MARK J MICCICHE DPM
NPI 1336195031
Podiatrist in Scranton, PA

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
1800 MULBERRY ST, SCRANTON, PA 18510(570) 703-8146(570) 703-7205 Get Directions Write a Review

NPPES record last updated: August 21, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 21, 2020, Apr 24, 2020 (2 updates tracked since 2020).

About Mark J Micciche Dpm NPPES

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

MARK J MICCICHE DPM (NPI 1336195031) is an individual podiatrist in Scranton, Pennsylvania, licensed in Pennsylvania (SC-003638-L) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and is a graduate of Temple University School Of Podiatric Medicine (1991).

NPPES Registry Identity

NPI1336195031
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameMARK J MICCICHECredential: DPM
Location Address1800 MULBERRY STScranton, PA 18510-2369
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144 · Fax (570) 271-6578
Fax(570) 703-7205
Sole ProprietorNo
Medical School CMSTemple University School Of Podiatric MedicineGraduated 1991
Enumeration DateMay 25, 2006
Last NPPES UpdateAugust 21, 20202 updates tracked since enumeration
NPPES CertifiedAugust 21, 2020
NPI 1336195031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in PA · SC-003638-L
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1800 MULBERRY ST, Scranton, PA 18510

Other Identifiers 1

Medicaid0015256920005PA

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

Mark J Micciche Dpm 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 ID1759353618
PECOS Enrollment IDI20040811000159
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 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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
300 services107 patients
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.
175 services90 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
60 services21 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.
56 services41 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
44 services19 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
43 services18 patients

Hospital Affiliations CMS Care Compare

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

Geisinger-Community Medical Center

Acute Care Hospitals · Scranton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390001
Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18510 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
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
3%151 patients1/55-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.

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.

Internal Medicine (Pulmonary Disease)
1800 MULBERRY ST
SCRANTON, PA 18510
Nurse Anesthetist, Certified Registered
1800 MULBERRY ST
SCRANTON, PA 18510
Registered Nurse (Medical-Surgical)
1800 MULBERRY ST
SCRANTON, PA 18510
Dietitian, Registered
1800 MULBERRY ST
SCRANTON, PA 18510
Internal Medicine (Rheumatology)
1800 MULBERRY ST
SCRANTON, PA 18510
Surgery
1800 MULBERRY ST
SCRANTON, PA 18510
Nurse Anesthetist, Certified Registered
1800 MULBERRY ST
SCRANTON, PA 18510
Nurse Practitioner
1800 MULBERRY ST
SCRANTON, PA 18510

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 Mark Micciche's NPI number?

The NPI number for Mark Micciche is 1336195031. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Mark Micciche located?

Mark Micciche practices at 1800 Mulberry St, Scranton, PA 18510. The listed phone number is (570) 703-8146.

What is Mark Micciche's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Mark Micciche enrolled in Medicare?

Yes. Mark Micciche 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.

Is Mark Micciche affiliated with any hospitals?

According to CMS data, Mark Micciche is affiliated with Geisinger-Community Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Micciche was last updated on August 21, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.