LORI LYNN CICCONE PA
NPI 1205964426
Physician Assistant - Medical in Guilford, CT

Q: What is Lori Ciccone's NPI number?

The NPI number for Lori Ciccone is 1205964426. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Q: What is Lori Ciccone's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Lori Ciccone was last updated on December 8, 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 01, 2007PECOS EnrolledAccepts Medicare Assignment

350 GOOSE LN STE 203B, GUILFORD, CT 06437(203) 932-6481(039) 324-0512 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 8, 2023, May 2, 2018 (2 updates tracked since 2018).

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About Lori Lynn Ciccone Pa NPPES

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

LORI LYNN CICCONE PA (NPI 1205964426) is an individual medical provider in Guilford, Connecticut, licensed in Connecticut (001888) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1205964426

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameLORI LYNN CICCONECredential: PA

Location Address350 GOOSE LN STE 203BGuilford, CT 06437-2492

Mailing Address322 E Main St Ste 1bBranford, CT 06405-3136 · (034) 887-2282 · Fax (203) 204-1415

Phone(203) 932-6481

Fax(039) 324-0512

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateMarch 1, 2007

Last NPPES UpdateDecember 8, 20232 updates tracked since enumeration

NPPES CertifiedDecember 8, 2023

✔ NPI 1205964426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CT · 001888

Also ListedPhysician AssistantTaxonomy 363A00000X · License 001888 (CT)

350 GOOSE LN STE 203B, Guilford, CT 06437

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Other Identifiers 1

Other001888CT · Lic

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

Lori Lynn Ciccone Pa 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 ID2466557954

PECOS Enrollment IDI20070411000315

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.

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.

11 services11 patients

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

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

100%29 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 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers13 claims38 services$4.19 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$14.63 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 supplier12 claims12 services$78.65 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.

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