Active NPI 1003128067 Individual Practitioner Male Practitioner

Dr. Thomas Scalfarotto , DO

Surgery • Gardner, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Scalfarotto, DO is a certified Surgery practicing in Gardner, MA. With approximately 16 years of clinical experience since completing medical education in 2010, Dr. Scalfarotto delivers high-quality medical care to the local community at 250 GREEN ST STE 208.

Dr. Scalfarotto is affiliated with Emerson Practice Associates, Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, repair of groin hernia (5 years or older). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

250 Green St Ste 208

Gardner, MA 014401377

Telephone 9786306130

Associated Practice Facility / Clinic

🏢 Tnt Professional Services, Llc Facility NPI 1467378315

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Gardner, MA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs -6.3 yrs vs City Avg

City Avg: 22.3 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

5 Specialists

Practicing in Gardner, MA (1077 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Scalfarotto (16 Years) 16 Yrs

Gardner Specialty Average (22.3 Years) 22.3 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	44	$122.81	$98.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$165.56	$134.20
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$226.30	$182.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	14	$180.60	$145.73
49505 Repair of groin hernia (5 years or older)	14	14	$1847.50	$585.91
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$674.00	$174.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$173.30	$135.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	22	$107.00	$99.41
99213 Established patient office or other outpatient visit, typically 15 minutes	22	15	$78.95	$67.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$88.78	$84.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$375.00	$132.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	12	12	$203.50	$80.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$571.45	$176.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	21	$191.00	$65.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$87.00	$86.62
99213 Established patient office or other outpatient visit, typically 15 minutes	27	26	$97.59	$69.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$356.00	$139.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$566.00	$204.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	21	$191.00	$74.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$148.23	$142.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	24	$356.00	$141.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	19	$97.64	$95.25
99213 Established patient office or other outpatient visit, typically 15 minutes	20	17	$78.25	$67.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$87.00	$87.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$148.00	$137.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	23	$90.00	$83.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$159.54	$135.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	15	$191.00	$73.34
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	23	$350.00	$137.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$87.00	$79.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$90.00	$82.41
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$256.00	$106.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$415.52	$165.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	21	$316.56	$104.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$196.00	$134.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$350.00	$141.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$500.67	$168.77
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	17	$106.00	$40.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	21	$350.00	$139.71
99213 Established patient office or other outpatient visit, typically 15 minutes	18	16	$216.00	$75.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	15	$326.00	$110.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$324.00	$111.31
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$629.33	$201.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$566.00	$207.03

Medical Specialties & State Licenses

CMS Verified: 2020-01-24

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MA 267570

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Emerson Practice Associates, Inc

310 Baker Ave, Concord, MA 017422140

Emerson Practice Associates, Inc

133 Old Rd To Nine Acre Corner, Concord, MA 017424159

Emerson Practice Associates, Inc

133 Old Rd To 9 Acre Cor, Concord, MA 017424159

Phone: 9782873020

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location January 24, 2020

Registered at 250 GREEN ST STE 208, GARDNER, MA 014401377 (Tel: 9786306130)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2020

Surgery (License #267570 in MA)

✅

NPI Profile Active July 07, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location July 07, 2010

Registered at 1 MEDICAL CENTER DRIVE, UMDNJ-SOM, STRATFORD, NJ 08084 (Tel: 7073191562)

📍

Updated Business Mailing Address July 07, 2010

Registered at 98 OAK ST, APT. 610, LINDENWOLD, NJ 080212483 (Tel: 7073191562)

👤

Provider Name / Credentials Updated July 07, 2010

Recorded as THOMAS SCALFAROTTO, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2010

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration July 07, 2010

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: 1003128067

Entity Type:

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

Enumeration Date: July 07, 2010

Last Update: January 24, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

98 Oak St, Apt. 610

Lindenwold, NJ 080212483

Phone: 7073191562

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.