DR. BENJAMIN CICCARELLI MD
NPI 1174187702
Emergency Medicine in Bethlehem, PA

Active since April 29, 2019PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
801 OSTRUM ST, BETHLEHEM, PA 18015(484) 526-4903 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 2, 2025, Apr 29, 2019 (2 updates tracked since 2019).

About Dr. Benjamin Ciccarelli Md NPPES

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

DR. BENJAMIN CICCARELLI MD (NPI 1174187702) is an individual emergency medicine provider in Bethlehem, Pennsylvania, licensed in Pennsylvania (MD476526) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and is a graduate of Cooper Medical College (2019).

NPPES Registry Identity

NPI1174187702
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. BENJAMIN CICCARELLICredential: MD
Location Address801 OSTRUM STBethlehem, PA 18015-1000
Mailing Address801 Ostrum StBethlehem, PA 18015-1000
Sole ProprietorNo
Medical School CMSCooper Medical CollegeGraduated 2019
Enumeration DateApril 29, 2019
Last NPPES UpdateJuly 2, 20252 updates tracked since enumeration
NPPES CertifiedJuly 2, 2025
✔ NPI 1174187702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in PA · MD476526
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
801 OSTRUM ST, Bethlehem, PA 18015

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

Dr. Benjamin Ciccarelli Md 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 ID9032546742
PECOS Enrollment IDI20220627002294
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Benjamin Ciccarelli reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Trauma Surgery
801 OSTRUM ST
Bethlehem, PA 18015
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Physician Group Inc
  • 2,851 clinicians in this Medicare group
Specialist
100 PARAMOUNT BLVD
Orwigsburg, PA 17961
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 953 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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
129 services118 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
26 services25 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
22 services21 patients

Hospital Affiliations CMS Care Compare

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

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18015 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
801 OSTRUM ST, DEPT. OF EMERGENCY MEDICINE
BETHLEHEM, PA 18015
Emergency Medicine
801 OSTRUM ST
BETHLEHEM, PA 18015
Obstetrics & Gynecology
801 OSTRUM ST
BETHLEHEM, PA 18015
Nurse Practitioner (Acute Care)
801 OSTRUM ST
BETHLEHEM, PA 18015
Emergency Medicine
801 OSTRUM ST
BETHLEHEM, PA 18015
Internal Medicine (Critical Care Medicine)
801 OSTRUM ST
BETHLEHEM, PA 18015
Nurse Anesthetist, Certified Registered
801 OSTRUM ST
BETHLEHEM, PA 18015
Emergency Medicine
801 OSTRUM ST
BETHLEHEM, PA 18015

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 Benjamin Ciccarelli's NPI number?

The NPI number for Benjamin Ciccarelli is 1174187702. It was assigned to this individual provider in the NPPES registry on April 29, 2019.

Where is Benjamin Ciccarelli located?

Benjamin Ciccarelli practices at 801 Ostrum St, Bethlehem, PA 18015. The listed phone number is (484) 526-4903.

What is Benjamin Ciccarelli's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Benjamin Ciccarelli enrolled in Medicare?

Yes. Benjamin Ciccarelli 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 Benjamin Ciccarelli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Ciccarelli reassigns Medicare benefits to 2 organizations: St. Luke's Physician Group, Inc. (Bethlehem, PA) and Gslpg, Inc (Orwigsburg, PA). 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 Benjamin Ciccarelli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Benjamin Ciccarelli affiliated with any hospitals?

According to CMS data, Benjamin Ciccarelli is affiliated with St Luke's Hospital Bethlehem.

When was this NPI record last updated?

The NPPES record for Benjamin Ciccarelli was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.