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JOHN THOMAS PELLICONE MD
NPI 1104828169
Internal Medicine - Pulmonary Disease in New York, NY

Active since June 02, 2005PECOS Enrolled
1901 1ST AVE RM 1B14, METROPOLITAN HOSPITAL CENTER-CHIEF MEDICAL OFFICER, NEW YORK, NY 10029(212) 423-8131(212) 423-8408 Get Directions Write a Review

NPPES record last updated: April 8, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Thomas Pellicone Md NPPES

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

JOHN THOMAS PELLICONE MD (NPI 1104828169) is an individual pulmonary disease provider in New York, New York, licensed in New York (150985) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104828169
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameJOHN THOMAS PELLICONECredential: MD
Location Address1901 1ST AVE RM 1B14, METROPOLITAN HOSPITAL CENTER-CHIEF MEDICAL OFFICERNew York, NY 10029-7404
Mailing Address1901 1st Ave Rm 1b14, Metropolitan Hospital Center-chief Medical OfficerNew York, NY 10029-7404 · (212) 423-8131 · Fax (212) 423-8408
Phone(212) 423-8131
Fax(212) 423-8408
Sole ProprietorNo
Enumeration DateJune 2, 2005
Last NPPES UpdateApril 8, 2015
✔ NPI 1104828169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in NY · 150985
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
1901 1ST AVE RM 1B14, New York, NY 10029
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Other Identifiers 2

Medicare UPINB17679
Medicaid00964943NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Thomas Pellicone Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
1 supplier11 claims55 services$14.27 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers14 claims14 services$43.41 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers13 claims13 services$15.34 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers11 claims11 services$9.44 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers16 claims96 services$1.67 avg. paid by Medicare
Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046
DME-Other DME · category DE001N
4 suppliers12 claims12 services$10.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 John Pellicone's NPI number?

The NPI number for John Pellicone is 1104828169. It was assigned to this individual provider in the NPPES registry on June 2, 2005.

Where is John Pellicone located?

John Pellicone practices at 1901 1st Ave Rm 1b14 Metropolitan Hospital Center-Chief Medical Officer, New York, NY 10029. The listed phone number is (212) 423-8131.

What is John Pellicone's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is John Pellicone enrolled in Medicare?

Yes. John Pellicone is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Pellicone was last updated on April 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.