Active NPI 1205987252 Individual Practitioner Male Practitioner

Peter Caccavallo

Internal Medicine • Fishers, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Peter Caccavallo is a certified Internal Medicine practicing in Fishers, IN. With approximately 27 years of clinical experience since graduating from Indiana University School Of Medicine in 1999, Peter Caccavallo delivers high-quality medical care to the local community at 13000 E 136TH ST.

Peter Caccavallo is affiliated with Indianapolis Perioperative Medicine, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include routine ekg using at least 12 leads including interpretation and report, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

13000 E 136th St
Suite 1100

Fishers, IN 460379478

Telephone 3176783585

Fax 3178635084

Associated Practice Facility / Clinic

🏢 Indianapolis Perioperative Medicine, Llc Facility NPI 1720285976

Medicare Profile & Education

Medical School

Indiana University School Of Medicine

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Fishers, IN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +4.0 yrs vs City Avg

City Avg: 23.0 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

29 Specialists

Practicing in Fishers, IN (2204 Statewide)

Telehealth Adoption Rate

27.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

44.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Caccavallo (27 Years) 27 Yrs

Fishers Specialty Average (23.0 Years) 23.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93000 Routine ekg using at least 12 leads including interpretation and report	76	75	$50.00	$13.11
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	61	45	$260.00	$133.24
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	57	57	$370.00	$203.61
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	36	14	$185.00	$109.61
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	22	$260.00	$167.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93000 Routine ekg using at least 12 leads including interpretation and report	111	105	$50.00	$12.88
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	82	82	$370.00	$197.78
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	40	35	$262.75	$157.91
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	11	$185.00	$107.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93000 Routine ekg using at least 12 leads including interpretation and report	177	171	$50.00	$13.08
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	145	145	$370.00	$204.45
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	133	56	$185.00	$93.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	116	90	$260.00	$136.48
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	49	46	$260.00	$161.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93000 Routine ekg using at least 12 leads including interpretation and report	67	66	$50.00	$13.79
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	50	50	$370.00	$209.43
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	44	22	$185.00	$97.81
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	19	$260.00	$139.73
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	16	$260.00	$171.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	627	226	$185.00	$99.36
93000 Routine ekg using at least 12 leads including interpretation and report	357	319	$50.00	$15.87
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	261	261	$370.54	$195.28
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	132	80	$259.43	$104.12
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	119	108	$262.77	$138.12
83036 Hemoglobin A1C level	84	83	$30.00	$9.55
36415 Insertion of needle into vein for collection of blood sample	66	66	$15.00	$2.94
80047 Blood test, basic group of blood chemicals (calcium, ionized)	66	66	$30.00	$13.46
85014 Red blood cell concentration measurement	66	66	$20.00	$2.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,020	311	$185.07	$99.35
93000 Routine ekg using at least 12 leads including interpretation and report	407	369	$50.00	$15.90
80047 Blood test, basic group of blood chemicals (calcium, ionized)	390	355	$30.00	$13.41
85014 Red blood cell concentration measurement	390	355	$20.00	$2.57
36415 Insertion of needle into vein for collection of blood sample	389	354	$15.00	$2.93
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	300	300	$370.00	$194.77
83036 Hemoglobin A1C level	282	277	$30.00	$10.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	153	83	$260.00	$106.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	132	123	$261.67	$137.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	29	$361.00	$193.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	931	375	$185.00	$98.49
93000 Routine ekg using at least 12 leads including interpretation and report	394	361	$50.00	$15.68
36415 Insertion of needle into vein for collection of blood sample	392	358	$15.00	$2.93
80047 Blood test, basic group of blood chemicals (calcium, ionized)	392	358	$30.00	$13.40
85014 Red blood cell concentration measurement	392	358	$20.00	$2.86
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	298	298	$370.00	$192.35
83036 Hemoglobin A1C level	291	280	$30.00	$11.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	125	117	$260.00	$136.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	25	$361.00	$192.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,068	392	$185.52	$93.01
93000 Routine ekg using at least 12 leads including interpretation and report	425	392	$50.00	$14.77
36415 Insertion of needle into vein for collection of blood sample	407	375	$15.00	$2.94
80047 Blood test, basic group of blood chemicals (calcium, ionized)	407	375	$30.00	$8.58
85014 Red blood cell concentration measurement	407	375	$20.00	$3.18
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	343	343	$370.00	$177.76
83036 Hemoglobin A1C level	309	301	$30.00	$13.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	127	117	$258.07	$126.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	42	34	$361.00	$180.30

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IN 1053181A

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

200316800 (IN)

Commercial Insurance / Payer ID Tax Id

51-0456750 (IN)

Commercial Insurance / Payer ID Anthem Id Number

000000287592 (IN)

Commercial Insurance / Payer ID Railroad Medicare

P00013960 (IN)

Hospital & Practice Group Affiliations

Indianapolis Perioperative Medicine, Llc

13000 E 136th St, Fishers, IN 460379478

Phone: 3176783133

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Elizabeth Kent

Nurse Practitioner - Family

NPI 1174240592

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 14, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 14, 2014

Registered at 13000 E 136TH ST, SUITE 1100, FISHERS, IN 460379478 (Tel: 3176783585)

📍

Updated Business Mailing Address July 14, 2014

Registered at 13000 E 136TH ST, SUITE 1100, FISHERS, IN 460379478 (Tel: 3176783585)

👤

Provider Name / Credentials Updated July 14, 2014

Recorded as PETER CACCAVALLO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2014

Internal Medicine (License #1053181A in IN)

🟢

Initial NPI Registration & Enumeration January 16, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205987252

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 16, 2007

Last Update: July 14, 2014

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

13000 E 136th St, Suite 1100

Fishers, IN 460379478

Phone: 3176783585

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.