✓ Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) (174400000X) ✓ HHS OIG Screened Clear 🩺 Entity Type 1 (Individual)

MATTHEW CALENDRILLO, DPT, BOCO (NPI #1043475098)

Specialist • SUFFIELD, CT • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1043475098
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
174400000X
Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)
Box 32 Service Location & ZIP+4
68 BRIDGE STREET, SUITE 111, SUFFIELD, CT, 06078-3107
✓ 9-Digit EDI 837 ZIP+4 (06078-3107)
Practice Phone & Referral Fax
Fax: (860) 254-5190
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1043475098 (MATTHEW CALENDRILLO, DPT, BOCO) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1043475098)

Medicare Beneficiaries
324
Total Billed Services
5,954
Distinct CPT/HCPCS Codes
19
Medicare Allowed Total
$194,331.38

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCSClinical Procedure DescriptionServices
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes2,322
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes787
97116 Therapy procedure for walking training, each 15 minutes230
97140 Therapy procedure using manual technique, each 15 minutes623
97161 Evaluation for physical therapy, typically 20 minutes18
97162 Evaluation for physical therapy, typically 30 minutes78
97164 Re-evaluation for physical therapy, typically 20 minutes369
97530 Therapy procedure using functional activities1,065

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1043475098 (NPI-1 Individual Practitioner)
Provider / Legal NameMATTHEW CALENDRILLO, DPT, BOCO
Plain-English SpecialtyBoard-Certified Pediatrician (Infant, Child & Adolescent Medicine)
NUCC Code: 174400000X (Specialist)
Certifying / Licensing BodyAmerican Board of Pediatrics (ABP)
Practice Location Address68 BRIDGE STREET, SUITE 111, SUFFIELD, CT, 06078-3107
Practice Telephone / FaxTel: (860) 254-5190 | Fax: (860) 254-5190
Administrative Mailing Address68 BRIDGE ST, SUFFIELD, CT, 06078-3107
Enumeration & Last SyncEnumerated: 2008-07-18 | CMS Record Updated: 2020-02-06

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

68 BRIDGE STREET, SUITE 111, SUFFIELD, CT, 06078-3107

🗺️ Open in Google Maps 🏥 More Providers in SUFFIELD

Plain-English Taxonomy & CMS Crosswalk (174400000X)

What Does Taxonomy Code 174400000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 174400000X translates to:
"Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: American Board of Pediatrics (ABP)
Clinical Scope: Newborn jaundice screening, routine childhood vaccinations, developmental milestones, pediatric fevers, ear infections, asthma, or acute gastroenteritis.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MATTHEW CALENDRILLO, DPT, BOCO)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Well-Child Developmental & Growth Visits (CPT 99381–99394)
  • Childhood Immunization Administration (Rotavirus, MMR, DTaP, HPV, PCV)
  • Neonatal Bilirubin & Jaundice Transcutaneous/Serum Screening
  • Rapid Streptococcal, RSV & Influenza Point-of-Care Diagnostics
  • Pediatric Asthma Nebulization & Spirometry Evaluation
Common Therapeutic Classes:
  • Amoxicillin / Amoxicillin-Clavulanate (Pediatric Otitis Media & Sinusitis)
  • WHO Low-Osmolarity Oral Rehydration Salts (ORS) & Zinc Sulfate
  • Albuterol Sulfate Inhalers & Fluticasone Pediatric Inhalers
  • Weight-Based Acetaminophen & Ibuprofen Antipyretic Suspensions

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
225100000X — Physical Therapist
Plain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist
State: MA | License: 24148 | Primary: Secondary
174400000X — Specialist
Plain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)
State: CT | License: 007740 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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