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ANTHONY M CARISTO DPM
NPI 1801898143
Podiatrist - Foot & Ankle Surgery in Newark, DE

Active since June 01, 2005PECOS EnrolledAccepts Medicare Assignment
774 CHRISTIANA RD, STE 105, NEWARK, DE 19713(302) 623-4250(302) 623-4252 Get Directions Write a Review

NPPES record last updated: March 20, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anthony M Caristo Dpm NPPES

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

ANTHONY M CARISTO DPM (NPI 1801898143) is an individual foot & ankle surgery provider in Newark, Delaware, licensed in Delaware (E10000137) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (1998).

NPPES Registry Identity

NPI1801898143
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameANTHONY M CARISTOCredential: DPM
Location Address774 CHRISTIANA RD, STE 105Newark, DE 19713-2067
Mailing Address774 Christiana Rd, Ste 105Newark, DE 19713-2067 · (302) 623-4250 · Fax (302) 623-4252
Phone(302) 623-4250
Fax(302) 623-4252
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1998
Enumeration DateJune 1, 2005
Last NPPES UpdateMarch 20, 2008
✔ NPI 1801898143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in DE · E10000137
774 CHRISTIANA RD, Newark, DE 19713
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Other Identifiers 12

Other2700489United Healthcare
Other0662838000Amerihealth/keystone/pc
Other4211789Cigna
Medicare ID-Type UnspecifiedP00296735Railroad Medicare
Medicare UPINU81205
Other7618370Aetna
OtherU81205DE · Bcbs
Other226197Unison
Other283401Mamsi/optimum Choice
Other105037Coventry
Medicare ID-Type Unspecified005611A86
Medicaid0001019117DE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anthony M Caristo Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719046945
PECOS Enrollment IDI20100112000508
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 11

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.
428 services197 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.
221 services122 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
214 services58 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
175 services100 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.
60 services60 patients
Aspiration and/or injection of fluid from small joint 20600
This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
43 services32 patients

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%191 patients4/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who had a neurological examination of their lower extremities within 12 months
97%216 patients4/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear
Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who were evaluated for proper footwear and sizing
97%216 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,246 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
86%117 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%659 patients4/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
6%1,175 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
39%430 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
87%566 patients4/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
99%320 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
95%430 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier38 claims76 services$59.73 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
1 supplier37 claims222 services$24.34 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier13 claims13 services$236.03 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 20

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

JONATHAN M RASER-SCHRAMM MD
Psychiatry & Neurology (Vascular Neurology)
774 CHRISTIANA RD, SUITE 201
NEWARK, DE 19713
New Castle County (302) 731-3017
MR. KYO A KIM M.D.
Specialist
774 CHRISTIANA RD, SUITE 101
NEWARK, DE 19713
New Castle County (302) 623-4004
NEUROLOGY ASSOCIATES, PA
Radiology (Diagnostic Radiology)
774 CHRISTIANA RD, SUITE 1
NEWARK, DE 19713
New Castle County (302) 731-3017
JOANNE GREENE AUD
Audiologist
774 CHRISTIANA RD, NEUROSCIENCE BLDG SUITE B4
NEWARK, DE 19713
New Castle County (302) 266-2449
PAUL T BOULOS MD
Neurological Surgery
774 CHRISTIANA RD, STE 202
NEWARK, DE 19713
New Castle County (302) 366-7671
NIKOLAY MINDADZE, MD,LLC
Surgery
774 CHRISTIANA RD
NEWARK, DE 19713
New Castle County (302) 366-7671
ENRICA ARNAUDO MD
Psychiatry & Neurology (Neurology)
774 CHRISTIANA RD, SUITE 201
NEWARK, DE 19713
New Castle County (302) 731-3017
ADVANCED EARS NOSE AND THROAT LLC
Otolaryngology
774 CHRISTIANA RD, SUITE 107
NEWARK, DE 19713
New Castle County (302) 709-0860

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 Caristo's NPI number?

The NPI number for Anthony Caristo is 1801898143. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Anthony Caristo located?

Anthony Caristo practices at 774 Christiana Rd Ste 105, Newark, DE 19713. The listed phone number is (302) 623-4250.

What is Anthony Caristo's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Anthony Caristo enrolled in Medicare?

Yes. Anthony Caristo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Anthony Caristo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Anthony Caristo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Anthony Caristo was last updated on March 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.