DR. MICHAEL FRANCIS CICCARELLI JR. D.O.
NPI 1326268491
Emergency Medicine in Albany, NY

Active since April 30, 2007PECOS EnrolledAccepts Medicare Assignment
43 NEW SCOTLAND AVENUE, ALBANY MEDICAL CENTER, ALBANY, NY 12208(518) 262-4050 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Michael Francis Ciccarelli Jr. D.o. NPPES

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

DR. MICHAEL FRANCIS CICCARELLI JR. D.O. (NPI 1326268491) is an individual emergency medicine provider in Albany, New York, licensed in New York (241890) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Troy, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1326268491
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MICHAEL FRANCIS CICCARELLI JR.Credential: D.O.
Location Address43 NEW SCOTLAND AVENUE, ALBANY MEDICAL CENTERAlbany, NY 12208
Mailing Address3 Edward DrWest Sand Lake, NY 12196-9789 · (518) 674-0804
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateApril 30, 2007
Last NPPES UpdateMarch 17, 2018
✔ NPI 1326268491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 241890
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.
43 NEW SCOTLAND AVENUE, Albany, NY 12208

Secondary Practice Location 1

Location 11300 Massachusetts AveTroy, NY 12180-1628 · Phone (518) 268-5234

Accepted 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. Michael Francis Ciccarelli Jr. 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.

PECOS PAC ID8921192048
PECOS Enrollment IDI20251105004108
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

5

Medicare enrollment records show Michael Ciccarelli reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
2215 BURDETT AVE
Troy, NY 12180
  • Reassigned Medicare billing, New York enrollment
  • 725 clinicians in this Medicare group
Urgent Care
7375 OSWEGO RD, SUITE1
Liverpool, NY 13090
  • Reassigned Medicare billing, New York and Pennsylvania enrollments
  • Medicare enrollment name: Wellnow Urgent Care, P.C.
  • 511 clinicians in this Medicare group
Emergency Medicine
327 BEACH 19TH ST
Far Rockaway, NY 11691
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Island Emergency Medical Services PC
  • 290 clinicians in this Medicare group
Urgent Care
505 W CLEVELAND RD
Mishawaka, IN 46545
  • Reassigned Medicare billing, Indiana and Michigan enrollments
  • 166 clinicians in this Medicare group
Urgent Care
4211 N CICERO AVE, SUITE 100
Chicago, IL 60641
  • Reassigned Medicare billing, Illinois enrollment
  • 366 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.
156 services151 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.
76 services70 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.
22 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12208 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.

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.

Student in an Organized Health Care Education/Training Program
43 NEW SCOTLAND AVENUE, DEPT. OF NEUROLOGY, MAIL CODE: 70
ALBANY, NY 12208
Student in an Organized Health Care Education/Training Program
43 NEW SCOTLAND AVENUE, DEPARTMENT OF OPHTHALMOLOGY, MAIL CODE: 77
ALBANY, NY 12208
Student in an Organized Health Care Education/Training Program
43 NEW SCOTLAND AVENUE, DEPT. OF SURGERY
ALBANY, NY 12208
Speech-Language Pathologist
43 NEW SCOTLAND AVENUE, ALBANY MEDICAL CENTER HOSPITAL MC-128
ALBANY, NY 12208
Speech-Language Pathologist
43 NEW SCOTLAND AVENUE, ALBANY MEDICAL CENTER HOSPITAL, COMM DISORDERS CENTER
ALBANY, NY 12208
Student in an Organized Health Care Education/Training Program
43 NEW SCOTLAND AVENUE, DEPARTMENT OF OBSTETRICS AND GYNECOLOGY
ALBANY, NY 12208
Emergency Medicine
43 NEW SCOTLAND AVENUE, DEPT. OF EMERGENCY MEDICINE
ALBANY, NY 12208
Physician Assistant
43 NEW SCOTLAND AVENUE
ALBANY, NY 12208

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 Michael Ciccarelli's NPI number?

The NPI number for Michael Ciccarelli is 1326268491. It was assigned to this individual provider in the NPPES registry on April 30, 2007.

Where is Michael Ciccarelli located?

Michael Ciccarelli practices at 43 New Scotland Avenue Albany Medical Center, Albany, NY 12208. The listed phone number is (518) 262-4050.

What is Michael Ciccarelli's specialty?

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

Is Michael Ciccarelli enrolled in Medicare?

Yes. Michael 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 Michael Ciccarelli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Ciccarelli reassigns Medicare benefits to 5 organizations: Samaritan Hospital Of Troy, New York (Troy, NY), Wellnow Urgent Care, PC (Liverpool, NY), Island Emergency Medical Services, P.C. (Far Rockaway, NY), Pic Indiana PC (Mishawaka, IN) and Physicians Immediate Care North Chicago LLC (Chicago, IL). 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 Michael Ciccarelli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Ciccarelli accept?

Health plans from CareSource list Michael Ciccarelli 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.

When was this NPI record last updated?

The NPPES record for Michael Ciccarelli was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.