Individual provider Active NPI

Donald E Pelto, DPM

  • Podiatrist
  • Worcester, MA
National Provider Identifier
1164756631
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2343 Issued in MA
Practice address
299 Lincoln St
Suite 202
Worcester, MA 01605-3646
Phone
(508) 757-4003
Fax
(508) 755-7592
NPI assigned
Sep 30, 2009
Last updated
Jun 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 2343 MA Primary

Addresses

Primary practice location

299 Lincoln St
Suite 202
Worcester, MA 01605-3646

Mailing address

299 Lincoln St Ste 202
Worcester, MA 01605-3646
Phone (508) 757-4003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091209000094 MA Practitioner - Podiatry 9931248648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Massachusetts Podiatry PCGroup PAC ID 3476582651, 4 clinicians

Practice addresses (Care Compare)

299 Lincoln St
Suite 202
Worcester, MA 01605-3646
Phone (508) 757-4003

Merit-based Incentive Payment System (MIPS)

Final score
83.44 of 100Reported as individual
Quality
69.9
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue33
Removal of skin lesions50
Removal of nail tissue1021
Removal or shaving of skin growth334
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2343MAMDOccupational Therapy Assistant

Interoperability endpoints

  • Direct secure messaging: donald.pelto.1@10827.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1164756631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 LINCOLN ST STE 202",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053646",
            "telephone_number": "508-757-4003",
            "fax_number": "508-755-7592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 LINCOLN ST",
            "address_2": "SUITE 202",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053646",
            "telephone_number": "508-757-4003",
            "fax_number": "508-755-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELTO",
        "first_name": "DONALD",
        "middle_name": "E",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-30",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "2343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.