FRANK CULICCHIA MD
NPI 1356386940
Neurological Surgery in Marrero, LA

Active since June 18, 2006PECOS EnrolledAccepts Medicare Assignment
88.05/100
CMS Quality Rating
1111 MEDICAL CENTER BLVD., SUITE S750, MARRERO, LA 70072(504) 340-6976(504) 349-6786 Get Directions Write a Review

NPPES record last updated: October 26, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Frank Culicchia Md NPPES

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

FRANK CULICCHIA MD (NPI 1356386940) is an individual neurological surgery provider in Marrero, Louisiana, licensed in Louisiana (016732) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Thibodaux Regional Medical Center, and is a graduate of Tulane University School Of Medicine (1982).

NPPES Registry Identity

NPI1356386940
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameFRANK CULICCHIACredential: MD
Location Address1111 MEDICAL CENTER BLVD., SUITE S750Marrero, LA 70072
Mailing Address1111 Medical Center Blvd., Suite S750Marrero, LA 70072 · (504) 340-6976 · Fax (504) 349-6786
Fax(504) 349-6786
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1982
Enumeration DateJune 18, 2006
Last NPPES UpdateOctober 26, 2012
NPI 1356386940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in LA · 016732
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
1111 MEDICAL CENTER BLVD., Marrero, LA 70072

Other Identifiers 3

Medicare PIN50880B422
Medicaid1388327LA
Medicare UPINB89413

Accepted Insurance

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

Frank Culicchia Md 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 ID1355329673
PECOS Enrollment IDI20040713000217
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 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.
46 services34 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.
24 services20 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.
14 services14 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.
13 services13 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Thibodaux Regional Medical Center

Acute Care Hospitals · Thibodaux, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190004
Location602 N Acadia RoadThibodaux, LA 70301 · Lafourche County
Emergency services Birthing friendly

University Medical Center New Orleans

Acute Care Hospitals · New Orleans, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190005
Location2000 Canal StreetNew Orleans, LA 70112 · Orleans County
Emergency services

West Jefferson Medical Center

Acute Care Hospitals · Marrero, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190039
Location1101 Medical Center BlvdMarrero, LA 70072 · Jefferson County
Emergency services Birthing friendly

East Jefferson General Hospital

Acute Care Hospitals · Metairie, LA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number190176
Location4200 Houma BlvdMetairie, LA 70006 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70072 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
$128.88 typical visit price
range $55.50 – $170.30
Typical copayment $32.22 (range $13.87 – $42.57)
Most-billed visit code 99204
Established Patient
$69.44 typical visit price
range $17.42 – $138.03
Typical copayment $17.36 (range $4.35 – $34.50)
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.

88.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.6
Promoting Interoperability100
Improvement Activities40
Cost58.23

Other Providers at the Same Location NPPES 19

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

Internal Medicine
1111 MEDICAL CENTER BLVD., STE. S850
MARRERO, LA 70072
Physical Medicine & Rehabilitation
1111 MEDICAL CENTER BLVD., SUITE S750
MARRERO, LA 70072
Obstetrics & Gynecology
1111 MEDICAL CENTER BLVD., STE. S250
MARRERO, LA 70072
Psychiatry & Neurology (Neurology)
1111 MEDICAL CENTER BLVD., SUITE S750
MARRERO, LA 70072
Obstetrics & Gynecology
1111 MEDICAL CENTER BLVD., STE. S250
MARRERO, LA 70072
Neurological Surgery
1111 MEDICAL CENTER BLVD., SUITE S750
MARRERO, LA 70072
Specialist
1111 MEDICAL CENTER BLVD., STE. S-750
MARRERO, LA 70072
Physician Assistant (Medical)
1111 MEDICAL CENTER BLVD., SUITE S-450
MARRERO, LA 70072

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 Frank Culicchia's NPI number?

The NPI number for Frank Culicchia is 1356386940. It was assigned to this individual provider in the NPPES registry on June 18, 2006.

Where is Frank Culicchia located?

Frank Culicchia practices at 1111 Medical Center Blvd. Suite S750, Marrero, LA 70072. The listed phone number is (504) 340-6976.

What is Frank Culicchia's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Frank Culicchia enrolled in Medicare?

Yes. Frank Culicchia 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.

What insurance does Frank Culicchia accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Frank Culicchia 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 Frank Culicchia affiliated with any hospitals?

According to CMS data, Frank Culicchia is affiliated with Thibodaux Regional Medical Center, University Medical Center New Orleans, West Jefferson Medical Center and East Jefferson General Hospital.

When was this NPI record last updated?

The NPPES record for Frank Culicchia was last updated on October 26, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.