FRANK AMMATURO M.D. NPI 1720055296
Internal Medicine - Cardiovascular Disease in Langhorne, PA

About FRANK AMMATURO M.D.

Frank Ammaturo is an internist established in Langhorne, Pennsylvania and his medical specialization is Internal Medicine with a focus in cardiovascular disease with more than 26 years of experience. He graduated from Temple University School Of Medicine in 1997. The NPI number of Frank Ammaturo is 1720055296 and was assigned on March 2006. The practitioner's primary taxonomy code is 207RC0000X with license number MD070113L (PA). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1720055296
Provider Name FRANK AMMATURO M.D.
Location Address1203 LANGHORNE NEWTOWN RD STE 320 LANGHORNE, PA 19047
Location Phone(215) 750-7818
Mailing Address41 UNIVERSITY DR SUITE 300 NEWTOWN, PA 18940
GenderMale
NPI Entity TypeIndividual
Medical School NameTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year1997
Is Sole Proprietor?No
Enumeration Date03-03-2006
Last Update Date05-19-2021

An internist like Frank Ammaturo M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Frank Ammaturo 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.

Frank Ammaturo is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with St Mary Medical Center, Rothman Orthopaedic Specialty Hospital and Jefferson Health- Northeast.

The typical physician office visit costs for Medicare beneficiaries in this area are: $35.88 for a new patient copayment and $27.71 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207RC0000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationCardiovascular Disease
License No.MD070113L
License StatePA
Taxonomy DescriptionAn internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Aetna
  • Blue Cross Blue Shield
  • Cigna
  • Medicaid
  • Medicare
  • Railroad Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

FRANK AMMATURO M.D.
1203 LANGHORNE NEWTOWN RD STE 320
LANGHORNE, PA
ZIP 19047
Phone: (215) 750-7818
Fax: (215) 752-0436

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Mailing Address

FRANK AMMATURO M.D.
41 UNIVERSITY DR
SUITE 300
NEWTOWN, PA
ZIP 18940
Phone: (215) 710-7037
Fax: (215) 710-5181


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID7517951965
PECOS Enrollment IDI20040409000362
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 order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 19047 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$62.8 $189.43 $143.54
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$15.7 $47.35 $35.88
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$19.68 $154.62 $110.85
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.92 $38.65 $27.71

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 438Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 167Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
  • 156Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician interpretation and report (HCPCS:93018)
  • 142Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)
  • 64Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report (HCPCS:93280)
  • 35Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Frank Ammaturo is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
ST MARY MEDICAL CENTERLANGHORNE-NEWTOWN RD
LANGHORNE, PA 19047
(215) 750-2003Acute Care Hospitals390258
ROTHMAN ORTHOPAEDIC SPECIALTY HOSPITAL3300 TILLMAN DRIVE
BENSALEM, PA 19020
(215) 244-7400Acute Care Hospitals390322
JEFFERSON HEALTH- NORTHEAST10800 KNIGHTS ROAD
PHILADELPHIA, PA 19114
(215) 612-4000Acute Care Hospitals390115

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
30120524OTHER (01)PAKEYSTONE FIRST
1535791OTHER (01)PAPENNSYLVANIA BLUE SHIELD
P01123858OTHER (01)PARAILROAD MEDICARE
7850434OTHER (01)PAAETNA
0702774OTHER (01)PACIGNA PA
1008513740005MEDICAID (05)PA
2220636000OTHER (01)PAKEYSTONE

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.
1720055296
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27400510218
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 0 + 5 + 1 + 0 + 2 + 1 + 8 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1720055296 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013085190 VINCENT MICHAEL FIGUEREDO M.D.
Individual
Internal Medicine (Cardiovascular Disease)1203 LANGHORNE NEWTOWN RD STE 320
LANGHORNE, PA 19047
(215) 750-7818
1376777169 ROI ALTIT M.D.
Individual
Internal Medicine (Interventional Cardiology)1203 LANGHORNE NEWTOWN RD STE 320
LANGHORNE, PA 19047
(215) 750-7818
1700176989DR. NISHA GANDHI M.D.
Individual
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)1203 LANGHORNE NEWTOWN RD STE 320
LANGHORNE, PA 19047
(215) 750-7818
1124391057 RENA A HAMAZASPYAN CRNP
Individual
Nurse Practitioner (Adult Health)1203 LANGHORNE NEWTOWN RD STE 320
LANGHORNE, PA 19047
(215) 750-7818
1801228762 TONI ANNE ALVAREZ DE VENECIA M.D.
Individual
Internal Medicine (Cardiovascular Disease)1203 LANGHORNE NEWTOWN RD STE 320
LANGHORNE, PA 19047
(215) 750-7818
1902165780COMPREHENSIVE CARDIOLOGY CONSULTANTS,LPS
Organization
Internal Medicine (Cardiovascular Disease)1203 LANGHORNE NEWTOWN RD STE 320
LANGHORNE, PA 19047
(215) 750-7818

Frequently Asked Questions

What is Frank Ammaturo M.D. NPI number?

The NPI number assigned to Frank Ammaturo M.D. is 1720055296, registered as an "individual" on March 03, 2006

Where is Frank Ammaturo M.D. located?

The provider is located at 1203 Langhorne Newtown Rd Ste 320 Langhorne, Pa 19047 and the phone number is (215) 750-7818

Which is Frank Ammaturo M.D. specialty?

The provider's speciality is Internal Medicine with a focus in Cardiovascular Disease

How many years of experience does Frank Ammaturo M.D. have?

The provider has more than 26 years of experience. He graduated from Temple University School Of Medicine in 1997.

What insurance does Frank Ammaturo M.D. accept?

The provider might be accepting Aetna, Blue Cross Blue Shield, Cigna, Medicaid, Medicare and Railroad Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Frank Ammaturo M.D. registered in PECOS?

Yes, as of January 10, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary 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.

How much is a visit to Frank Ammaturo M.D.?

Medicare beneficiaries should expect a typical cost of $143.54 with an average copayment of $35.88 for new patient appointments. Established patients should expect a typical charge of $110.85 and an average copayment of 27.71. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Frank Ammaturo M.D.?

The most common procedures or services performed by this practitioner are: Routine EKG using at least 12 leads including interpretation and report, Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function, Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician interpretation and report, Nuclear medicine study of vessels of heart using drugs or exercise multiple studies, Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report and Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report.

Is Frank Ammaturo M.D. affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: ST MARY MEDICAL CENTER, ROTHMAN ORTHOPAEDIC SPECIALTY HOSPITAL and JEFFERSON HEALTH- NORTHEAST. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

The NPI record of Frank Ammaturo M.D. was last updated on March 03, 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]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]