DR. ANTHONY J SCIUTO DMD
NPI 1720019615
Dentist - General Practice in Haverhill, MA

NPI Status: Active since July 06, 2006

Contact Information

234 SUMMER ST
HAVERHILL, MA
ZIP 01830
Phone: (978) 372-2825
Fax: (978) 521-5838

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  • Individual
  • Male
  • Dentist
  • General Practice
  • PECOS Enrolled

About ANTHONY SCIUTO

Anthony Sciuto is a provider established in Haverhill, Massachusetts and his medical specialization is Dentist with a focus in general practice . The healthcare provider is registered in the NPI registry with number 1720019615 assigned on July 2006. The practitioner's primary taxonomy code is 1223G0001X with license number 14730 (MA). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI
1720019615
Provider Name
DR. ANTHONY J SCIUTO DMD
Gender
Male
Entity Type
Individual
Location Address
234 SUMMER ST HAVERHILL, MA 01830
Location Phone
(978) 372-2825
Location Fax
(978) 521-5838
Mailing Address
234 SUMMER ST HAVERHILL, MA 01830
Mailing Phone
(978) 372-2825
Mailing Fax
(978) 521-5838
Is Sole Proprietor?
No
Enumeration Date
07-06-2006
Last Update Date
07-08-2007
Code Navigator

A dentist like Anthony Sciuto is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
14730
License State
MA
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Blue Cross and Blue Sheld

    • Anthem Dental Family - PPO
    • Anthem Dental Family Enhanced - PPO
    • Anthem Dental Family Preventive - PPO
    • Anthem Dental Family Value - PPO
  • Anthem Blue Cross and Blue Shield

    • Anthem Bronze Blue Priority/Lean 0 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
    • Anthem Bronze Blue Priority/Lean 0% for HSA - HMO
    • Anthem Bronze Blue Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
    • Anthem Bronze Blue Priority/Lean 7500/50% Standard - HMO
    • Anthem Bronze Blue Priority/Lean 9450 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
    • Anthem Bronze Pathway 20% for HSA - EPO
    • Anthem Bronze Pathway 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
    • Anthem Bronze Pathway 6500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
    • Anthem Bronze Pathway 7500/50% Standard - EPO
    • Anthem Bronze Pathway 9450 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
    • Anthem Bronze Pathway Essentials 4500 (3 $0 PCP Visits + $0 Virtual PCP + $0 Select Drugs) - HMO
    • Anthem Bronze Pathway Essentials 5500 ($0 Virtual PCP + $0 Virtual Chat + $0 Select Drugs) - HMO
    • Anthem Bronze Pathway Essentials 6500 HSA - HMO
    • Anthem Bronze Pathway Essentials 7500 Standard - HMO
    • Anthem Bronze Pathway Essentials 9450 ($0 Virtual PCP + $0 Virtual Chat + $0 Select Drugs) - HMO
  • Blue Cross Blue Shield

  • Medicare

  • Medicaid


*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
X05016OTHER (01)MABLUE CROSS BLUE SHIELD

PECOS Enrollment and Medicare Participation Status

Anthony Sciuto 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) and a Home Health Agency (HHA).

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: No

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 01830 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $94.07
  • Minimum New Patient Price $61.32
  • Maximum New Patient Price $185.12
  • Average New Patient Copayment $23.51
  • Minimum New Patient Copayment $15.33
  • Maximum New Patient Copayment $46.28

Established Patients Visit Costs *

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

  • Average Established Patient Price $76.6
  • Minimum Established Patient Price $19.31
  • Maximum Established Patient Price $151.47
  • Average Established Patient Copayment $19.15
  • Minimum Established Patient Copayment $4.82
  • Maximum Established Patient Copayment $37.86

* 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.

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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.
1720019615
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2740011862
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 0 + 1 + 1 + 8 + 6 + 2 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1720019615 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1619097318DR. JOSEPH ANTHONY CARDARELLI JR. D.M.D.
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)234 SUMMER ST
HAVERHILL, MA 01830
(978) 372-4172
1952570004JOSEPH A. CARDARELLI, JR., D.M.D., P.C.
Organization
Dentist (Orthodontics and Dentofacial Orthopedics)234 SUMMER ST
HAVERHILL, MA 01830
(978) 372-4172
1669727152SCIUTO AND FRANZ
Organization
Dentist (General Practice)234 SUMMER ST
HAVERHILL, MA 01830
(978) 372-2825
1831563220SUMMER STREET DENTAL, P.C.
Organization
Dentist234 SUMMER ST
HAVERHILL, MA 01830
(978) 372-2825

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720019615, enumerated in the NPI registry as an "individual" on July 06, 2006

The provider is located at 234 Summer St Haverhill, Ma 01830 and the phone number is (978) 372-2825

The provider's speciality is Dentist with taxonomy code 1223G0001X with a focus in General Practice

The provider might be accepting Accepts: Anthem Blue Cross and Blue Sheld, Anthem Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of July 02, 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) and a Home Health Agency (HHA).

Medicare beneficiaries should expect a typical cost of $94.07 with an average copayment of $23.51 for new patient appointments. Established patients should expect a typical charge of $76.6 and an average copayment of 19.15. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on July 06, 2006. 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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