DR. ALFRED A CAUDULLO D.O. NPI 1942276118
Emergency Medicine in Vernon, CT

About DR. ALFRED A CAUDULLO D.O.

Alfred Caudullo is a provider established in Vernon, Connecticut and his medical specialization is Emergency Medicine. The NPI number of Alfred Caudullo is 1942276118 and was assigned on February 2006. The practitioner's primary taxonomy code is 207P00000X with license number CT 000530 (CT). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1942276118
Provider NameDR. ALFRED A CAUDULLO D.O.
Location Address31 UNION ST VERNON, CT 06066
Location Phone(860) 872-5291
Mailing Address11 SHODDY MILL RD BOLTON, CT 06043
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date02-27-2006
Last Update Date07-09-2007

Alfred Caudullo is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices..

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 94.1, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207P00000X
ClassificationEmergency Medicine
TypeAllopathic & Osteopathic Physicians
License No.CT 000530
License StateCT
Taxonomy DescriptionAn 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.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

DR. ALFRED A CAUDULLO D.O.
31 UNION ST
VERNON, CT
ZIP 06066
Phone: (860) 872-5291

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Mailing Address

DR. ALFRED A CAUDULLO D.O.
11 SHODDY MILL RD
BOLTON, CT
ZIP 06043
Phone: (860) 645-0115


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 93
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% 66.4
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 94.1
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
E54409MEDICARE UPIN (02)

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1942276118
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2982471212
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 8 + 2 + 4 + 7 + 1 + 2 + 1 + 2 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1942276118 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1457326837DR. EDNA J. ARRIETA MD
Individual
Anesthesiology31 UNION ST
ROCKVILLE, CT 06066
(860) 649-1550
1558338079DR. LOUISE GIAMMONA CAUDULLO D.O.
Individual
Emergency Medicine31 UNION ST
VERNON, CT 06066
(860) 872-5291
1811964034MRS. KATHLEEN MARIE BANNON APRN
Individual
Nurse Practitioner (Women's Health)31 UNION ST
ROCKVILLE, CT 06066
(860) 872-5170
1427164086DR. SATYA AGARWAL M.D.
Individual
Emergency Medicine31 UNION ST
VERNON ROCKVILLE, CT 06066
(860) 872-5291
1871536227ROCKVILLE GENERAL HOSPITAL, INC
Organization
General Acute Care Hospital31 UNION ST
VERNON, CT 06066
(860) 646-1222
1053735977SOUTH SOUND INPATIENT PHYSICIANS, PLLC
Organization
Hospitalist31 UNION ST
VERNON, CT 06066
(860) 872-0501
1346363215EASTERN CONNECTICUT PATHOLOGY CONSULTANTS, P.C.
Organization
Pathology (Anatomic Pathology & Clinical Pathology)31 UNION ST
VERNON, CT 06066
(860) 872-5236
1770886400 SARAH ANN VON DUNTZ LCSW
Individual
Social Worker (Clinical)31 UNION ST
VERNON, CT 06066
(860) 533-3494
1811407133MS. DIANE MARIE BLACKWOOD LMSW LADC
Individual
Counselor (Addiction (Substance Use Disorder))31 UNION ST
VERNON ROCKVILLE, CT 06066
(860) 872-0501
1770099673 DAVID YOUMATZ LANDI PARAMEDIC
Individual
Emergency Medical Technician, Paramedic31 UNION ST
VERNON ROCKVILLE, CT 06066
(860) 871-5201
1780038620 SHWETA KUMAR M.D.
Individual
Internal Medicine31 UNION ST
VERNON, CT 06066
(860) 872-0501
1013483007 ROSE MARY ASHNER LCSW
Individual
Social Worker (Clinical)31 UNION ST
VERNON, CT 06066
(860) 872-0501
1699134445 AMER NABIL PMHNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)31 UNION ST
VERNON, CT 06066
(860) 872-0501
1518476647 SEQUILLA CARTER APRN
Individual
Nurse Practitioner (Psychiatric/Mental Health)31 UNION ST
VERNON, CT 06066
(860) 872-0501
1205283538PROSPECT ROCKVILLE HOSPITAL, INC.
Organization
General Acute Care Hospital31 UNION ST
VERNON, CT 06066
(860) 646-1222
1871187583 JUSTIN DAMON APRN
Individual
Nurse Practitioner (Psychiatric/Mental Health)31 UNION ST
VERNON, CT 06066
(860) 872-0501
1326401910 JENNIFER JILLIAN BANNING
Individual
Counselor (Professional)31 UNION ST
VERNON, CT 06066
(860) 872-0501
1134879539 BRENEE DENISE STANAVAGE MOT, OTR/L
Individual
Occupational Therapist31 UNION ST
VERNON, CT 06066
(860) 872-0501
1144962457 YASMIN LYNCH OTR/L, COTA/L
Individual
Occupational Therapist31 UNION ST
VERNON, CT 06066
(860) 872-0501
1528700804 DALTON ROMEO HALL LPCA
Individual
Counselor (Professional)31 UNION ST
VERNON, CT 06066
(860) 872-5254

Frequently Asked Questions

What is Dr. Alfred Caudullo D.O. NPI number?

The NPI number assigned to Dr. Alfred Caudullo D.O. is 1942276118, registered as an "individual" on February 27, 2006

Where is Dr. Alfred Caudullo D.O. located?

The provider is located at 31 Union St Vernon, Ct 06066 and the phone number is (860) 872-5291

Which is Dr. Alfred Caudullo D.O. specialty?

The provider's speciality is Emergency Medicine

What insurance does Dr. Alfred Caudullo D.O. accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Dr. Alfred Caudullo D.O. registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Dr. Alfred Caudullo D.O.?

Medicare beneficiaries should expect a typical cost of $97.18 with an average copayment of $24.29 for new patient appointments. Established patients should expect a typical charge of $112.09 and an average copayment of 28.02. Please review your insurance plan or contact the provider directly to determine your specific costs.

How do I update my NPI information?

The NPI record of Dr. Alfred Caudullo D.O. was last updated on February 27, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]