and Medicare Participation Status

Matthew Del Guzzo 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: 9032460662

    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: I20221230000867

    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

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 10019 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $106.37
  • Minimum New Patient Price $69.45
  • Maximum New Patient Price $208.72
  • Average New Patient Copayment $26.59
  • Minimum New Patient Copayment $17.36
  • Maximum New Patient Copayment $52.18

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $85.96
  • Minimum Established Patient Price $21.65
  • Maximum Established Patient Price $169.66
  • Average Established Patient Copayment $21.49
  • Minimum Established Patient Copayment $5.41
  • Maximum Established Patient Copayment $42.41

* 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 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.

  • Final Score: 80.69 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.

  • Quality Score: 77.29

    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.

  • Promoting Interoperability Score: N/A

    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.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 61

    X-ray of chest, 2 views (HCPCS:71046)

  • 52

    X-ray of chest, 1 view (HCPCS:71045)

  • 49

    Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)

  • 41

    Ultrasound guidance for accessing into blood vessel (HCPCS:76937)

  • 35

    Fluoroscopic guidance for insertion, replacement or removal of central venous access device (HCPCS:77001)

  • 26

    Radiological supervision and interpretation of ct guidance for needle insertion (HCPCS:77012)

  • 17

    Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)

  • 13

    Ct scan of abdomen and pelvis (HCPCS:74176)

  • 12

    Ultrasound of head and neck (HCPCS:76536)

Hospital Affiliations

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. Matthew Del Guzzo is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
WHITE PLAINS HOSPITAL CENTER41 EAST POST R0AD
WHITE PLAINS, NY 10601
(914) 681-0600Acute 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.
1447517859
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
248710114810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 8 + 7 + 1 + 0 + 1 + 1 + 4 + 8 + 1 + 0 + 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 = 99

The NPI number 1447517859 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.

NPI Name / Type Taxonomy Address
1043219157 ELIZABETH AMES MD
Individual
Pathology (Clinical Pathology/Laboratory Medicine)1000 10TH AVE
NEW YORK, NY 10019
(212) 523-4332
1104825215 ANN AVITABILE MD
Individual
Pathology (Anatomic Pathology)1000 10TH AVE
NEW YORK, NY 10019
(212) 523-4332
1548269558 MARK T. FRIEDMAN D.O.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1000 10TH AVE
NEW YORK, NY 10019
(212) 523-4332
1831190354 KWAME ANYANE-YEBOA M.D.
Individual
Medical Genetics (Clinical Genetics (M.D.))1000 10TH AVE SUITE 11A-GENETICS
NEW YORK, NY 10019
(212) 523-5895
1780686618 VIJAI KATATIKARN MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1000 10TH AVE
NEW YORK, NY 10019
(212) 523-4332
1053304246 LIDIYA LUKASEVICH MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1000 10TH AVE
NEW YORK, NY 10019
(212) 523-4332
1962493585DR. DANIEL J EGAN MD
Individual
Emergency Medicine1000 10TH AVE ST. LUKE'S ROOSEVELT HOSPITAL CENTER
NEW YORK, NY 10019
(212) 523-6745
1376524439 YASUNARI NIIMI MD
Individual
Radiology (Vascular & Interventional Radiology)1000 10TH AVE SUITE GG15
NEW YORK, NY 10019
(212) 636-3215
1780668400 RONALD D ENNIS MD
Individual
Radiology (Radiation Oncology)1000 10TH AVE LOWER LEVEL
NEW YORK, NY 10019
(212) 523-7165
1285619379DR. ELLEN B. TABOR M.D.
Individual
Psychiatry & Neurology (Psychiatry)1000 10TH AVE ROOSEVELT HOSPITAL 7-G
NEW YORK, NY 10019
(212) 523-7997
1811974330DEPARTMENT OF NEUROLOGY PROFESSIONAL SERVICES GROUP/SLRHC
Organization
Psychiatry & Neurology (Neurology)1000 10TH AVE SUITE 3B20
NEW YORK, NY 10019
(212) 523-7350
1235116815DR. CHRISTINE L. LAY M.D., FRCPC
Individual
Psychiatry & Neurology (Psychiatry)1000 10TH AVE SUITE 1C10
NEW YORK, NY 10019
(212) 523-5869
1659343424DR. LUCIA VAIL PH.D.
Individual
Psychologist (Clinical)1000 10TH AVE 6TH FLOOR
NEW YORK, NY 10019
(917) 842-5817
1558323675 ARKADIY BAUMVAL PA
Individual
Physician Assistant (Surgical)1000 10TH AVE SUITE 5G-80
NEW YORK, NY 10019
(212) 523-6720
1144284068DR. WILLIAM M MILLER M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1000 10TH AVE
NEW YORK, NY 10019
(212) 523-4332
1134184377ST LUKES ROOSEVELT HOSPITAL CENTER
Organization
Internal Medicine (Hematology & Oncology)1000 10TH AVE SUITE 11G
NEW YORK, NY 10019
(212) 523-5419
1598718298DR. MICHAEL M ABIRI M.D.
Individual
Radiology (Diagnostic Radiology)1000 10TH AVE ROOSEVELT HOSPITAL
NEW YORK, NY 10019
(212) 590-2916
1437190006 JOHN MICHAEL LUBRANO RPAC
Individual
Physician Assistant1000 10TH AVE
NEW YORK, NY 10019
(212) 523-6745
1689604159 STEPHEN VICTOR MANGHISI M.D
Individual
Radiology (Diagnostic Radiology)1000 10TH AVE
NEW YORK, NY 10019
(212) 590-2930
1073529129 JOSEPH ANSELMO PAC
Individual
Physician Assistant1000 10TH AVE STE 5G-80
NEW YORK, NY 10019
(212) 523-6720

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447517859, enumerated in the NPI registry as an "individual" on April 23, 2012

The provider is located at 1000 10th Ave New York, Ny 10019 and the phone number is (212) 523-4000

The provider's speciality is Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology

The provider has more than 13 years of experience.

Yes, as of July 16, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary 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.

Medicare beneficiaries should expect a typical cost of $106.37 with an average copayment of $26.59 for new patient appointments. Established patients should expect a typical charge of $85.96 and an average copayment of 21.49. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: X-ray of chest, 2 views, X-ray of chest, 1 view, Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes, Ultrasound guidance for accessing into blood vessel, Fluoroscopic guidance for insertion, replacement or removal of central venous access device, Radiological supervision and interpretation of ct guidance for needle insertion, Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck, Ct scan of abdomen and pelvis and Ultrasound of head and neck.

The practitioner is affiliated to the following hospital(s): WHITE PLAINS HOSPITAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on April 23, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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