STACEY ANN DIMITRIOU-CIACCIO RPA C
NPI 1396788766
Physician Assistant in Patchogue, NY
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
Specialties & Licenses
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.
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.
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, NYPhysician 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.
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.
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.
PATCHOGUE, NY 11772
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.