MICHAEL A. CERRUTI MD
NPI 1508944240
Orthopaedic Surgery in Sacramento, CA

NPI Status: Active since November 01, 2006

Contact Information

500 UNIVERSITY AVE STE 100
SACRAMENTO, CA
ZIP 95825
Phone: (916) 437-0570
Fax: (916) 437-0470

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  • Individual
  • Male
  • Orthopaedic Surgery
  • PECOS Enrolled
  • Medicare Quality Reporting

About MICHAEL CERRUTI

This page provides the complete NPI Profile along with additional information for Michael Cerruti, a provider established in Sacramento, California with a medical specialization in Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1508944240 assigned on November 2006. The practitioner's primary taxonomy code is 207X00000X with license number G25155 (CA). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI
1508944240
Provider Name
MICHAEL A. CERRUTI MD
Gender
Male
Entity Type
Individual
Location Address
500 UNIVERSITY AVE STE 100 SACRAMENTO, CA 95825
Location Phone
(916) 437-0570
Location Fax
(916) 437-0470
Mailing Address
500 UNIVERSITY AVE STE 100 SACRAMENTO, CA 95825
Mailing Phone
(916) 437-0570
Mailing Fax
(916) 437-0470
Is Sole Proprietor?
No
Enumeration Date
11-01-2006
Last Update Date
09-15-2009
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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

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
License No.
G25155
License State
CA
Taxonomy Description
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

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
A42550MEDICARE UPIN (02) 
00G251550MEDICARE ID-TYPE UNSPECIFIED (04) 
00G251550MEDICAID (05)CA 

Medicare Participation & PECOS Enrollment Status

Michael Cerruti 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

  • 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

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.

Aspiration and/or injection of fluid from large joint

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.

This service was performed 26 times for 17 patients

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 50 times for 26 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg

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.

This service was performed 155 times for 20 patients

Upper limb (arm) arthroscopy (minimally invasive joint repair)

Upper limb arthroscopy is a minimally invasive procedure used to examine and treat issues within your arm's joints. A small camera, called an arthroscope, is inserted through a tiny incision, providing a clear view of the joint. This method often results in less pain and faster recovery compared to open surgery.

This service was performed for 1-10 patients

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 95825 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $92.61
  • Minimum New Patient Price $60.44
  • Maximum New Patient Price $180.85
  • Average New Patient Copayment $23.15
  • Minimum New Patient Copayment $15.11
  • Maximum New Patient Copayment $45.21

Established Patients Visit Costs *

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

  • Average Established Patient Price $75.03
  • Minimum Established Patient Price $19.88
  • Maximum Established Patient Price $148.15
  • Average Established Patient Copayment $18.75
  • Minimum Established Patient Copayment $4.97
  • Maximum Established Patient Copayment $37.03

* 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.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Documentation of Current Medications in the Medical Record 28% 241
Falls: Screening for Future Fall Risk 0% 55
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 13% 169
Preventive Care and Screening: Screening for Depression and Follow-Up Plan 0% 170
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 10% 240
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 0% 89
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 0% 89
Provide Patients Electronic Access to Their Health Information 23% 107

Reviews for MICHAEL A. CERRUTI MD

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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 1508944240, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

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

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 0 + 8 + 1 + 8 + 4 + 8 + 2 + 8 + 24 = 70

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

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

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1508944240.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Specialist/Technologist (Athletic Trainer)
500 UNIVERSITY AVE STE 100
SACRAMENTO, CA 95825

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508944240, enumerated as an "individual" on November 01, 2006.

The provider is located at 500 UNIVERSITY AVE STE 100 SACRAMENTO, CA 95825 and the phone number is (916) 437-0570.

Orthopaedic Surgery with taxonomy code 207X00000X.

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