CORY ANDREW CICCONE D.O.
NPI 1154617793
Internal Medicine in Wichita, KS
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
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
4Medicare enrollment records show Cory Ciccone reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tulsa, OK 74136
- Reassigned Medicare billing, Oklahoma enrollment
- 300 clinicians in this Medicare group
Humble, TX 77338
- Reassigned Medicare billing, Oklahoma enrollment
- 284 clinicians in this Medicare group
Monroe, GA 30655
- Reassigned Medicare billing, North Carolina and Oklahoma enrollments
- 511 clinicians in this Medicare group
Brevard, NC 28712
- Reassigned Medicare billing, North Carolina enrollment
- 234 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
The Mcdowell Hospital
Acute Care Hospitals · Marion, NCTransylvania Regional Hospital, Inc
Critical Access Hospitals · Brevard, NCAngel Medical Center
Critical Access Hospitals · Franklin, NCPhysician 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.
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
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.
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.
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.
Which organizations bill Medicare for Cory Ciccone's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cory Ciccone reassigns Medicare benefits to 4 organizations: Usacs Observation Medicine Services Of Oklahoma, LLC (Tulsa, OK), Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX), Hospital Physician Services - Southeast Professional Corporation (Monroe, GA) and Southeastern Medical Group, PC (Brevard, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cory Ciccone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Cory Ciccone affiliated with any hospitals?
According to CMS data, Cory Ciccone is affiliated with The Mcdowell Hospital, Transylvania Regional Hospital, Inc and Angel Medical Center.
When was this NPI record last updated?
The NPPES record for Cory Ciccone was last updated on October 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Cory Andrew Ciccone, D.O. · NPI 1154617793
Internal Medicine physician in Wichita, Kansas. Individual provider, active in the CMS NPPES registry since June 22, 2011.
## Identity
- **NPI:** 1154617793 (Entity type: Individual)
- **Enumerated:** June 22, 2011
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 05-40186 (Kansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1131 S CLIFTON AVE STE B, Wichita, KS 67218-2963
- **Phone:** (316) 462-1040 · **Fax:** (316) 462-1042
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Usacs Observation Medicine Services Of Oklahoma, LLC (NPI 1326739111, Tulsa, OK); Hospitalist Medicine Physicians Of Texas, PLLC (NPI 1629307095, Humble, TX); Hospital Physician Services - Southeast Professional Corporation (NPI 1760410385, Monroe, GA); Southeastern Medical Group, PC (NPI 1184669053, Brevard, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** October 11, 2017
- **Other identifiers:** Medicaid 10025533600 (NE)
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Source: [NPI Profile](https://npiprofile.com/npi/1154617793) · Data from the CMS NPPES public registry.