JOHN E DECATO DPM
NPI 1912983677
Podiatrist in Ashtabula, OH

Active since December 15, 2005PECOS EnrolledAccepts Medicare Assignment
89.62/100
CMS Quality Rating
3903 LAKE AVE, ASHTABULA, OH 44004(440) 992-4477(440) 998-5452 Get Directions Write a Review

NPPES record last updated: April 1, 2016. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Apr 1, 2016, Mar 21, 2016 (2 updates tracked since 2016).

About John E Decato Dpm NPPES

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

JOHN E DECATO DPM (NPI 1912983677) is an individual podiatrist in Ashtabula, Ohio, licensed in Ohio (36002628) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Ashtabula County Medical Center, and is a graduate of University Of South Carolina School Of Medicine (1989).

NPPES Registry Identity

NPI1912983677
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameJOHN E DECATOCredential: DPM
Location Address3903 LAKE AVEAshtabula, OH 44004-5833
Mailing Address3903 Lake AveAshtabula, OH 44004-5833 · (440) 992-4477 · Fax (440) 998-5452
Fax(440) 998-5452
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 1989
Enumeration DateDecember 15, 2005
Last NPPES UpdateApril 1, 20162 updates tracked since enumeration
NPI 1912983677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in OH · 36002628
Definition
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.
3903 LAKE AVE, Ashtabula, OH 44004

Other Identifiers 3

Medicaid0844411OH
Medicare PIN480011306OH
Medicare PIN0695522OH

Accepted 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

John E Decato 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 ID2961578448
PECOS Enrollment IDI20080908000057
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 17

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
355 services95 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.
212 services99 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
91 services22 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.
85 services49 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
76 services46 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.
40 services38 patients

Hospital Affiliations CMS Care Compare

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

Ashtabula County Medical Center

Acute Care Hospitals · Ashtabula, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360125
Location2420 Lake AvenueAshtabula, OH 44004 · Ashtabula County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44004 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

89.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality76.79
Improvement Activities40

Reported Quality Measures

Documentation of Current Medications in the Medical Record
73%1,342 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
99%262 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
96%531 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
6%1,371 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 82% · 380 patients
Patients screened: 91% · 380 patients
44%59 patients2/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 273 patients
Patients totalRate: 0% · 273 patients
0%273 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 5

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

Podiatrist
3903 LAKE AVE
ASHTABULA, OH 44004
Podiatrist
3903 LAKE AVE
ASHTABULA, OH 44004
Podiatrist
3903 LAKE AVE
ASHTABULA, OH 44004
Podiatrist
3903 LAKE AVE
ASHTABULA, OH 44004
Podiatrist (Foot & Ankle Surgery)
3903 LAKE AVE
ASHTABULA, OH 44004

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 John Decato's NPI number?

The NPI number for John Decato is 1912983677. It was assigned to this individual provider in the NPPES registry on December 15, 2005.

Where is John Decato located?

John Decato practices at 3903 Lake Ave, Ashtabula, OH 44004. The listed phone number is (440) 992-4477.

What is John Decato's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is John Decato enrolled in Medicare?

Yes. John Decato 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 John Decato accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list John Decato 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 John Decato affiliated with any hospitals?

According to CMS data, John Decato is affiliated with Ashtabula County Medical Center.

When was this NPI record last updated?

The NPPES record for John Decato was last updated on April 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.