DR. RALPH WAYNE DENATALE M.D.
NPI 1497790026
Surgery - Vascular Surgery in North Haven, CT

Active since June 18, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
280 STATE ST, NORTH HAVEN, CT 06473(203) 288-2886(203) 288-2576 Get Directions Write a Review

NPPES record last updated: January 23, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ralph Wayne Denatale M.d. NPPES

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

DR. RALPH WAYNE DENATALE M.D. (NPI 1497790026) is an individual vascular surgery provider in North Haven, Connecticut, licensed in Connecticut (027199) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1979).

NPPES Registry Identity

NPI1497790026
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. RALPH WAYNE DENATALECredential: M.D.
Location Address280 STATE STNorth Haven, CT 06473-2132
Mailing Address280 State StNorth Haven, CT 06473-2132 · (203) 288-2886 · Fax (203) 288-2576
Fax(203) 288-2576
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateJune 18, 2006
Last NPPES UpdateJanuary 23, 2014
NPI 1497790026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in CT · 027199
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 027199 (CT)
280 STATE ST, North Haven, CT 06473

Other Identifiers 4

Medicaid001271998CT
Medicare UPINB39494CT
Medicare ID-Type Unspecified020001006CT · Medicare Provider Number
Medicare PIN770000074CT

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. Ralph Wayne Denatale 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 ID5890751184
PECOS Enrollment IDI20070424000664
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.

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.
190 services139 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This 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.
56 services56 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
54 services50 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
38 services26 patients
Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts 93978
This procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps to detect abnormalities or blockages, ensuring your blood flows smoothly. It's painless and non-invasive.
26 services19 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
24 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06473 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%1,856 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
33%43 patients1/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
95%20 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
60%354 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
13%1,223 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
75%354 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
26%354 patients2/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

Surgery (Vascular Surgery)
280 STATE ST
NORTH HAVEN, CT 06473
Surgery (Vascular Surgery)
280 STATE ST
NORTH HAVEN, CT 06473
Surgery (Vascular Surgery)
280 STATE ST
NORTH HAVEN, CT 06473
Physician Assistant (Surgical)
280 STATE ST
NORTH HAVEN, CT 06473

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 Ralph Denatale's NPI number?

The NPI number for Ralph Denatale is 1497790026. It was assigned to this individual provider in the NPPES registry on June 18, 2006.

Where is Ralph Denatale located?

Ralph Denatale practices at 280 State St, North Haven, CT 06473. The listed phone number is (203) 288-2886.

What is Ralph Denatale's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Ralph Denatale enrolled in Medicare?

Yes. Ralph Denatale 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.

When was this NPI record last updated?

The NPPES record for Ralph Denatale was last updated on January 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.