Dr. Thomas Albert Scalfarotto, DO

  • Gardner, MA
  • General surgeon
NPI1003128067PAC ID9436372422
Medicare services, 2024
159
Medicare patients, 2024
141
Part D claims, 2024
124
MIPS score, 2024
100
Hospital affiliations
2
Practice address
242 Green Street, Gardner, MA 01440
Practice phone
Call (978) 632-3420
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Heywood Hospital

Hospital · Gardner, Massachusetts

See all 9 affiliations

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Dr. Thomas Albert Scalfarotto is a general surgeon in Gardner, Massachusetts

Dr. Scalfarotto practices at Heywood Hospital in Gardner, Massachusetts, part of Heywood Healthcare.

Dr. Scalfarotto's NPI, 1003128067, was assigned on July 7, 2010. Dr. Scalfarotto holds Massachusetts license 267570.

NPI and contact details
Medicare PAC ID
9436372422
NPI enumeration date
July 7, 2010
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(978) 632-3420
Professional email
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Personal email
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Mobile number
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Sex
Male
Estimated age
42
Medical school graduation
2010

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Thomas Albert Scalfarotto practices at Heywood Hospital in Gardner, Massachusetts

Dr. Scalfarotto's primary practice is Heywood Hospital, at 242 Green Street, Gardner, MA 01440 in Worcester County. The practice phone is (978) 632-3420.

  • Heywood Hospital
    242 Green Street, Gardner, MA 01440 · Worcester CountyPhone(978) 632-3420

Source: Dmand AI Affiliation Data

Dr. Thomas Albert Scalfarotto is affiliated with 5 sites of care and 4 medical groups

Dr. Scalfarotto's primary practice is Heywood Hospital in Gardner, Massachusetts, part of Heywood Healthcare. Dr. Scalfarotto is also affiliated with Emerson Hospital. The medical group on file is Heywood Hospital. Dmand AI also links Dr. Scalfarotto to 3 more medical groups, 2 group practices and clinics and 1 home health agency, each named with a free account.

See all 9 affiliations for Dr. Scalfarotto

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Thomas Albert Scalfarotto's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Scalfarotto practices, 5 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Heywood HospitalAvailable with a free account
+4 more sites and 3 medical groupsAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Thomas Albert Scalfarotto is one of 732 general surgeons in Massachusetts

Surgery is Dr. Scalfarotto's primary specialty in the NPI Registry, under taxonomy code 208600000X. Dmand AI has Dr. Scalfarotto's licenses on file in 2 states: Massachusetts and New Jersey.

Specialties and state licenses

  • Surgery, MassachusettsPrimaryLicense 267570 · taxonomy 208600000X
  • Student in an organized health care education/training program, New Jerseytaxonomy 390200000X

General surgeons near Dr. Scalfarotto

Counts of general surgeons with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Thomas Albert Scalfarotto billed Medicare for 159 services in 2024

CMS data shows 159 Medicare services from Dr. Scalfarotto across 6 procedure codes in 2024, for 141 Medicare patients. Medicare paid $20,534 for them. Every service was in a facility, such as a hospital, rather than an office.

Medicare services, 2024159
Medicare patients141
Paid by Medicare$20,534
Procedure codes6

Dr. Scalfarotto's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 1372024: 1456%
Surgery
2023: 02024: 14

Dr. Scalfarotto compared with the Massachusetts median for general surgeons, 2024

  • Dr. Scalfarotto
  • Massachusetts median
Medicare services
159vs 20020% below
Medicare patients
141vs 1527% below
Part D claims
65vs 223.0 times

Medians across 688 general surgeons in Massachusetts with Dmand AI profiles that report each measure.

Dr. Scalfarotto's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Scalfarotto

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Thomas Albert Scalfarotto treated 141 Medicare patients in 2024, average age 72

CMS counts 141 Medicare patients who saw Dr. Scalfarotto in 2024. The largest group is 65 to 74, with 62 patients. 75% of them have high blood pressure, and 72% have high cholesterol. 43% are also on Medicaid. Their average risk score is 1.55, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Scalfarotto's median patient age at 55, with 43% women.

Medicare patients, 2024141
Average age72
Average risk score1.55
Also on Medicaid43%

Dr. Scalfarotto's Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Dr. Scalfarotto's Medicare patients by sex, 2024

  • Women5136%
  • Men9064%

Chronic conditions among Dr. Scalfarotto's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol72%
  3. Arthritis52%
  4. Ischemic heart disease39%
  5. Mood disorders39%
  6. Depression36%
  7. COPD33%
  8. Diabetes30%

Share of Medicare patients with each condition. A patient can have several.

Dr. Scalfarotto's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 55

Patient panel by sex, all payers

  • Women43%
  • Men56%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Thomas Albert Scalfarotto wrote 124 Medicare Part D claims in 2024

In 2024, Dr. Scalfarotto wrote 124 Medicare Part D claims for 74 patients. 100% of them were for generic drugs. CMS names the drug for 65 of them, across 2 drugs with 11 or more claims each, at $228 in total drug cost. In 2023, CMS named 68 claims across 2 drugs.

Part D claims, 2024124
Drugs named by CMS2
Total drug cost$228
Part D patients74

Dr. Scalfarotto's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Scalfarotto's Part D claims, 2024

  • Opioids31%38 of 124 claims
  • Antibiotics27%34 of 124 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 682024: 654%

Drugs named by CMS: 2 in 2024, 2 in 2023.

See all prescribing by Dr. Scalfarotto

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Thomas Albert Scalfarotto scored 100 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 100 out of 100 for Dr. Scalfarotto for performance year 2024, reported through an alternative payment model (APM). Dr. Scalfarotto accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 13 procedures of hernia repair - groin (open) by Dr. Scalfarotto, more than 92% of the clinicians it reports for that procedure.

Accepts Medicare assignment
Yes

Dr. Scalfarotto's MIPS scores, performance year 2024

  • 100of 100Final score
  • 83of 100Quality
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Where Dr. Scalfarotto ranks in Medicare procedure volume

Removal of tissue
85th percentile98 procedures
Hernia repair - groin (open)
92nd percentile13 procedures

CMS ranks each clinician against every clinician it reports for the same procedure category.

Colonoscopy: 1 to 10 procedures (CMS shows small counts as a range)

Hernia repair (minimally invasive): 1 to 10 procedures (CMS shows small counts as a range)

Removal of skin lesions: 1 to 10 procedures (CMS shows small counts as a range)

Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)

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Dr. Thomas Albert Scalfarotto received $128 in industry payments from 2018 to 2025

CMS Open Payments shows 4 general payments to Dr. Scalfarotto from 4 drug and device companies from 2018 to 2025. Food and beverage make up the largest share, 100% of the total. Medtronic, Inc. paid the most, $64.

General payments to Dr. Scalfarotto by program year, 2018 to 2025

Companies that paid Dr. Scalfarotto the most, 2018 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Scalfarotto

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Sources for Dr. Thomas Albert Scalfarotto's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Thomas Albert Scalfarotto

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Thomas Albert Scalfarotto's NPI number?

Dr. Thomas Albert Scalfarotto's NPI number is 1003128067. It was assigned on July 7, 2010, and it is active in the NPI Registry.

What kind of doctor is Dr. Thomas Albert Scalfarotto?

Dr. Thomas Albert Scalfarotto is a general surgeon in Gardner, Massachusetts. The primary specialty in the NPI Registry is Surgery Physician (taxonomy code 208600000X).

Where does Dr. Thomas Albert Scalfarotto practice?

Dr. Scalfarotto practices at 242 Green Street, Gardner, MA 01440. Dr. Scalfarotto's primary practice is Heywood Hospital in Gardner, Massachusetts, part of Heywood Healthcare. Dmand AI also links Dr. Scalfarotto to 3 medical groups, 2 group practices and clinics and 1 home health agency.

What is Dr. Thomas Albert Scalfarotto's office phone number?

The practice phone on file for Dr. Scalfarotto is (978) 632-3420.

What is Dr. Thomas Albert Scalfarotto's medical license number?

Dr. Scalfarotto holds Massachusetts license 267570, one of the licenses on file in 2 states.

Which states has Dr. Thomas Albert Scalfarotto been licensed in?

Dmand AI has state licenses on file for Dr. Scalfarotto in Massachusetts and New Jersey.

Which hospitals is Dr. Thomas Albert Scalfarotto affiliated with?

Dr. Scalfarotto practices at Heywood Hospital in Gardner, Massachusetts. Dr. Scalfarotto is also affiliated with Emerson Hospital.

What medical group is Dr. Thomas Albert Scalfarotto part of?

Dr. Scalfarotto is linked to Heywood Hospital. Dmand AI links Dr. Scalfarotto to 3 more medical groups.

Does Dr. Thomas Albert Scalfarotto accept Medicare?

Yes. CMS data shows Dr. Scalfarotto billed Medicare for 159 services in 2024, and Dr. Scalfarotto accepts Medicare assignment.

What is Dr. Thomas Albert Scalfarotto's MIPS score?

Dr. Scalfarotto's MIPS final score for performance year 2024 is 100 out of 100, reported through an alternative payment model (APM).

Show 5 more questionsShow fewer questions

How many Medicare patients does Dr. Thomas Albert Scalfarotto see?

CMS counts 141 Medicare patients who saw Dr. Scalfarotto in 2024, with an average age of 72.

What services does Dr. Thomas Albert Scalfarotto bill to Medicare?

In 2024, Dr. Scalfarotto's most billed Medicare services were office visit, established patient (99214), office visit, new patient (99204) and office visit, new patient (99205).

What drugs does Dr. Thomas Albert Scalfarotto prescribe most?

In 2024 Medicare Part D data, Dr. Scalfarotto's most prescribed drugs by claims were Oxycodone HCl and Meloxicam.

Has Dr. Thomas Albert Scalfarotto received payments from drug or device companies?

CMS Open Payments shows $128 in general payments to Dr. Scalfarotto from 4 companies from 2018 to 2025. The largest total came from Medtronic, Inc.

How long has Dr. Thomas Albert Scalfarotto been practicing?

Dr. Scalfarotto graduated from medical school in 2010, 16 years ago.

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