DR. CHRISTINE MICHELLE STICCO M.D.
NPI 1144431610
Obstetrics & Gynecology in Totowa, NJ
NPI Status: Active since May 25, 2007
- Individual
- Female
- Years of Experience 21
- Obstetrics & Gynecology
- PECOS Enrolled
- Accepts Medicare Approved Payment
About CHRISTINE STICCO
Christine Sticco is a women's health care provider established in Totowa, New Jersey and her medical specialization is Obstetrics & Gynecology with more than 21 years of experience. The healthcare provider is registered in the NPI registry with number 1144431610 assigned on May 2007. The practitioner's primary taxonomy code is 207V00000X with license number 25MA08222700 (NJ). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1144431610
- Provider Name
- DR. CHRISTINE MICHELLE STICCO M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 825 RIVERVIEW DR TOTOWA, NJ 07512
- Location Phone
- (973) 782-5577
- Mailing Address
- 825 RIVERVIEW DR TOTOWA, NJ 07512
- Mailing Phone
- (973) 782-5577
- Medical School Name
- OTHER
- Graduation Year
- 2003
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-25-2007
- Last Update Date
- 07-08-2022
- Code Navigator
Women's health care providers like Christine Sticco treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Christine Sticco is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
The typical physician office visit costs for Medicare beneficiaries in this area are: $37.64 for a new patient copayment and $20.64 for an established patient copayment.
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 25MA08222700
- License State
- NJ
- Taxonomy Description
- An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Ambetter Health of Delaware
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Clear Silver + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Everyday Silver - EPO
- Everyday Silver + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Premier Bronze HSA - EPO
- Premier Bronze HSA + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
PECOS Enrollment and Medicare Participation Status
Christine Sticco is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 6406949528
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20191212001266
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 07512 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $150.56
- Minimum New Patient Price $66.45
- Maximum New Patient Price $198.48
- Average New Patient Copayment $37.64
- Minimum New Patient Copayment $16.61
- Maximum New Patient Copayment $49.62
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $82.58
- Minimum Established Patient Price $21.27
- Maximum Established Patient Price $162.58
- Average Established Patient Copayment $20.64
- Minimum Established Patient Copayment $5.31
- Maximum Established Patient Copayment $40.64
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Clinician Services
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.
- 15
Ultrasound pelvis through vagina (HCPCS:76830)
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 4 | 4 | 4 | 3 | 1 | 6 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 8 | 4 | 8 | 3 | 2 | 6 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 8 + 4 + 8 + 3 + 2 + 6 + 2 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1144431610 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1821765553 | TAWFIK SPINE LLC Organization | Neurological Surgery | 825 RIVERVIEW DR TOTOWA, NJ 07512 (201) 849-1000 |
| 1962799221 | DR. TAMIR AHMED TAWFIK M.D. Individual | Neurological Surgery | 825 RIVERVIEW DR TOTOWA, NJ 07512 (201) 849-1000 |
| 1902480858 | FUTURA HEALTH LLC Organization | Neurological Surgery | 825 RIVERVIEW DR TOTOWA, NJ 07512 (201) 849-1000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144431610, enumerated in the NPI registry as an "individual" on May 25, 2007
The provider is located at 825 Riverview Dr Totowa, Nj 07512 and the phone number is (973) 782-5577
The provider's speciality is Obstetrics & Gynecology with taxonomy code 207V00000X
The provider has more than 21 years of experience.
The provider might be accepting Accepts: Ambetter Health of Delaware. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of May 10, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $150.56 with an average copayment of $37.64 for new patient appointments. Established patients should expect a typical charge of $82.58 and an average copayment of 20.64. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Ultrasound pelvis through vagina.
This NPI record was last updated on May 25, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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