THOMAS ANTHONY PIETROCARLO D.P.M. NPI 1952393738
Podiatrist - Foot & Ankle Surgery in Waukesha, WI

About THOMAS ANTHONY PIETROCARLO D.P.M.

Thomas Pietrocarlo is a provider established in Waukesha, Wisconsin and his medical specialization is Podiatrist with a focus in foot & ankle surgery . The NPI number of Thomas Pietrocarlo is 1952393738 and was assigned on August 2005. The practitioner's primary taxonomy code is 213ES0103X with license number 408 (WI). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1952393738
Provider Name THOMAS ANTHONY PIETROCARLO D.P.M.
Location Address2430C N GRANDVIEW BLVD WAUKESHA, WI 53188
Location Phone(262) 542-3779
Mailing Address2430C N GRANDVIEW BLVD WAUKESHA, WI 53188
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date08-18-2005
Last Update Date03-21-2008

Thomas Pietrocarlo 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) and a Home Health Agency (HHA)..



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 Code213ES0103X
ClassificationPodiatrist
TypePodiatric Medicine & Surgery Service Providers
SpecializationFoot & Ankle Surgery
License No.408
License StateWI

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

THOMAS ANTHONY PIETROCARLO D.P.M.
2430C N GRANDVIEW BLVD
WAUKESHA, WI
ZIP 53188
Phone: (262) 542-3779
Fax: (262) 542-3954

Get Directions


Mailing Address

THOMAS ANTHONY PIETROCARLO D.P.M.
2430C N GRANDVIEW BLVD
WAUKESHA, WI
ZIP 53188
Phone: (262) 542-3779
Fax: (262) 542-3954


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 DevicesNo

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 908Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • 230Removal of 2 to 4 thickened skin growths (HCPCS:11056)
  • 168X-ray of foot, minimum of 3 views (HCPCS:73630)
  • 56Removal of single thickened skin growth (HCPCS:11055)
  • 35Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
  • 30Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)
  • 16Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)

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
43210100MEDICAID (05)WI
T63005MEDICARE UPIN (02)WI
0220260001MEDICARE NSC (07)WI
85922MEDICARE PIN (08)WI
CE9921MEDICARE PIN (08)WI

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.
1952393738
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2910269676
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 0 + 2 + 6 + 9 + 6 + 7 + 6 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1952393738 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

What is Thomas Pietrocarlo D.P.M. NPI number?

The NPI number assigned to Thomas Pietrocarlo D.P.M. is 1952393738, registered as an "individual" on August 18, 2005

Where is Thomas Pietrocarlo D.P.M. located?

The provider is located at 2430c N Grandview Blvd Waukesha, Wi 53188 and the phone number is (262) 542-3779

Which is Thomas Pietrocarlo D.P.M. specialty?

The provider's speciality is Podiatrist with a focus in Foot & Ankle Surgery

What insurance does Thomas Pietrocarlo D.P.M. 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 Thomas Pietrocarlo D.P.M. 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) and a Home Health Agency (HHA).

What are some of the services provided by Thomas Pietrocarlo D.P.M.?

The most common procedures or services performed by this practitioner are: Removal of tissue from 6 or more finger or toe nails, Removal of 2 to 4 thickened skin growths, X-ray of foot, minimum of 3 views, Removal of single thickened skin growth, Removal of skin and tissue first 20 sq cm or less, Injections of tendon sheath, ligament, or muscle membrane and Injection, triamcinolone acetonide, not otherwise specified, 10 mg.

How do I update my NPI information?

The NPI record of Thomas Pietrocarlo D.P.M. was last updated on August 18, 2005. 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]