Donald Pelto, DPM
NPI 1164756631 · Podiatrist · Worcester, MA
Enrolled with Medicare as Practitioner - Podiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Donald Pelto, DPM is a Podiatrist provider in Worcester, MA (NPI 1164756631).
Provider details
- NPI number
- 1164756631
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- 2343 (MA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
16 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
2,597 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 451 | $96 |
| Removal of Fingernails Or Toenails, 1-5 Nails11720 | 304 | $35 |
| X-Ray of Foot, Minimum of 3 Views73630 | 301 | $37 |
| Trimming of Fingernails Or Toenails11719 | 273 | $10 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 201 | $118 |
| Removal of Fingernails Or Toenails, 6 Or More Nails11721 | 191 | $48 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Meloxicam | 64 | 53 |
| Terbinafine Hcl | 60 | 50 |
| Ketoconazole | 28 | 17 |
| Gabapentin | 27 | — |
| Capsaicin/Skin Cleanserbrand: Qutenza | 19 | — |
| Celecoxib | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$179 across 4 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-09-30
- Last updated
- 2020-06-18
- Certified
- 2020-06-18
Frequently asked questions
- What is Donald Pelto's NPI number?
- Donald Pelto's National Provider Identifier (NPI) is 1164756631, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Donald Pelto's specialty?
- Donald Pelto is listed in the NPPES registry with a primary specialty of Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Donald Pelto located?
- Donald Pelto's practice location on file with NPPES is 299 Lincoln St, Worcester, MA 01605-3646.
- What is Donald Pelto's phone number?
- The practice phone number listed in the NPPES registry for Donald Pelto is (508) 757-4003.
- Does Donald Pelto accept Medicare?
- Donald Pelto is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Donald Pelto's NPI active?
- Yes — Donald Pelto's NPI (1164756631) is active in the NPPES registry as of the last update on 2020-06-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.