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WILLIAM THOMAS DECARBO DPM
NPI 1851416606
Podiatrist - Foot & Ankle Surgery in Belle Vernon, PA

Active since March 20, 2007PECOS EnrolledAccepts Medicare Assignment
800 PLAZA DR, SUITE 240, BELLE VERNON, PA 15012(724) 379-5816(724) 379-5874 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 30, 2021, Mar 31, 2020 (2 updates tracked since 2020).

About William Thomas Decarbo Dpm NPPES

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

WILLIAM THOMAS DECARBO DPM (NPI 1851416606) is an individual foot & ankle surgery provider in Belle Vernon, Pennsylvania, licensed in Pennsylvania (SC006180) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Ahn Wexford Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1851416606
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameWILLIAM THOMAS DECARBOCredential: DPM
Location Address800 PLAZA DR, SUITE 240Belle Vernon, PA 15012-4019
Mailing Address1000 Bower Hill Road, Attn Pamalyn Affiliate BillingPittsburgh, PA 15243-1873 · (412) 942-2548
Phone(724) 379-5816
Fax(724) 379-5874
Sole ProprietorNo
Medical School CMSKent State University College Of Podiatric MedicineGraduated 2004
Enumeration DateMarch 20, 2007
Last NPPES UpdateMarch 30, 20212 updates tracked since enumeration
NPPES CertifiedDecember 4, 2020
✔ NPI 1851416606 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
Licenses✔ Licensed in PA · SC006180✔ Licensed in OH · 36003450
800 PLAZA DR, Belle Vernon, PA 15012
Open in Google Maps ↗

Secondary Practice Locations 3

Location 13928 Washington Rd Ste 270Mc Murray, PA 15317-2593 · Phone (412) 942-7262
Location 21050 Bower Hill Rd Ste 105Pittsburgh, PA 15243-1866 · Phone (412) 942-7262
Location 31050 Bower Hill Rd Ste 3Pittsburgh, PA 15243-1800 · Phone (412) 942-7262 · Fax (412) 942-7397

Other Identifiers 2

Medicaid1025374200001PA
Medicaid2731299OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

William Thomas Decarbo 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 ID6204931058
PECOS Enrollment IDI20110217000410
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 6

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.

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.
222 services89 patients
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.
111 services60 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
67 services67 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.
37 services25 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
37 services17 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
27 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ahn Wexford Hospital

Acute Care Hospitals · Wexford, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390334
Location12351 Perry HighwayWexford, PA 15090 · Allegheny County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims

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

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
3 suppliers14 claims14 services$239.02 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.

LYNDA NESTER R.N.
Registered Nurse (Administrator)
800 PLAZA DR, SUITE 270
BELLE VERNON, PA 15012
Fayette County (724) 344-1226
MARY BETH FLAUGH PT
Physical Therapist
800 PLAZA DR, WILLOWPOINT PLAZA SUITE 110
BELLE VERNON, PA 15012
Fayette County (724) 379-7130
MS. JULIA CONSTANTINE PA-C
Physician Assistant
800 PLAZA DR, SUITE 240
BELLE VERNON, PA 15012
Fayette County (724) 379-5816
DR. RICHARD JOSEPH MITCHELL MD
Orthopaedic Surgery (Sports Medicine)
800 PLAZA DR, SUITE 240
BELLE VERNON, PA 15012
Fayette County (724) 379-5860
MONVALE ORTHOPEDICS, INC.
Orthopaedic Surgery
800 PLAZA DR, STE 400
BELLE VERNON, PA 15012
Fayette County (724) 379-5802
EMILY DELEO
Physical Therapist
800 PLAZA DR, STE 240
BELLE VERNON, PA 15012
Fayette County (724) 379-5816
SEAN MORGAN PA-C
Physician Assistant (Medical)
800 PLAZA DR, SUITE 140
BELLE VERNON, PA 15012
Fayette County (724) 379-5802
DAWN R MCCRACKEN M.D.
Pediatrics
800 PLAZA DR, SUITE 280
BELLE VERNON, PA 15012
Fayette County (724) 379-6337

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 William Decarbo's NPI number?

The NPI number for William Decarbo is 1851416606. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is William Decarbo located?

William Decarbo practices at 800 Plaza Dr Suite 240, Belle Vernon, PA 15012. The listed phone number is (724) 379-5816.

What is William Decarbo's specialty?

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

Is William Decarbo enrolled in Medicare?

Yes. William Decarbo 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 William Decarbo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list William Decarbo 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.

Is William Decarbo affiliated with any hospitals?

According to CMS data, William Decarbo is affiliated with Ahn Wexford Hospital.

When was this NPI record last updated?

The NPPES record for William Decarbo was last updated on March 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.