EDWARD J. MARCACCIO JR. MD
NPI 1073511218
Surgery - Vascular Surgery in Providence, RI

Q: What is Edward Marcaccio's NPI number?

The NPI number for Edward Marcaccio is 1073511218. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Q: What is Edward Marcaccio's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for Edward Marcaccio was last updated on July 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 12, 2005PECOS EnrolledAccepts Medicare Assignment

2 DUDLEY ST, SUITE 470, PROVIDENCE, RI 02905(401) 553-8318(401) 868-2307 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 12, 2024, Aug 25, 2023 (2 updates tracked since 2023).

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About Edward J. Marcaccio Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWARD J. MARCACCIO JR. MD (NPI 1073511218) is an individual vascular surgery provider in Providence, Rhode Island, licensed in Rhode Island (MD08399) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with South Shore Hospital, and maintains a secondary practice location in Warwick.

NPPES Registry Identity

NPI1073511218

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameEDWARD J. MARCACCIO JR.Credential: MD

Location Address2 DUDLEY ST, SUITE 470Providence, RI 02905-3236

Mailing AddressPo Box 16149Rumford, RI 02916-0697 · (401) 453-9625 · Fax (401) 435-7069

Phone(401) 553-8318

Fax(401) 868-2307

Sole ProprietorNo

Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 1986

Enumeration DateJuly 12, 2005

Last NPPES UpdateJuly 12, 20242 updates tracked since enumeration

NPPES CertifiedJuly 12, 2024

✔ NPI 1073511218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in RI · MD08399

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

2 DUDLEY ST, Providence, RI 02905

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Secondary Practice Location 1

Location 1455 Toll Gate RdWarwick, RI 02886-2759 · Phone (401) 738-6611 · Fax (401) 921-6952

Other Identifiers 2

Medicaid3089657MA

Medicaid7003376RI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Edward J. Marcaccio Jr. Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082674833

PECOS Enrollment IDI20161014000146

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 34

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

601 services450 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

152 services152 patients

Ultrasound study of arm and leg arteries 93922

An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.

143 services134 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

115 services70 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

115 services56 patients

Ultrasound study of arm and leg arteries 93922

105 services92 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

103 services89 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

81 services79 patients

Ultrasound of one leg arteries or artery grafts 93926

An ultrasound of leg arteries or artery grafts is a non-invasive test using sound waves to create images of your blood vessels. This helps doctors assess blood flow, identify blockages, and monitor the health of grafts.

79 services69 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

76 services71 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

59 services42 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

52 services52 patients

Ultrasound of one leg arteries or artery grafts 93926

50 services39 patients

Review by radiologist of arm or leg artery image 75710

This procedure involves a radiologist examining images of your arm or leg arteries. These images are obtained through a non-invasive method, like an ultrasound or CT scan. The radiologist reviews these images to identify any abnormalities, such as blockages or narrowing, which can affect blood flow.

49 services42 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

43 services39 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

41 services39 patients

Complete ultrasound study of arm and leg arteries 93923

This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.

34 services34 patients

Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts 93978

This procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps to detect abnormalities or blockages, ensuring your blood flows smoothly. It's painless and non-invasive.

34 services31 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

31 services30 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

31 services21 patients

Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance 36475

This procedure involves using radiofrequency energy, a type of heat energy, to close off an unhealthy vein in your arm or leg. Imaging guidance helps ensure precise targeting of the vein. This helps improve blood flow by rerouting it through healthier veins.

30 services22 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

30 services30 patients

Ultrasound of leg arteries or artery grafts 93925

27 services27 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

26 services24 patients

Complete ultrasound study of arm and leg arteries 93923

25 services25 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

22 services12 patients

Removal of blood clot and portion of upper thigh artery 35371

This procedure involves the surgical removal of a blood clot from your upper thigh artery. A portion of the artery may also be removed if it's unhealthy. The goal is to restore normal blood flow, reduce pain, and prevent potential complications.

20 services20 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

18 services17 patients

Insertion of stent in groin artery, initial vessel 37221

A stent is a small, mesh tube that's used to treat narrow or weak arteries. In this procedure, a stent is placed in your groin artery to help keep it open and improve blood flow. It's inserted through a small incision and guided to the problem area.

17 services16 patients

Exposure of groin artery for delivery of graft 34713

This procedure involves the surgeon making a small incision in the groin area to access a major artery. A graft, which is a special tube, is then placed into the artery to help improve blood flow. It's a common procedure for treating vascular conditions.

15 services13 patients

Balloon dilation of artery of leg 37224

Balloon dilation of the leg artery is a procedure to improve blood flow. A tiny balloon is inserted into a narrowed artery, then inflated to widen the artery. This helps increase blood circulation to the leg. It's usually done under local anesthesia.

12 services12 patients

Insertion of stent in arteries of leg 37226

A stent insertion in the leg arteries is a procedure to improve blood flow. A tiny mesh tube called a stent is placed in your artery to keep it open. This helps prevent blockages, alleviating pain and aiding in better mobility.

12 services11 patients

Removal of blood clot and portion of chest, neck, or brain artery 35301

This procedure involves the removal of a blood clot and a section of an artery in the chest, neck, or brain. It is often necessary to restore normal blood flow, prevent stroke, or alleviate symptoms related to the clot. The procedure is carried out by a skilled medical team.

11 services11 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

South Shore Hospital

Acute Care Hospitals · South Weymouth, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220100

Location55 Fogg RoadSouth Weymouth, MA 02190 · Norfolk County

Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220110

Location75 Francis StreetBoston, MA 02115 · Suffolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTHEAST ORTHOTICS AND PROSTHETICS INC

Prosthetic/Orthotic Supplier

2 DUDLEY ST, STE 161
PROVIDENCE, RI 02905

Providence County (401) 444-5477

JOSEPH F. AMARAL MD

Surgery

2 DUDLEY ST, STE 470
PROVIDENCE, RI 02905

Providence County (401) 553-8310

THOMAS EDWARD CATALDO MD

Colon & Rectal Surgery

2 DUDLEY ST, SUITE 370
PROVIDENCE, RI 02905

Providence County (401) 454-4773

NORBERT J. CRAYBAS MD

Surgery

2 DUDLEY ST, SUITE 470
PROVIDENCE, RI 02905

Providence County (401) 274-4720

ROMAN ARTYM HAYDA MD

Orthopaedic Surgery

2 DUDLEY ST, SUITE 200
PROVIDENCE, RI 02905

Providence County (401) 457-1555

DR. ARUN K SINGH M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

2 DUDLEY ST, SUITE 470
PROVIDENCE, RI 02905

Providence County (401) 274-7546

DR. PHILLIP R LUCAS M.D.

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

2 DUDLEY ST
PROVIDENCE, RI 02905

Providence County (401) 457-2102

ANTHONY A CALDAMONE M.D.

Urology

2 DUDLEY ST, SUITE 185
PROVIDENCE, RI 02905

Providence County (401) 421-0710

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Marcaccio's NPI number?

The NPI number for Edward Marcaccio is 1073511218. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Edward Marcaccio located?

Edward Marcaccio practices at 2 Dudley St Suite 470, Providence, RI 02905. The listed phone number is (401) 553-8318.

What is Edward Marcaccio's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Edward Marcaccio enrolled in Medicare?

Yes. Edward Marcaccio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Edward Marcaccio accept?

Health plans from Anthem Blue Cross and Blue Shield list Edward Marcaccio as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Edward Marcaccio affiliated with any hospitals?

According to CMS data, Edward Marcaccio is affiliated with South Shore Hospital and Brigham And Women's Hospital.

When was this NPI record last updated?

The NPPES record for Edward Marcaccio was last updated on July 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.