CORY ANDREW CICCONE D.O.
NPI 1154617793
Internal Medicine in Wichita, KS

Active since June 22, 2011PECOS EnrolledAccepts Medicare Assignment
1131 S CLIFTON AVE STE B, WICHITA, KS 67218(316) 462-1040(316) 462-1042 Get Directions Write a Review

NPPES record last updated: October 11, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cory Andrew Ciccone D.o. NPPES

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

CORY ANDREW CICCONE D.O. (NPI 1154617793) is an individual internal medicine provider in Wichita, Kansas, licensed in Kansas (05-40186) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with The Mcdowell Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1154617793
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCORY ANDREW CICCONECredential: D.O.
Location Address1131 S CLIFTON AVE STE BWichita, KS 67218-2963
Mailing Address12101 Woodcrest Executive Dr Ste 210Saint Louis, MO 63141-5047 · (314) 317-0600 · Fax (314) 317-0606
Fax(316) 462-1042
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 22, 2011
Last NPPES UpdateOctober 11, 2017
NPI 1154617793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in KS · 05-40186
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1131 S CLIFTON AVE STE B, Wichita, KS 67218

Other Identifiers 1

Medicaid10025533600NE

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

Cory Andrew Ciccone 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 ID3476780420
PECOS Enrollment IDI20220721002307, I20251121000743
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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
156 services147 patients

Hospital Affiliations CMS Care Compare 2

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

The Mcdowell Hospital

Acute Care Hospitals · Marion, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340087
Location430 Rankin Drive P O Box 730Marion, NC 28752 · Mc Dowell County
Emergency services Birthing friendly

Ascension St John Jane Phillips

Acute Care Hospitals · Bartlesville, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370018
Location3500 East Frank Phillips BoulevardBartlesville, OK 74006 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67218 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%207 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Manual wheelchair accessory, anti-tipping device, each E0971
DME-Wheelchairs · category DD021N
2 suppliers12 claims14 services$2.52 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$67.64 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers60 claims60 services$12.74 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$7.88 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
1131 S CLIFTON AVE STE B
WICHITA, KS 67218
Nurse Practitioner (Acute Care)
1131 S CLIFTON AVE STE B
WICHITA, KS 67218
Nurse Practitioner (Family)
1131 S CLIFTON AVE STE B
WICHITA, KS 67218
Nurse Practitioner (Family)
1131 S CLIFTON AVE STE B
WICHITA, KS 67218
Family Medicine
1131 S CLIFTON AVE STE B
WICHITA, KS 67218

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 Cory Ciccone's NPI number?

The NPI number for Cory Ciccone is 1154617793. It was assigned to this individual provider in the NPPES registry on June 22, 2011.

Where is Cory Ciccone located?

Cory Ciccone practices at 1131 S Clifton Ave Ste B, Wichita, KS 67218. The listed phone number is (316) 462-1040.

What is Cory Ciccone's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Cory Ciccone enrolled in Medicare?

Yes. Cory Ciccone 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 Cory Ciccone affiliated with any hospitals?

According to CMS data, Cory Ciccone is affiliated with The Mcdowell Hospital and Ascension St John Jane Phillips.

When was this NPI record last updated?

The NPPES record for Cory Ciccone was last updated on October 11, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.