Associates in Primary Care, P.A.

Thomas Pitoscia, M.D.

Silvio A. Quaglia, M.D.

Bulletin Board
(check here for updates)

Last updated 09/14/2011.


The Flu Vaccine is Now Available!



Associates in Primary Care now performs Nerve Conduction Testing!

NCS are indicated in the following clinical scenarios:

  • Focal neuropathies or compressive lesions such as carpal tunnel syndrome, ulnar neuropathies or root lesions, for localization
  • Traumatic nerve lesions, for diagnosis and prognosis
  • Diagnosis or confirmation of suspected generalized neuropathies, such as diabetic, uremic, metabolic or immune
  • Repetitive nerve stimulation in diagnosis of neuromuscular junction disorders such as myasthenia gravis, myasthenic syndrome.
  • Symptom-based presentations such as “pain in limb”, weakness, disturbance in skin sensation or “paraesthesia” when appropriate pre-test evaluations are inconclusive.

March is National Colorectal Cancer Awareness Month

Colorectal cancer affects both men and women of all racial and ethnic groups, and is most often found in people aged 50 years or older. And the risk for developing colorectal cancer increases with age.

Medicare Covered Colorectal Cancer Screenings
Medicare provides coverage of colorectal cancer screenings for the early detection of colorectal cancer. All Medicare beneficiaries age 50 and older are covered; however, when an individual is at high risk, there is no minimum age required to receive a screening colonoscopy or a barium enema rendered in place of the screening colonoscopy. An individual is considered to be at high risk for colorectal cancer if he or she has had colorectal cancer before or has a history of polyps, has a family member who has had colorectal cancer or a history of polyps, or has a personal history of inflammatory bowel disease, including Crohn’s Disease and ulcerative colitis.

Medicare provides coverage for the following colorectal cancer screenings subject to certain coverage, frequency, and payment limitations:

  • Fecal Occult Blood Test (FOBT)
  • Colonoscopy
  • Sigmoidoscopy
  • Barium Enema (as an alternative to a covered screening flexible sigmoidoscopy or screening colonoscopy)

Prevention Is Key
Colorectal cancer is the second leading cancer killer in the United States; however it doesn't have to be. Colorectal cancer is largely preventable through screening which can find precancerous polyps-abnormal growths in the colon or rectum-so that they can be removed before turning into cancer. Screening also helps find colorectal cancer at an early stage, when treatment can often lead to a cure. CMS needs your help to ensure that eligible Medicare patients get screened for colorectal cancer. Talk with your Medicare patients and their caregivers about the importance of being screened and those patients who were screened before entering Medicare should be encouraged to continue with screening at clinically appropriate intervals.

(Information provided by National Government Services / Center for Medicare and Medicaid Services)



If you are interest in MDVIP services with Dr. Pitoscia please call 973-379-7011 for further information. There are still some vacancies in this exciting new approach to healthcare.