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DR. DANIEL C LOPICCOLO M.D.
NPI 1235116443
Obstetrics & Gynecology in Muncie, IN

Active since December 29, 2005PECOS EnrolledAccepts Medicare Assignment
5501 W BETHEL AVE STE C, MUNCIE, IN 47304(765) 286-3900(765) 286-3915 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Daniel C Lopiccolo M.d. NPPES

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

DR. DANIEL C LOPICCOLO M.D. (NPI 1235116443) is an individual obstetrics & gynecology provider in Muncie, Indiana, licensed in Indiana (01047272) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health Ball Memorial Hospital, and is a graduate of University Of Toledo College Of Medicine (1992).

NPPES Registry Identity

NPI1235116443
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. DANIEL C LOPICCOLOCredential: M.D.
Location Address5501 W BETHEL AVE STE CMuncie, IN 47304-8513
Mailing Address1200 W White River BlvdMuncie, IN 47303-4988 · (877) 668-5621
Phone(765) 286-3900
Fax(765) 286-3915
Sole ProprietorNo
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 1992
Enumeration DateDecember 29, 2005
Last NPPES UpdateJanuary 25, 2021
NPPES CertifiedJanuary 25, 2021
✔ NPI 1235116443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IN · 01047272
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
5501 W BETHEL AVE STE C, Muncie, IN 47304
Open in Google Maps ↗

Other Identifiers 4

Other000000083914IN · Anthem
Other160049154IN · Medicare Railroad
Medicaid200128970AIN
Other351425221102IN · Caresource

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Anthem Blue Cross and Blue Shield, UnitedHealthcare.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. Daniel C Lopiccolo M.d. 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 ID9638132053
PECOS Enrollment IDI20041108000171
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 Daniel Lopiccolo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Indiana University Health Ball Memorial Physicians, Inc.
2.6 mi
Pediatrics
205 N TILLOTSON AVE, SUITE 201B
Muncie, IN 47304
  • Reassigned Medicare billing, Indiana enrollment
  • 635 clinicians in this Medicare group
NPI 1568782373 (765) 281-4599
Iu Health Medical Group, LLC
48 mi
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
NPI 1326893777 (317) 962-2000

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 5

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.
84 services56 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.
27 services26 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
25 services25 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Indiana University Health Ball Memorial Hospital

Acute Care Hospitals · Muncie, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150089
Location2401 University AveMuncie, IN 47303 · Delaware County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47304 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DR. SARA JEAN MORNAR D.O.
Obstetrics & Gynecology
5501 W BETHEL AVE STE C
MUNCIE, IN 47304
Delaware County (765) 286-3900

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 Daniel Lopiccolo's NPI number?

The NPI number for Daniel Lopiccolo is 1235116443. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Where is Daniel Lopiccolo located?

Daniel Lopiccolo practices at 5501 W Bethel Ave Ste C, Muncie, IN 47304. The listed phone number is (765) 286-3900.

What is Daniel Lopiccolo's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Daniel Lopiccolo enrolled in Medicare?

Yes. Daniel Lopiccolo 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 Daniel Lopiccolo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Lopiccolo reassigns Medicare benefits to 2 organizations: Indiana University Health Ball Memorial Physicians, Inc. (Muncie, IN) and Iu Health Medical Group, LLC (Indianapolis, IN). 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 Daniel Lopiccolo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Lopiccolo accept?

Health plans from AmeriHealth Caritas Next, Anthem Blue Cross and Blue Shield and UnitedHealthcare list Daniel Lopiccolo 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 Daniel Lopiccolo affiliated with any hospitals?

According to CMS data, Daniel Lopiccolo is affiliated with Indiana University Health Ball Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Lopiccolo was last updated on January 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.