DR. ANTONIO MORETTA M.D.
NPI 1427299387
Internal Medicine - Clinical Cardiac Electrophysiology in Sarasota, FL
Quality Rating: 60 out of 100 score
NPI Status: Active since March 23, 2009
Contact Information
5951 CATTLERIDGE AVE STE 100
SARASOTA, FL
ZIP 34232
Phone: (941) 379-1850
Fax: (941) 937-1855
- Individual
- Male
- Years of Experience 18
- Internal Medicine
- Clinical Cardiac Electrophysiology
- PECOS Enrolled
- Accepts Medicare Approved Payment
About ANTONIO MORETTA
Antonio Moretta is an internist established in Sarasota, Florida and his medical specialization is Internal Medicine with a focus in clinical cardiac electrophysiology with more than 18 years of experience. The healthcare provider is registered in the NPI registry with number 1427299387 assigned on March 2009. The practitioner's primary taxonomy code is 207RC0001X with license number ME137512 (FL). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1427299387
- Provider Name
- DR. ANTONIO MORETTA M.D.
- Other Name
- DR. ANTHONY MORETTA M.D.
- Other Name Type
- Other Name (5)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5951 CATTLERIDGE AVE STE 100 SARASOTA, FL 34232
- Location Phone
- (941) 379-1850
- Location Fax
- (941) 937-1855
- Mailing Address
- 943 S BENEVA RD STE 306 SARASOTA, FL 34232
- Mailing Phone
- (941) 379-1850
- Mailing Fax
- (941) 937-1855
- Medical School Name
- OTHER
- Graduation Year
- 2006
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-23-2009
- Last Update Date
- 05-15-2023
- Code Navigator
An internist like Antonio Moretta is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Antonio Moretta is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 60, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The typical physician office visit costs for Medicare beneficiaries in this area are: $33.81 for a new patient copayment and $25.94 for an established patient copayment.
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Clinical Cardiac Electrophysiology
- Taxonomy Code
- 207RC0001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME137512
- License State
- FL
- Taxonomy Description
- A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
- NPI Profile Information
- Primary Taxonomy
- Secondary Taxonomies
- Insurance Plans Accepted
- PECOS Enrollment and Medicare Status
- Durable Medical Equipment
- Physician Visit Costs
- Overall MIPS Quality Performance
- Clinician Services
- Hospital Affiliations
- NPI Validation
- Other Providers Same Location
- Frequently Asked Questions
Location Map
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 207RC0001X | Allopathic & Osteopathic Physicians | Internal Medicine | 256348 (NY) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Aetna CVS Health
- Bronze 4: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 4: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 5: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 6: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 7: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
Florida Blue (BlueCross BlueShield FL)
- BlueOptions Bronze (HSA) 24J01-10 (Rewards $$$ / $4 Condition Care Rx) - PPO
- BlueOptions Bronze 24J01-04 ($0 Virtual Visits / 3 PCP Visits for $0 then $40 / Rewards $$$) - PPO
- BlueOptions Bronze 24J01-06 ($0 Virtual Visits / Rewards $$$) - PPO
- BlueOptions Bronze 24J01-17 ($0 Virtual Visits / $50 PCP Visits / Rewards $$$) - PPO
- BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards $$$) - PPO
- BlueOptions Gold 24J01-09 ($0 Virtual Visits / $20 PCP Visits / $15 Generic Meds / Rewards $$$) - PPO
- BlueOptions Gold 24J01-12 ($0 Virtual Visits / $20 Labs / Rewards $$$) - PPO
- BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards $$$) - PPO
- BlueOptions Platinum 24J01-05 ($0 Virtual Visits / Rewards $$$) - PPO
- BlueOptions Platinum 24J01-08 ($0 Virtual Visits / Rewards $$$) - PPO
- BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards $$$) - PPO
- BlueOptions Silver 24J01-03 ($0 Virtual Visits / $0 Labs / Rewards $$$) - PPO
- BlueOptions Silver 24J01-07 ($0 Virtual Visits / Rewards $$$) - PPO
- BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards $$$) - PPO
Florida Blue HMO (a BlueCross BlueShield FL company)
- BlueCare Bronze (HSA) 24K01-09 (Rewards $$$ / $4 Condition Care Rx) - POS
- BlueCare Bronze 24K01-03 ($0 Virtual Visits / 3 PCP Visits for $0 then $40 / Rewards $$$) - POS
- BlueCare Bronze 24K01-05 ($0 Virtual Visits / Rewards $$$) - POS
- BlueCare Bronze 24K01-25 ($0 Virtual Visits / $50 PCP Visit / $30 Generic Meds / Rewards $$$) - POS
- BlueCare Bronze 24K01-31S (Multilingual Available / Rewards $$$) - POS
- BlueCare Bronze 24K02-17 ($0 Virtual Visits / 3 PCP Visits for $0 then $40 / Rewards $$$) - POS
- BlueCare Bronze 24K02-18 ($0 Virtual Visits / Rewards $$$) - POS
- BlueCare Bronze 24K02-23 ($0 Virtual Visits / $50 PCP Visit / $30 Generic Meds / Rewards $$$) - POS
- BlueCare Bronze 24K02-26S (Multilingual Available / Rewards $$$) - POS
- BlueCare Gold 24K01-08 ($0 Virtual Visits / $20 PCP Visit / $15 Generic Meds / Rewards $$$) - POS
- BlueCare Gold 24K01-10 ($0 Virtual Visits / $20 Labs / Rewards $$$) - POS
- BlueCare Gold 24K01-33S ($30 PCP Visit / Multilingual Available/ Rewards $$$) - POS
- BlueCare Gold 24K02-20 ($0 Virtual Visits / $20 PCP Visit / $15 Generic Meds / Rewards $$$) - POS
- BlueCare Gold 24K02-28S ($30 PCP Visits / Multilingual Available/ Rewards $$$) - POS
- BlueCare Platinum 24K01-04 ($0 Virtual Visits / Rewards $$$) - POS
Oscar Insurance Company of Florida
- Bronze Classic - EPO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Bronze Elite + Specialist Saver Plus - EPO
- Bronze Elite Saver Plus - EPO
- Gold Classic - EPO
- Gold Classic Standard - EPO
- Gold Elite - EPO
- Gold Elite Saver Plus - EPO
- Secure - EPO
- Silver Classic - EPO
- Silver Classic Standard - EPO
- Silver Elite - EPO
- Silver Elite Saver Plus - EPO
UnitedHealthcare
- UHC Bronze Copay Focus $0 Indiv Med Ded - HMO
- UHC Bronze Essential ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Value ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Standard - HMO
- UHC Gold Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, $0 Insulin) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, $0 Insulin) - HMO
- UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx) - HMO
- UHC Silver Standard - HMO
- UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
PECOS Enrollment and Medicare Participation Status
Antonio Moretta 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), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 3173718434
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20181121002103
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
Other DME (D1E)
Automatic external defibrillator, with integrated electrocardiogram analysis, garment type (HCPCS:K0606)
1 DME suppliers used 15 Medicare Claims 15 Services Paid
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 34232 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $135.26
- Minimum New Patient Price $58.4
- Maximum New Patient Price $178.79
- Average New Patient Copayment $33.81
- Minimum New Patient Copayment $14.6
- Maximum New Patient Copayment $44.69
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $103.76
- Minimum Established Patient Price $17.74
- Maximum Established Patient Price $145.28
- Average Established Patient Copayment $25.94
- Minimum Established Patient Copayment $4.43
- Maximum Established Patient Copayment $36.32
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
-
Final Score: 60 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
-
Quality Score: N/A
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
-
Promoting Interoperability Score: N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: N/A
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Clinician Services
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 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.
- 1248
Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report (HCPCS:93010)
- 475
Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)
- 86
Ultrasound guidance for accessing into blood vessel (HCPCS:76937)
- 42
Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report (HCPCS:93280)
- 22
Evaluation, testing and programming adjustment of defibrillator with analysis, review and report (HCPCS:93284)
- 14
Insertion of arterial catheter for blood sampling or infusion, accessed through the skin (HCPCS:36620)
Hospital Affiliations
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Antonio Moretta is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
SARASOTA MEMORIAL HOSPITAL | 1700 S TAMIAMI TRL SARASOTA, FL 34239 | (941) 917-9000 | Acute Care Hospitals | |
HCA FLORIDA SARASOTA DOCTORS HOSPITAL | 5731 BEE RIDGE RD SARASOTA, FL 34233 | (941) 342-1100 | Acute Care Hospitals | |
SARASOTA MEMORIAL HOSPITAL - VENICE | 2600 LAUREL RD E NORTH VENICE, FL 34275 | (941) 261-9000 | Acute Care Hospitals |
Reviews for DR. ANTONIO MORETTA M.D.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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. | |||||||||
1 | 4 | 2 | 7 | 2 | 9 | 9 | 3 | 8 | 7 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 4 | 4 | 7 | 4 | 9 | 18 | 3 | 16 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 4 + 4 + 7 + 4 + 9 + 1 + 8 + 3 + 1 + 6 + 24 = 73 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 73 = 7 | 7 |
The NPI number 1427299387 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1013987791 | DR. SUZANNE R LUTTON MD Individual | Internal Medicine (Cardiovascular Disease) | 5951 CATTLERIDGE AVE STE 100 SARASOTA, FL 34232 (941) 379-1850 |
1295745438 | JENNIFER G THUERMER ACNP Individual | Nurse Practitioner | 5951 CATTLERIDGE AVE STE 100 SARASOTA, FL 34232 (941) 379-1850 |
1306191341 | BRETT MICHAEL MILFORD D.O. Individual | Internal Medicine (Interventional Cardiology) | 5951 CATTLERIDGE AVE STE 100 SARASOTA, FL 34232 (941) 379-1850 |
1780215566 | TRACY ELIZABETH BIAGIOLI PA Individual | Physician Assistant | 5951 CATTLERIDGE AVE STE 100 SARASOTA, FL 34232 (941) 200-1125 |
1083093769 | DR. ANDREW H MARPLE M.D., PH.D. Individual | Internal Medicine (Hematology & Oncology) | 5951 CATTLERIDGE AVE STE 100 SARASOTA, FL 34232 (941) 200-1125 |
1093891673 | DR. GALINA VUGMAN MD Individual | Internal Medicine (Medical Oncology) | 5951 CATTLERIDGE AVE STE 100 SARASOTA, FL 34232 (941) 200-1125 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427299387, enumerated in the NPI registry as an "individual" on March 23, 2009
The provider is located at 5951 Cattleridge Ave Ste 100 Sarasota, Fl 34232 and the phone number is (941) 379-1850
The provider's speciality is Internal Medicine with taxonomy code 207RC0001X with a focus in Clinical Cardiac Electrophysiology
The provider has more than 18 years of experience.
The provider might be accepting Accepts: Aetna CVS Health, Florida Blue (BlueCross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of May 17, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $135.26 with an average copayment of $33.81 for new patient appointments. Established patients should expect a typical charge of $103.76 and an average copayment of 25.94. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report, Routine ekg using at least 12 leads including interpretation and report, Ultrasound guidance for accessing into blood vessel, Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report, Evaluation, testing and programming adjustment of defibrillator with analysis, review and report and Insertion of arterial catheter for blood sampling or infusion, accessed through the skin.
The practitioner is affiliated to the following hospital(s): SARASOTA MEMORIAL HOSPITAL, HCA FLORIDA SARASOTA DOCTORS HOSPITAL and SARASOTA MEMORIAL HOSPITAL - VENICE. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on March 23, 2009. 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.