DR. ANTHONY PONTARELLI DPM NPI 1730148206
Podiatrist in Media, PA
About DR. ANTHONY PONTARELLI DPM
Anthony Pontarelli is a provider established in Media, Pennsylvania and his medical specialization is Podiatrist with more than 41 years of experience. He graduated from Temple University School Of Podiatric Medicine in 1982. The NPI number of Anthony Pontarelli is 1730148206 and was assigned on March 2006. The practitioner's primary taxonomy code is 213E00000X with license number SC002483L (PA). The provider is registered as an individual and his NPI record was last updated 16 years ago.
| NPI | 1730148206 |
| Provider Name | DR. ANTHONY PONTARELLI DPM |
| Location Address | 1098 W BALTIMORE PIKE STE 3305 MEDIA, PA 19063 |
| Location Phone | (610) 566-5236 |
| Mailing Address | 1098 W BALTIMORE PIKE STE 3305 MEDIA, PA 19063 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE |
| Graduation Year | 1982 |
| Is Sole Proprietor? | No |
| Enumeration Date | 03-22-2006 |
| Last Update Date | 07-08-2007 |
A podiatrist like Dr. Anthony Pontarelli Dpm provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.Anthony Pontarelli 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).
Anthony Pontarelli 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 .
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 45, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The following quality measures were reported for this provider: chronic care and preventative care management for empaneled patients and use of qcdr for feedback reports that incorporate population health.
The typical physician office visit costs for Medicare beneficiaries in this area are: $24.07 for a new patient copayment and $19.55 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 Code | 213E00000X |
| Classification | Podiatrist |
| Type | Podiatric Medicine & Surgery Service Providers |
| License No. | SC002483L |
| License State | PA |
| Taxonomy Description | A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
DR. ANTHONY PONTARELLI DPM
1098 W BALTIMORE PIKE
STE 3305
MEDIA, PA
ZIP 19063
Phone: (610) 566-5236
Fax: (610) 891-7135
Mailing Address
DR. ANTHONY PONTARELLI DPM
1098 W BALTIMORE PIKE
STE 3305
MEDIA, PA
ZIP 19063
Phone: (610) 566-5236
Fax: (610) 891-7135
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 ID | 4981709573 |
| PECOS Enrollment ID | I20070410000120 |
| 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 Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | No |
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 19063 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99203 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $62.8 | $189.43 | $96.31 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $15.7 | $47.35 | $24.07 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99213 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $19.68 | $154.62 | $78.22 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.92 | $38.65 | $19.55 |
* 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.
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
| MIPS Measure | Score Weight | Score | |
|---|---|---|---|
| Quality | 40% | N/A | |
|
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores. There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey. |
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| Promoting Interoperability (PI) | 25% | N/A | |
|
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores. The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. |
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| Improvement Activities | 15% | N/A | |
|
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. |
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| Cost | 20% | N/A | |
|
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services. Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. |
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| MIPS Final Score | - | 45 | |
| The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment. | |||
Quality Reporting
The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Chronic Care and Preventative Care Management for Empaneled Patients | Yes | N/A |
| Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation. | ||
| Use of QCDR for feedback reports that incorporate population health | Yes | N/A |
| Use of a QCDR to generate regular feedback reports that summarize local practice patterns and treatment outcomes, including for vulnerable populations. | ||
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.
- 1378Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
- 204Removal of 2 to 4 thickened skin growths (HCPCS:11056)
- 92Removal of tissue from wounds per session (HCPCS:97597)
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 |
|---|---|---|
| T30466 | MEDICARE UPIN (02) | |
| 0932513 | MEDICAID (05) | PA |
| VE647967 | MEDICARE ID-TYPE UNSPECIFIED (04) | PA |
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 | 7 | 3 | 0 | 1 | 4 | 8 | 2 | 0 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 6 | 0 | 2 | 4 | 16 | 2 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 6 + 0 + 2 + 4 + 1 + 6 + 2 + 0 + 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 = 6 | 6 | ||||||||
The NPI number 1730148206 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 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1548265374 | DR. ANTHONY ANTONELLO JR. M.D. Individual | Ophthalmology | 1098 W BALTIMORE PIKE SUITE 3302 MEDIA, PA 19063 (610) 565-6780 |
| 1326049594 | MRS. DAWN SCHRAMM ATC Individual | Specialist/Technologist (Athletic Trainer) | 1098 W BALTIMORE PIKE OUTPATIENT PHYSICAL THERAPY MEDIA, PA 19063 (610) 891-3030 |
| 1154391738 | DR. HASSAN C VAKIL M.D. Individual | Surgery | 1098 W BALTIMORE PIKE STE 3411 MEDIA, PA 19063 (610) 565-4338 |
| 1245207224 | MICHELE LEE BOORNAZIAN DO Individual | Internal Medicine | 1098 W BALTIMORE PIKE SUITE 3101 OUTPATIENT PAVILION MEDIA, PA 19063 (610) 891-9277 |
| 1699743377 | JOSEPH D HOPE DO Individual | Internal Medicine | 1098 W BALTIMORE PIKE SUITE 3101 OUTPATIENT PAVILION MEDIA, PA 19063 (610) 891-9277 |
| 1093784886 | ROSE TREE MEDICAL ASSOCIATES LLC Organization | Internal Medicine | 1098 W BALTIMORE PIKE SUITE 3101 OUTPATIENT PAVILION MEDIA, PA 19063 (610) 891-9277 |
| 1528027646 | ANDREW C BROWN DO Individual | Internal Medicine | 1098 W BALTIMORE PIKE SUITE 3402 MEDIA, PA 19063 (610) 565-3250 |
| 1487613311 | DEL-VAL FOOT & ANKLE P C Organization | Podiatrist | 1098 W BALTIMORE PIKE STE 3305 MEDIA, PA 19063 (610) 566-5236 |
| 1265492763 | RAJESH PATEL MD Individual | Internal Medicine | 1098 W BALTIMORE PIKE SUITE 3402 MEDIA, PA 19063 (610) 565-2350 |
| 1346298536 | RIDDLE EYE ASSOCIATES P C Organization | Ophthalmology | 1098 W BALTIMORE PIKE SUITE 3302 MEDIA, PA 19063 (610) 565-6780 |
| 1437109972 | DR. ROBERT NORMAN LINDHOLM MD Individual | Otolaryngology | 1098 W BALTIMORE PIKE STE 3307 MEDIA, PA 19063 (610) 892-0801 |
| 1003853359 | RIDDLE HEALTH CARE SERVICES Organization | Physical Medicine & Rehabilitation | 1098 W BALTIMORE PIKE MEDIA, PA 19063 (610) 891-3388 |
| 1376587543 | DR. ARMEN M SEVAG DO Individual | Internal Medicine | 1098 W BALTIMORE PIKE SUITE 3101 OUTPATIENT PAVILLION MEDIA, PA 19063 (610) 891-9277 |
| 1316970825 | DR. ANMAR A JAMALI M.D. Individual | Internal Medicine | 1098 W BALTIMORE PIKE SUITE 3311 MEDIA, PA 19063 (610) 565-7810 |
| 1043244320 | SEAN ANTHONY WRIGHT M.D., F.A.C.S. Individual | Plastic Surgery | 1098 W BALTIMORE PIKE SUITE 3306 MEDIA, PA 19063 (610) 565-2848 |
| 1215943568 | DR. TRINA L BRADBURD D. O. Individual | Family Medicine | 1098 W BALTIMORE PIKE SUITE 3311 MEDIA, PA 19063 (610) 565-7810 |
| 1326055666 | MRS. MICHELE LITTLE P.T Individual | Physical Therapist | 1098 W BALTIMORE PIKE PPO LOBBY LEVEL MEDIA, PA 19063 (610) 891-3030 |
| 1447267778 | MRS. CAROLE R LOVELACE P.T. Individual | Physical Therapist | 1098 W BALTIMORE PIKE OPP LOBBY LEVEL MEDIA, PA 19063 (610) 891-3030 |
| 1972514297 | RIDDLE HEALTHCARE ASSOCIATES Organization | Obstetrics & Gynecology | 1098 W BALTIMORE PIKE SUITE #3106 MEDIA, PA 19063 (610) 891-6240 |
| 1447261680 | MISS KATHERINE A SAPORETTI P.T. Individual | Physical Therapist | 1098 W BALTIMORE PIKE LOBBY LEVEL MEDIA, PA 19063 (610) 891-3030 |
Frequently Asked Questions
What is Dr. Anthony Pontarelli DPM NPI number?
The NPI number assigned to Dr. Anthony Pontarelli DPM is 1730148206, registered as an "individual" on March 22, 2006
Where is Dr. Anthony Pontarelli DPM located?
The provider is located at 1098 W Baltimore Pike Ste 3305 Media, Pa 19063 and the phone number is (610) 566-5236
Which is Dr. Anthony Pontarelli DPM specialty?
The provider's speciality is Podiatrist
How many years of experience does Dr. Anthony Pontarelli DPM have?
The provider has more than 41 years of experience. He graduated from Temple University School Of Podiatric Medicine in 1982.
What insurance does Dr. Anthony Pontarelli DPM accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.
Is Dr. Anthony Pontarelli DPM 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) and a Home Health Agency (HHA).
How much is a visit to Dr. Anthony Pontarelli DPM?
Medicare beneficiaries should expect a typical cost of $96.31 with an average copayment of $24.07 for new patient appointments. Established patients should expect a typical charge of $78.22 and an average copayment of 19.55. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Dr. Anthony Pontarelli DPM?
The most common procedures or services performed by this practitioner are: Removal of tissue from 6 or more finger or toe nails, Removal of 2 to 4 thickened skin growths and Removal of tissue from wounds per session.
How do I update my NPI information?
The NPI record of Dr. Anthony Pontarelli DPM was last updated on March 22, 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]