Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STACEY ANN DIMITRIOU-CIACCIO RPA C
NPI 1396788766
Physician Assistant in Patchogue, NY

Active since June 14, 2006PECOS Enrolled
91.25/100
CMS Quality Rating
101 HOSPITAL ROAD, MEDICAL CENTER, PATCHOGUE, NY 11772(631) 687-2953(610) 617-6280 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacey Ann Dimitriou-ciaccio Rpa C NPPES

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

STACEY ANN DIMITRIOU-CIACCIO RPA C (NPI 1396788766) is an individual physician assistant in Patchogue, New York, licensed in New York (009689) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Ns/lij Hs Southside Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1396788766
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSTACEY ANN DIMITRIOU-CIACCIOCredential: RPA C
Location Address101 HOSPITAL ROAD, MEDICAL CENTERPatchogue, NY 11772
Mailing AddressPo Box 13700-1378, Brookhaven Memorial Hospital ErPhiladelphia, PA 19191-1378 · (800) 666-2455 · Fax (610) 617-6280
Fax(610) 617-6280
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJune 14, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1396788766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 009689
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
101 HOSPITAL ROAD, Patchogue, NY 11772

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

Stacey Ann Dimitriou-ciaccio Rpa C 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 ID5193767010
PECOS Enrollment IDI20050601000367
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Ns/Lij Hs Southside Hospital

Acute Care Hospitals · Bay Shore, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330043
Location301 East Main StreetBay Shore, NY 11706 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11772 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

Physician Assistant
101 HOSPITAL ROAD, MEDICAL CENTER
PATCHOGUE, NY 11772
Emergency Medicine
101 HOSPITAL ROAD, MEDICAL CENTER
PATCHOGUE, NY 11772
Radiology (Diagnostic Radiology)
101 HOSPITAL ROAD
PATCHOGUE, NY 11772
Emergency Medicine
101 HOSPITAL ROAD, MEDICAL CENTER
PATCHOGUE, NY 11772
Nurse Practitioner (Adult Health)
101 HOSPITAL ROAD, BROOK HAVEN HOSPITAL MEDICAL CENTER
PATCHOGUE, NY 11772
Emergency Medicine
101 HOSPITAL ROAD, MEDICAL CENTER
PATCHOGUE, NY 11772
Physician Assistant
101 HOSPITAL ROAD, MEDICAL CENTER
PATCHOGUE, NY 11772
Emergency Medicine
101 HOSPITAL ROAD, MEDICAL CENTER
PATCHOGUE, NY 11772

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 Stacey Dimitriou-ciaccio's NPI number?

The NPI number for Stacey Dimitriou-ciaccio is 1396788766. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Stacey Dimitriou-ciaccio located?

Stacey Dimitriou-ciaccio practices at 101 Hospital Road Medical Center, Patchogue, NY 11772. The listed phone number is (631) 687-2953.

What is Stacey Dimitriou-ciaccio's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Stacey Dimitriou-ciaccio enrolled in Medicare?

Yes. Stacey Dimitriou-ciaccio 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 Stacey Dimitriou-ciaccio affiliated with any hospitals?

According to CMS data, Stacey Dimitriou-ciaccio is affiliated with Ns/Lij Hs Southside Hospital.

When was this NPI record last updated?

The NPPES record for Stacey Dimitriou-ciaccio was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.