DR. KENNETH JOSEPH MAIOCCO M.D.
NPI 1144280637
Dermatology in Bridgeport, CT

Active since March 27, 2006PECOS Enrolled
4639 MAIN ST, BRIDGEPORT, CT 06606(203) 374-5546(203) 371-4056 Get Directions Write a Review

NPPES record last updated: February 6, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kenneth Joseph Maiocco M.d. NPPES

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

DR. KENNETH JOSEPH MAIOCCO M.D. (NPI 1144280637) is an individual dermatology provider in Bridgeport, Connecticut, licensed in Connecticut (013652) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144280637
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. KENNETH JOSEPH MAIOCCOCredential: M.D.
Location Address4639 MAIN STBridgeport, CT 06606-1838
Mailing Address4639 Main StBridgeport, CT 06606-1838 · (203) 374-5546 · Fax (203) 371-4056
Fax(203) 371-4056
Sole ProprietorNo
Enumeration DateMarch 27, 2006
Last NPPES UpdateFebruary 6, 2019
NPI 1144280637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CT · 013652
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
4639 MAIN ST, Bridgeport, CT 06606

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Kenneth Joseph Maiocco M.d. 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 06606 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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 4

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

Dermatology
4639 MAIN ST
BRIDGEPORT, CT 06606
Home Health
4639 MAIN ST, SUITE 6
BRIDGEPORT, CT 06606
Dermatology
4639 MAIN ST
BRIDGEPORT, CT 06606
Dermatology
4639 MAIN ST
BRIDGEPORT, CT 06606

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 Kenneth Maiocco's NPI number?

The NPI number for Kenneth Maiocco is 1144280637. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Where is Kenneth Maiocco located?

Kenneth Maiocco practices at 4639 Main St, Bridgeport, CT 06606. The listed phone number is (203) 374-5546.

What is Kenneth Maiocco's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Kenneth Maiocco enrolled in Medicare?

Yes. Kenneth Maiocco is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Maiocco was last updated on February 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.