Active NPI 1003106089 Individual Practitioner Male Practitioner

Dr. Anthony Michael Calabretta , MD

Surgery • Wooster, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Anthony Calabretta, MD is a certified Surgery practicing in Wooster, OH. With approximately 15 years of clinical experience since completing medical education in 2011, Dr. Calabretta delivers high-quality medical care to the local community at 128 E MILLTOWN RD.

Dr. Calabretta is affiliated with Bloomington Medical Services Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

128 E Milltown Rd
Suite 101

Wooster, OH 446916109

Telephone 3302872595

Fax 3302023487

Associated Practice Facility / Clinic

🏢 Milltown Family Physicians, Inc. Facility NPI 1598975831

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Wooster, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -10.5 yrs vs City Avg

City Avg: 25.5 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

7 Specialists

Practicing in Wooster, OH (1313 Statewide)

Telehealth Adoption Rate

14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

46.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Calabretta (15 Years) 15 Yrs

Wooster Specialty Average (25.5 Years) 25.5 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
99213 Established patient office or other outpatient visit, typically 15 minutes	37	35	$156.00	$89.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$192.00	$107.34
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	12	$126.00	$78.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$288.00	$165.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$221.00	$126.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	16	$238.00	$129.90
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	15	13	$33.00	$17.80
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$249.00	$113.34
76937 Ultrasonic guidance for blood vessel access	13	12	$25.00	$13.79
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$220.00	$100.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$192.00	$108.81
99213 Established patient office or other outpatient visit, typically 15 minutes	28	26	$156.00	$85.17
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	15	$126.00	$77.85
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	12	$69.00	$49.04
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	15	15	$458.00	$247.30
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	15	15	$332.00	$179.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$221.00	$123.86
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$238.00	$128.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$192.00	$109.34
99213 Established patient office or other outpatient visit, typically 15 minutes	27	24	$156.00	$85.93
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$458.00	$250.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	42	37	$156.00	$89.40
99231 Follow-up hospital inpatient care per day, typically 15 minutes	39	21	$69.00	$37.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$191.46	$110.16
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$177.00	$95.15
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$249.00	$94.48
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$220.00	$105.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	57	30	$69.00	$39.38
99221 Initial hospital inpatient care per day, typically 30 minutes	36	36	$177.00	$102.42
99213 Established patient office or other outpatient visit, typically 15 minutes	36	30	$126.00	$73.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$185.00	$102.88
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	15	14	$150.00	$18.85
76937 Ultrasonic guidance for blood vessel access	15	14	$25.00	$14.59
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	11	$599.00	$345.11
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$1275.00	$735.99
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$220.00	$109.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	59	29	$68.92	$38.52
99213 Established patient office or other outpatient visit, typically 15 minutes	42	38	$124.88	$71.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$184.89	$103.96
99221 Initial hospital inpatient care per day, typically 30 minutes	30	30	$176.80	$96.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$75.29	$42.91
45378 Diagnostic exam of large bowel using a flexible endoscope	16	16	$339.25	$186.96
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$249.87	$116.45
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$220.93	$94.65
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$458.00	$257.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	38	21	$68.00	$38.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$183.00	$103.80
99221 Initial hospital inpatient care per day, typically 30 minutes	15	14	$176.00	$99.46
99213 Established patient office or other outpatient visit, typically 15 minutes	14	11	$124.00	$70.06
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$262.00	$107.60
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$383.00	$186.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	47	18	$68.00	$38.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$183.00	$103.58
99213 Established patient office or other outpatient visit, typically 15 minutes	21	19	$124.00	$69.80
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$176.00	$99.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$283.00	$157.76

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35128201

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.

Hospital & Practice Group Affiliations

Bloomington Medical Services Llc

1761 Beall Ave, Wooster, OH 446912342

Phone: 3302638326

Practice Associates & Co-Workers

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

4 Associated Practitioners

Amanda Griffith , PA-C

Physician Assistant

NPI 1134471105

Physician Assistant (Certified)

Dr. Tamera Robotham , MD

Surgery

NPI 1164656971

Doctor of Medicine (M.D.)

Michael Bortz

Surgery

NPI 1497166243

Dr. Robert Cebul , MD

Surgery

NPI 1851357727

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 25, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 25, 2016

Registered at 128 E MILLTOWN RD, SUITE 101, WOOSTER, OH 446916109 (Tel: 3302872595)

📍

Updated Business Mailing Address July 25, 2016

Registered at 1761 BEALL AVE, WOOSTER, OH 446912342 (Tel: 4402124541)

👤

Provider Name / Credentials Updated July 25, 2016

Recorded as ANTHONY CALABRETTA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2016

Surgery (License #35128201 in OH)

🟢

Initial NPI Registration & Enumeration April 12, 2011

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: 1003106089

Entity Type:

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

Enumeration Date: April 12, 2011

Last Update: July 25, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1761 Beall Ave

Wooster, OH 446912342

Phone: 4402124541

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.