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)
✓ 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
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 / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 2,322 |
97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 787 |
97116 | Therapy procedure for walking training, each 15 minutes | 230 |
97140 | Therapy procedure using manual technique, each 15 minutes | 623 |
97161 | Evaluation for physical therapy, typically 20 minutes | 18 |
97162 | Evaluation for physical therapy, typically 30 minutes | 78 |
97164 | Re-evaluation for physical therapy, typically 20 minutes | 369 |
97530 | Therapy procedure using functional activities | 1,065 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1043475098 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MATTHEW CALENDRILLO, DPT, BOCO |
| Plain-English Specialty | Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) NUCC Code: 174400000X (Specialist) |
| Certifying / Licensing Body | American Board of Pediatrics (ABP) |
| Practice Location Address | 68 BRIDGE STREET, SUITE 111, SUFFIELD, CT, 06078-3107 |
| Practice Telephone / Fax | Tel: (860) 254-5190 | Fax: (860) 254-5190 |
| Administrative Mailing Address | 68 BRIDGE ST, SUFFIELD, CT, 06078-3107 |
| Enumeration & Last Sync | Enumerated: 2008-07-18 | CMS Record Updated: 2020-02-06 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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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)"
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
- 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 Description | State License & Primary Status |
|---|---|
225100000X — Physical TherapistPlain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist | State: MA | License: 24148 | Primary: Secondary |
174400000X — SpecialistPlain 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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