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PHILIP MARK CACCHIONE JR.
NPI 1083233100
Family Medicine in Erie, PA

Active since April 09, 2020PECOS EnrolledAccepts Medicare Assignment
86.1/100
CMS Quality Rating

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 16, 2023, Apr 9, 2020 (2 updates tracked since 2020).

About Philip Mark Cacchione Jr. NPPES

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

PHILIP MARK CACCHIONE JR. (NPI 1083233100) is an individual family medicine provider in Erie, Pennsylvania, licensed in Pennsylvania (OS025128) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Upmc Hamot, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1083233100
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePHILIP MARK CACCHIONE JR.
Location Address921 PEACH STErie, PA 16501-1403
Mailing Address921 Peach StErie, PA 16501-1403 · (814) 877-7960 · Fax (814) 877-7970
Phone(814) 877-7960
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 9, 2020
Last NPPES UpdateJuly 21, 20252 updates tracked since enumeration
NPPES CertifiedJuly 21, 2025
✔ NPI 1083233100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · OS025128
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
921 PEACH ST, Erie, PA 16501
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Philip Mark Cacchione Jr. 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 ID1759701964
PECOS Enrollment IDI20250827001573
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.

Medicare Billing Reassignment

Medicare enrollment records show Philip Cacchione reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Erie Physicians Network-Upmc,inc
1.9 mi
Family Medicine
1325 W 26TH ST
Erie, PA 16508
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 25 clinicians in this Medicare group
NPI 1366726259 (412) 647-0943

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.
170 services156 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.
113 services111 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
17 services17 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
16 services16 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
13 services13 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Upmc Hamot

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390063
Location201 State StreetErie, PA 16550 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16501 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.93
Promoting Interoperability100
Improvement Activities40
Cost66.73

Other Providers at the Same Location NPPES

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

CASSANDRA BIANCA DE LA TORRE DO
Family Medicine
921 PEACH ST
ERIE, PA 16501
Erie County (814) 877-7960

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 Philip Cacchione's NPI number?

The NPI number for Philip Cacchione is 1083233100. It was assigned to this individual provider in the NPPES registry on April 9, 2020.

Where is Philip Cacchione located?

Philip Cacchione practices at 921 Peach St, Erie, PA 16501. The listed phone number is (814) 877-7960.

What is Philip Cacchione's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Philip Cacchione enrolled in Medicare?

Yes. Philip Cacchione 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.

Which organization bills Medicare for Philip Cacchione's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philip Cacchione reassigns Medicare benefits to Erie Physicians Network-Upmc,inc (Erie, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Philip Cacchione's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Philip Cacchione affiliated with any hospitals?

According to CMS data, Philip Cacchione is affiliated with Upmc Hamot.

When was this NPI record last updated?

The NPPES record for Philip Cacchione was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.