DR. ANTHONY DISTEFANO MD
NPI 1568430361
Urology in Manchester, CT

Q: What is Anthony Distefano's NPI number?

The NPI number for Anthony Distefano is 1568430361. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Q: What is Anthony Distefano's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Anthony Distefano was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since March 09, 2006PECOS Enrolled

84.47/100

CMS Quality Rating

116 E CENTER ST, SUITE 19, MANCHESTER, CT 06040(860) 643-2731(860) 643-6707 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Dr. Anthony Distefano Md NPPES

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

DR. ANTHONY DISTEFANO MD (NPI 1568430361) is an individual urology provider in Manchester, Connecticut, licensed in Connecticut (032190) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568430361

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. ANTHONY DISTEFANOCredential: MD

Location Address116 E CENTER ST, SUITE 19Manchester, CT 06040-5215

Mailing Address116 E Center St, Suite 19Manchester, CT 06040-5215 · (860) 643-2731 · Fax (860) 643-6707

Phone(860) 643-2731

Fax(860) 643-6707

Sole ProprietorNo

Enumeration DateMarch 9, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1568430361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in CT · 032190

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

116 E CENTER ST, Manchester, CT 06040

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Anthony Distefano Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 15

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.

382 services315 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

273 services230 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

93 services83 patients

Leuprolide acetate (for depot suspension), 7.5 mg J9217

Leuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.

81 services11 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

56 services42 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

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.

46 services42 patients

Simple insertion of temporary bladder tube 51702

This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.

39 services25 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

38 services37 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

27 services21 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.

26 services26 patients

Simple change of bladder tube 51705

A simple change of bladder tube involves replacing your current urinary drainage tube with a new one. This is done to maintain hygiene and prevent infections. It's a straightforward process, usually causing minimal discomfort, and helps ensure your body can properly dispose of waste fluids.

25 services11 patients

Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle 96402

This procedure involves the injection of hormone-based anti-cancer drugs under the skin or into a muscle. These medications help to slow down or stop the growth of certain types of cancer cells. The process is usually quick and can be performed in a clinic or hospital.

20 services12 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

17 services17 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

12 services12 patients

Ultrasound scan of pelvic region through rectum 76872

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06040 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

$138.84 typical visit price

range $60.82 – $183.10

Typical copayment $34.71 (range $15.20 – $45.77)

Most-billed visit code 99204

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.

84.47/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.28

Promoting Interoperability

100

Improvement Activities

Cost

59.59

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Male external catheter, with or without adhesive, disposable, each A4349

DME-Medical/Surgical Supplies · category DA000N

1 supplier15 claims645 services$1.93 avg. paid by Medicare

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

3 suppliers23 claims5,682 services$6.13 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

4 suppliers16 claims51 services$8.22 avg. paid by Medicare

Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358

DME-Orthotic Devices · category DF000N

1 supplier22 claims61 services$6.08 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

DR. DAVID JEREMY ROSENBERG M.D.

Urology

116 E CENTER ST, SUITE 19
MANCHESTER, CT 06040

Capitol Planning Region (860) 643-2731

SURGICAL SPECIALTIES OF EASTERN CT LLC

Surgery

116 E CENTER ST, SUITE 14
MANCHESTER, CT 06040

Capitol Planning Region (860) 646-8457

DR. THOMAS E STALEY MD

Urology

116 E CENTER ST, SUITE 19
MANCHESTER, CT 06040

Capitol Planning Region (860) 643-2731

DR. DONNA M. BOCCELLI D.P.M.

Podiatrist (Foot & Ankle Surgery)

116 E CENTER ST, SUITE 10
MANCHESTER, CT 06040

Capitol Planning Region (860) 647-7727

ASSOCIATED UROLOGISTS PC

Urology

116 E CENTER ST, SUITE 19
MANCHESTER, CT 06040

Capitol Planning Region (860) 643-2731

KRISTIN LUND PA-C

Physician Assistant

116 E CENTER ST, SUITE 10
MANCHESTER, CT 06040

Capitol Planning Region (860) 647-9183

SURGICAL ASSOCIATES OF EASTERN CONNECTICUT LLC

Surgery

116 E CENTER ST, SUITE 12
MANCHESTER, CT 06040

Capitol Planning Region (860) 646-8888

DR. ARTHUR E. LAMONTAGNE JR. M.D.

Urology

116 E CENTER ST
MANCHESTER, CT 06040

Capitol Planning Region (860) 643-2731

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 Anthony Distefano's NPI number?

The NPI number for Anthony Distefano is 1568430361. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is Anthony Distefano located?

Anthony Distefano practices at 116 E Center St Suite 19, Manchester, CT 06040. The listed phone number is (860) 643-2731.

What is Anthony Distefano's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Anthony Distefano enrolled in Medicare?

Yes. Anthony Distefano is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anthony Distefano was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.