DR. ANTHONY D. CAFFARELLI M.D.
NPI 1851587356
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Missoula, MT

Q: What is Anthony Caffarelli's NPI number?

The NPI number for Anthony Caffarelli is 1851587356. It was assigned to this individual provider in the NPPES registry on September 18, 2007.

Q: What is Anthony Caffarelli's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Active since September 18, 2007PECOS EnrolledAccepts Medicare Assignment

84.41/100

CMS Quality Rating

500 W BROADWAY ST STE 320, MISSOULA, MT 59802(406) 329-5615(406) 329-5606 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 11, 2025, Aug 13, 2024, Jul 1, 2016 and 2 more (5 updates tracked since 2016).

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About Dr. Anthony D. Caffarelli M.d. NPPES

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

DR. ANTHONY D. CAFFARELLI M.D. (NPI 1851587356) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Missoula, Montana, licensed in Montana (MED-PHYS-LIC-132628) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with St Peters Health, and is a graduate of University Of California, Irvine, California College Of Medicine (2000).

NPPES Registry Identity

NPI1851587356

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameDR. ANTHONY D. CAFFARELLICredential: M.D.

Location Address500 W BROADWAY ST STE 320Missoula, MT 59802-4003

Mailing AddressPo Box 12Liberty Lake, WA 99019-0012 · (406) 329-5615 · Fax (406) 329-5606

Phone(406) 329-5615

Fax(406) 329-5606

Sole ProprietorNo

Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 2000

Enumeration DateSeptember 18, 2007

Last NPPES UpdateFebruary 11, 20255 updates tracked since enumeration

NPPES CertifiedFebruary 11, 2025

✔ NPI 1851587356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

Licenses✔ Licensed in MT · MED-PHYS-LIC-132628✔ Licensed in CA · A76011

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

500 W BROADWAY ST STE 320, Missoula, MT 59802

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Other Identifiers 2

Other1750339479CA · Group Npi

OtherA76011CA · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, Providence Health Plan.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

Dr. Anthony D. Caffarelli M.d. 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 ID7517099674

PECOS Enrollment IDI20240827002873

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 10

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 high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

107 services104 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

77 services77 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

39 services34 patients

Replacement of aortic valve through the skin and femoral artery 33361

This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.

28 services28 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

23 services23 patients

Repair of ascending aorta with graft on heart-lung machine with aortic root replacement and heart reconstruction 33863

This procedure involves replacing a damaged section of your ascending aorta, near the heart, with a graft. A heart-lung machine is used to maintain body functions while your heart is stopped. The aortic root may also be replaced, and the heart reconstructed, to ensure proper functioning.

18 services18 patients

Hospital Affiliations CMS Care Compare 5

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

St Peters Health

Acute Care Hospitals · Helena, MT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number270003

Location2475 BroadwayHelena, MT 59601 · Lewis And Clark County

Emergency services Birthing friendly

Benefis Hospitals Inc

Acute Care Hospitals · Great Falls, MT

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number270012

Location1101 26th St SGreat Falls, MT 59405 · Cascade County

Emergency services Birthing friendly

St. Patrick Hospital

Acute Care Hospitals · Missoula, MT

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number270014

Location500 W BroadwayMissoula, MT 59806 · Missoula County

Emergency services Birthing friendly

St James Healthcare

Acute Care Hospitals · Butte, MT

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number270017

Location400 S Clark StButte, MT 59701 · Silver Bow County

Emergency services Birthing friendly

Bozeman Health Deaconess Hospital

Acute Care Hospitals · Bozeman, MT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number270057

Location915 Highland Blvd Suite 3310Bozeman, MT 59715 · Gallatin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59802 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$172.26 typical visit price

range $56.81 – $172.26

Typical copayment $43.06 (range $14.20 – $43.06)

Most-billed visit code 99205

Established Patient

$70.82 typical visit price

range $18.24 – $140.32

Typical copayment $17.70 (range $4.56 – $35.08)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

84.41/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

90.67

Promoting Interoperability

100

Improvement Activities

Cost

57.36

Reported Quality Measures

Patient Centered Surgical Risk Assessment and Communication for Cardiac Surgery

Percentage of patients age 18 and older undergoing a non-emergency risk modeled cardiac surgery procedure that had personalized risk assessment using the STS risk calculator and discussed those risks with the surgeon.

92%162 patients4/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

100%224 patients5/55-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.

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.

MR. GEORGE BANDOW MD

Internal Medicine (Cardiovascular Disease)