✓ Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) (208600000X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

THOMAS R CANTO, MD (NPI #1083648976)

Surgery • PALMER, MA • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1083648976
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
208600000X (CMS 02)
Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)
Box 32 Service Location & ZIP+4
40 WRIGHT ST, WING MEMORIAL HOSPITAL, PALMER, MA, 01016-1138
✓ 9-Digit EDI 837 ZIP+4 (01016-1138)
Practice Phone & Referral Fax
Fax: (413) 284-5114
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1083648976 (THOMAS R CANTO, MD) 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

Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1083648976)

Medicare Beneficiaries
245
Total Billed Services
3,199
Distinct CPT/HCPCS Codes
26
Medicare Allowed Total
$181,672.44

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

CPT / HCPCSClinical Procedure DescriptionServices
11042 Removal of skin and tissue, 20.0 sq cm or less663
11043 Removal of muscle and/or tissue, 20.0 sq cm or less18
11045 Removal of skin and tissue, each additional 20.0 sq cm or less193
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less115
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less60
17250 Application of chemical to stop tissue regrowth in wound100
97597 Removal of tissue from wound, 20.0 sq cm or less678
97598 Removal of tissue from wound, each additional 20.0 sq cm135

Actual Top Prescribed Medications (CMS Part D)

Brand / Generic MedicationTotal ClaimsPatients
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
5134
Betamethasone Dipropionate
Betamethasone Dipropionate
6040
Cephalexin
Cephalexin
2925
Ciprofloxacin Hcl
Ciprofloxacin Hcl
1513
Clobetasol Propionate
Clobetasol Propionate
21<11
Doxycycline Hyclate
Doxycycline Hyclate
2724
Levofloxacin
Levofloxacin
4325
Metronidazole
Metronidazole
17<11

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1083648976 (NPI-1 Individual Practitioner)
Provider / Legal NameTHOMAS R CANTO, MD
Plain-English SpecialtyBoard-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)
NUCC Code: 208600000X (Surgery)
Certifying / Licensing BodyAmerican Board of Orthopaedic Surgery (ABOS)
Practice Location Address40 WRIGHT ST, WING MEMORIAL HOSPITAL, PALMER, MA, 01016-1138
Practice Telephone / FaxTel: (413) 284-5400 | Fax: (413) 284-5114
Administrative Mailing Address280 CHESTNUT ST FL 2, SPRINGFIELD, MA, 01199-1619
Enumeration & Last SyncEnumerated: 2006-07-10 | CMS Record Updated: 2018-12-11

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

40 WRIGHT ST, WING MEMORIAL HOSPITAL, PALMER, MA, 01016-1138

🗺️ Open in Google Maps 🏥 More Providers in PALMER

Plain-English Taxonomy & CMS Crosswalk (208600000X)

What Does Taxonomy Code 208600000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208600000X translates to:
"Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 02 (Physician/General Surgery)
Certifying / Accrediting Authority: American Board of Orthopaedic Surgery (ABOS)
Clinical Scope: Severe knee or hip arthritis, bone fractures, torn ligaments or meniscus, rotator cuff shoulder pain, or persistent back and sciatica pain.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (THOMAS R CANTO, MD)

Typical CPT / Diagnostic Procedures:
  • Total Knee Arthroplasty (CPT 27447) & Total Hip Arthroplasty (CPT 27130)
  • Arthroscopic Rotator Cuff & ACL Ligament Reconstruction
  • Intra-Articular Corticosteroid & Hyaluronic Acid Joint Injections (CPT 20610)
  • Fracture Reduction, Internal Fixation & Carpal Tunnel Release
Common Therapeutic Classes:
  • NSAIDs & Selective COX-2 Inhibitors (Meloxicam, Celecoxib, Naproxen)
  • Intra-Articular Triamcinolone Acetonide & Methylprednisolone
  • Postoperative Venous Thromboembolism (VTE) Prophylaxis (Apixaban, Rivaroxaban)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
208600000X — Surgery
Plain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)
State: MA | License: 74997 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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