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DR. JAMES CIANCARELLI D.O.
NPI 1104279884
Internal Medicine - Cardiovascular Disease in Smithtown, NY

Active since July 19, 2016PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
5 THE SPOUT, SMITHTOWN, NY 11787(631) 879-7744 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. James Ciancarelli D.o. NPPES

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

DR. JAMES CIANCARELLI D.O. (NPI 1104279884) is an individual cardiovascular disease provider in Smithtown, New York, licensed in New York (298554) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Long Island Community Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1104279884
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. JAMES CIANCARELLICredential: D.O.
Location Address5 THE SPOUTSmithtown, NY 11787
Mailing Address5 The SpoutSmithtown, NY 11787-1854
Phone(631) 879-7744
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 19, 2016
Last NPPES UpdateSeptember 3, 2024
NPPES CertifiedSeptember 3, 2024
✔ NPI 1104279884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NY · 298554
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5 THE SPOUT, Smithtown, NY 11787
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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

Dr. James Ciancarelli D.o. 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 ID8820327927
PECOS Enrollment IDI20240702002851
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 9

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
166 services66 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.
69 services44 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
62 services18 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.
38 services37 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
35 services33 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
23 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Long Island Community Hospital

Acute Care Hospitals · Patchogue, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330141
Location101 Hospital RoadPatchogue, NY 11772 · Suffolk County
Emergency services

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11787 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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 James Ciancarelli's NPI number?

The NPI number for James Ciancarelli is 1104279884. It was assigned to this individual provider in the NPPES registry on July 19, 2016.

Where is James Ciancarelli located?

James Ciancarelli practices at 5 The Spout, Smithtown, NY 11787. The listed phone number is (631) 879-7744.

What is James Ciancarelli's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is James Ciancarelli enrolled in Medicare?

Yes. James Ciancarelli 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.

Is James Ciancarelli affiliated with any hospitals?

According to CMS data, James Ciancarelli is affiliated with Long Island Community Hospital and Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for James Ciancarelli was last updated on September 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.