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DR. THOMAS A SCALETTA M.D.
NPI 1861564957
Emergency Medicine in Naperville, IL

Active since November 14, 2006PECOS EnrolledAccepts Medicare Assignment
91.35/100
CMS Quality Rating
801 S WASHINGTON ST, NAPERVILLE, IL 60540(630) 527-5025(630) 527-5018 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Thomas A Scaletta M.d. NPPES

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

DR. THOMAS A SCALETTA M.D. (NPI 1861564957) is an individual emergency medicine provider in Naperville, Illinois, licensed in Illinois (036-079122) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Edward Hospital, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1861564957
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. THOMAS A SCALETTACredential: M.D.
Location Address801 S WASHINGTON STNaperville, IL 60540-7430
Mailing Address2650 Ridge Ave., 1223Evanston, IL 60201-1718 · (847) 570-2040
Phone(630) 527-5025
Fax(630) 527-5018
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateNovember 14, 2006
Last NPPES UpdateDecember 8, 2025
NPPES CertifiedDecember 8, 2025
✔ NPI 1861564957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IL · 036-079122
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
801 S WASHINGTON ST, Naperville, IL 60540
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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. Thomas A Scaletta 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 ID3274429832
PECOS Enrollment IDI20040401001218
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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
183 services171 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
183 services181 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
154 services152 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
65 services65 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
12 services12 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Edward Hospital

Acute Care Hospitals · Naperville, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140231
Location801 South WashingtonNaperville, IL 60540 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60540 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
Most-billed visit code 99214
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.

91.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.71
Promoting Interoperability100
Improvement Activities40

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.

DR. HAFEZ M. SAMI M.D.
Pain Medicine (Interventional Pain Medicine)
801 S WASHINGTON ST
NAPERVILLE, IL 60540
Dupage County (630) 348-3300
MICHAEL J. HARTMANN MD
Emergency Medicine
801 S WASHINGTON ST
NAPERVILLE, IL 60540
Dupage County (630) 527-3000
SEEMA ISHAQ JEELANI D.O.
Emergency Medicine
801 S WASHINGTON ST
NAPERVILLE, IL 60540
Dupage County (630) 527-3000
CORTNEY COLE MD
Family Medicine (Hospice and Palliative Medicine)
801 S WASHINGTON ST
NAPERVILLE, IL 60540
Dupage County (630) 527-3000
EDWARD HOSPITAL
General Acute Care Hospital
801 S WASHINGTON ST
NAPERVILLE, IL 60540
Dupage County (630) 655-0450
DR. HODA A. EL- ASMAR MD
Internal Medicine (Infectious Disease)
801 S WASHINGTON ST, EDWARD HOSPITAL, ADMINISTRATION, VPMA OFFICE
NAPERVILLE, IL 60540
Dupage County (630) 527-5647
AMAAR MASOOD MALIK DO
Radiology (Diagnostic Radiology)
801 S WASHINGTON ST
NAPERVILLE, IL 60540
Dupage County (630) 527-3200
DR. SANGITA RANGALA M.D.
Emergency Medicine
801 S WASHINGTON ST
NAPERVILLE, IL 60540
Dupage County (630) 527-3288

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 Thomas Scaletta's NPI number?

The NPI number for Thomas Scaletta is 1861564957. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Thomas Scaletta located?

Thomas Scaletta practices at 801 S Washington St, Naperville, IL 60540. The listed phone number is (630) 527-5025.

What is Thomas Scaletta's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Thomas Scaletta enrolled in Medicare?

Yes. Thomas Scaletta 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.

Is Thomas Scaletta affiliated with any hospitals?

According to CMS data, Thomas Scaletta is affiliated with Edward Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Scaletta was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.