DR. ANTHONY CIRICILLO
NPI 1194285916
Family Medicine in Syracuse, NY

Q: What is Anthony Ciricillo's NPI number?

The NPI number for Anthony Ciricillo is 1194285916. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Q: What is Anthony Ciricillo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Anthony Ciricillo was last updated on December 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 20, 2019PECOS EnrolledAccepts Medicare Assignment

94.12/100

CMS Quality Rating

301 PROSPECT AVE, SYRACUSE, NY 13203(188) 878-5637 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 15, 2023, Mar 20, 2019 (2 updates tracked since 2019).

On this page

About Dr. Anthony Ciricillo NPPES

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

DR. ANTHONY CIRICILLO (NPI 1194285916) is an individual family medicine provider in Syracuse, New York, licensed in New York (324636) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with University Hospital S U N Y Health Science Center, and is a graduate of West Virginia University School Of Medicine (2018).

NPPES Registry Identity

NPI1194285916

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ANTHONY CIRICILLO

Location Address301 PROSPECT AVESyracuse, NY 13203-1807

Mailing Address22 Morse PlBelleville, NJ 07109-1555 · (201) 618-8772

Phone(188) 878-5637

Sole ProprietorYes

Medical School CMSWest Virginia University School Of MedicineGraduated 2018

Enumeration DateMarch 20, 2019

Last NPPES UpdateDecember 15, 20232 updates tracked since enumeration

NPPES CertifiedDecember 15, 2023

✔ NPI 1194285916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 324636

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

301 PROSPECT AVE, Syracuse, NY 13203

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

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. Anthony Ciricillo 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 ID4981002151

PECOS Enrollment IDI20231013001669

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

Medicare enrollment records show Anthony Ciricillo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Josephs Hospital Health Center

0.1 mi

General Acute Care Hospital

301 PROSPECT AVE, ADMINISTRATION
Syracuse, NY 13203

Reassigned Medicare billing, New York enrollment
369 clinicians in this Medicare group

NPI 1508815333 (315) 448-5880

Liberty Resources Inc.

1.0 mi

Mental Health (Including Community Mental Health Center)

1045 JAMES ST
Syracuse, NY 13203

Reassigned Medicare billing, New York enrollment
156 clinicians in this Medicare group

NPI 1225254881 (315) 425-1004

St Josephs Medical PC

4.5 mi

Family Medicine

5100 W TAFT RD
Liverpool, NY 13088

Reassigned Medicare billing, New York enrollment
625 clinicians in this Medicare group

NPI 1942501747 (315) 452-2828

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 13

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

85 services76 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

72 services29 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

63 services51 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

54 services39 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

39 services31 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

34 services23 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

32 services27 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

28 services27 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

23 services23 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

22 services19 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

20 services20 patients

Blood test, basic group of blood chemicals (calcium, total) 80048

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

19 services17 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

17 services13 patients

Hospital Affiliations CMS Care Compare

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

University Hospital S U N Y Health Science Center

Acute Care Hospitals · Syracuse, NY

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number330241

Location750 East Adams StreetSyracuse, NY 13210 · Onondaga County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13203 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

94.12/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Promoting Interoperability

Improvement Activities

Cost

91.25

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.

DR. JOSHUA AUSTIN JOHNSON DO

Family Medicine

301 PROSPECT AVE
SYRACUSE, NY 13203

Onondaga County (315) 448-5111

TYLER GRANT RN

Nurse Anesthetist, Certified Registered

301 PROSPECT AVE
SYRACUSE, NY 13203

Onondaga County (315) 448-5111

MELISSA SCHREIBER RD

Dietitian, Registered

301 PROSPECT AVE
SYRACUSE, NY 13203

Onondaga County (315) 726-7755

DR. JOAN E THORNTON MD

Anesthesiology

301 PROSPECT AVE, DEPT OF ANESTHESIA
SYRACUSE, NY 13203

Onondaga County (315) 299-5451

DR. MIHAEL J PUC MD

Anesthesiology

301 PROSPECT AVE, DEPARTMENT OF ANESTHESIA
SYRACUSE, NY 13203

Onondaga County (315) 448-5440

DAVID J. SEELEY M.D.

Emergency Medicine

301 PROSPECT AVE
SYRACUSE, NY 13203

Onondaga County (315) 448-5101

PAMELA MARIE HOWARD LPN

Licensed Practical Nurse

301 PROSPECT AVE, ST. JOSEPH'S HOSPITAL
SYRACUSE, NY 13203

Onondaga County (315) 448-5111

SAMI SAMAIN MD

Student in an Organized Health Care Education/Training Program

301 PROSPECT AVE
SYRACUSE, NY 13203

Onondaga County (315) 448-5536

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 Anthony Ciricillo's NPI number?

The NPI number for Anthony Ciricillo is 1194285916. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Where is Anthony Ciricillo located?

Anthony Ciricillo practices at 301 Prospect Ave, Syracuse, NY 13203. The listed phone number is (188) 878-5637.

What is Anthony Ciricillo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Anthony Ciricillo enrolled in Medicare?

Yes. Anthony Ciricillo 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 Anthony Ciricillo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Ciricillo reassigns Medicare benefits to 3 organizations: St Josephs Hospital Health Center (Syracuse, NY), Liberty Resources Inc. (Syracuse, NY) and St Josephs Medical PC (Liverpool, NY). 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 Anthony Ciricillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Ciricillo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Anthony Ciricillo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Anthony Ciricillo affiliated with any hospitals?

According to CMS data, Anthony Ciricillo is affiliated with University Hospital S U N Y Health Science Center.

When was this NPI record last updated?

The NPPES record for Anthony Ciricillo was last updated on December 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.