DR. JOHN A FERULLO MD
NPI 1528056439
Specialist in Worcester, MA
NPI Status: Active since October 13, 2005
Contact Information
123 SUMMER ST
SUITE #655
WORCESTER, MA
ZIP 01608
Phone: (508) 363-9335
Fax: (508) 363-6111
- Individual
- Male
- Years of Experience 50
- Specialist
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About JOHN FERULLO
This page provides the complete NPI Profile along with additional information for John Ferullo, a provider established in Worcester, Massachusetts with a medical specialization in Specialist and more than 50 years of experience. He graduated from University Of Vermont College Of Medicine in 1976. The healthcare provider is registered in the NPI registry with number 1528056439 assigned on October 2005. The practitioner's primary taxonomy code is 174400000X with license number 42974 (MA). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1528056439
- Provider Name
- DR. JOHN A FERULLO MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 123 SUMMER ST SUITE #655 WORCESTER, MA 01608
- Location Phone
- (508) 363-9335
- Location Fax
- (508) 363-6111
- Mailing Address
- 123 SUMMER ST SUITE #655 WORCESTER, MA 01608
- Mailing Phone
- (508) 363-9335
- Mailing Fax
- (508) 363-6111
- Medical School Name
- UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
- Graduation Year
- 1976
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-13-2005
- Last Update Date
- 05-14-2012
- 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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 42974
- License State
- MA
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
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.
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.
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.
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 |
---|---|---|---|
0000808 | OTHER (01) | MA | NEIGHBORHOOD HELATH |
983631 | OTHER (01) | MA | NETWORK HEALTH |
060050947 | OTHER (01) | MA | RAILROAD MEDICARE |
2580562 | OTHER (01) | MA | EVERCARE |
M17087 | OTHER (01) | MA | BLUE CROSS BLUE SHIELD |
4589594 | OTHER (01) | MA | AETNA HEALTCARE |
448620 | OTHER (01) | MA | CIGNA |
2039033 | OTHER (01) | MA | US HEALTHCARE |
3577 | OTHER (01) | MA | HARVARD PILGRIM HEALTH |
042974 | OTHER (01) | MA | TUFTS HEALTHCARE |
19068 | OTHER (01) | MA | FALLON HEALTHCARE |
A34540 | MEDICARE UPIN (02) | MA | |
B18225 | MEDICARE ID-TYPE UNSPECIFIED (04) | MA | |
2072432 | MEDICAID (05) | MA |
Medicare Participation & PECOS Enrollment Status
John Ferullo 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.
John Ferullo 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: 7416849708
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: I20040330000388
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
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.
Established patient office or other outpatient visit, 30-39 minutes
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician
New patient office or other outpatient visit, 45-59 minutes
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
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.
This service was performed 31 times for 25 patientsAn exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
This service was performed 13 times for 13 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 71 times for 71 patientsAn electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
This service was performed 100 times for 84 patientsA routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
This service was performed 101 times for 87 patientsThis is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
This service was performed 19 times for 19 patientsReviews for DR. JOHN A FERULLO MD
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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 | 5 | 2 | 8 | 0 | 5 | 6 | 4 | 3 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 5 | 4 | 8 | 0 | 5 | 12 | 4 | 6 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 5 + 4 + 8 + 0 + 5 + 1 + 2 + 4 + 6 + 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 1528056439 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.
DR. ROBERT Q TERRILL M.D.
Specialist
123 SUMMER ST
STE 685
WORCESTER, MA
ZIP 01608
MR. DONALD JAMES DESIO MD
Obstetrics & Gynecology
123 SUMMER ST
SUITE 150 S
WORCESTER, MA
ZIP 01608
JOSEPH RALPH BENOTTI MD
Internal Medicine
(Cardiovascular Disease)
123 SUMMER ST
SUITE 660
WORCESTER, MA
ZIP 01608
DR. ELISE A JACQUES MD
Internal Medicine
(Gastroenterology)
123 SUMMER ST
SUITE 650
WORCESTER, MA
ZIP 01608
WILLIAM J MORGAN MD
Orthopaedic Surgery
(Hand Surgery)
123 SUMMER ST
STE 320
WORCESTER, MA
ZIP 01608
DR. CRAIG L. BEST M.D.
Obstetrics & Gynecology
123 SUMMER ST
SUITE 150 S
WORCESTER, MA
ZIP 01608
SUSAN KILMER TEPLOW CNM
Advanced Practice Midwife
123 SUMMER ST
ST. VINCENT HOSPITAL
WORCESTER, MA
ZIP 01608
GARY R KEILSON MD
Psychiatry & Neurology
(Neurology)
123 SUMMER ST
SUITE 230 S
WORCESTER, MA
ZIP 01608
MARIBETH WALLACE HALL CNM
Advanced Practice Midwife
123 SUMMER ST
SUITE 150 S
WORCESTER, MA
ZIP 01608
DR. HAROLD M ARKOFF M.D.
Anesthesiology
123 SUMMER ST
WORCESTER, MA
ZIP 01608
JOSEPH G KIRKPATRICK JR. MD
Internal Medicine
(Cardiovascular Disease)
123 SUMMER ST
SUITE 290 N
WORCESTER, MA
ZIP 01608
DR. JAYANT GOPAL PHADKE MD
Psychiatry & Neurology
(Neurology)
123 SUMMER ST
STE 695
WORCESTER, MA
ZIP 01608
DR. DOUGLAS W SCUDDER M.D.
Emergency Medicine
123 SUMMER ST
DEPARTMENT OF EMERGENCY MEDICINE
WORCESTER, MA
ZIP 01608
JOHN G NAJJAR MD
Surgery
(Vascular Surgery)
123 SUMMER ST
SUITE 210
WORCESTER, MA
ZIP 01608
DIANE L. HERLIHY-RAYLA CNM
Advanced Practice Midwife
123 SUMMER ST
WORCESTER, MA
ZIP 01608
RICHARD M WHOLEY M.D
Internal Medicine
(Cardiovascular Disease)
123 SUMMER ST
STE 273
WORCESTER, MA
ZIP 01608
DR. PETER CARL LINDBLAD M.D.
Internal Medicine
123 SUMMER ST
SUITE 370
WORCESTER, MA
ZIP 01608
SUZANNE WEISS M.D.
Pediatrics
123 SUMMER ST
SUITE 690
WORCESTER, MA
ZIP 01608
JUDITH EVANS M.D.
Pediatrics
123 SUMMER ST
SUITE 690
WORCESTER, MA
ZIP 01608
ANNE CHAFFEE M.D.
Pediatrics
123 SUMMER ST
SUITE 690
WORCESTER, MA
ZIP 01608
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528056439, enumerated as an "individual" on October 13, 2005.
The provider is located at 123 SUMMER ST SUITE #655 WORCESTER, MA 01608 and the phone number is (508) 363-9335.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare,. Please consult your insurance carrier or call the provider to verify.