DR. JOHN T CINICOLA MD
NPI 1407848674
Internal Medicine in Harrisburg, PA

Active since August 15, 2005PECOS EnrolledAccepts Medicare Assignment
82.54/100
CMS Quality Rating
205 S FRONT ST STE 3C, HARRISBURG, PA 17104(717) 231-8532(717) 231-8535 Get Directions Write a Review

NPPES record last updated: January 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 23, 2021, Aug 7, 2017 (2 updates tracked since 2017).

About Dr. John T Cinicola Md NPPES

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

DR. JOHN T CINICOLA MD (NPI 1407848674) is an individual internal medicine provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (MD041470L) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Upmc Pinnacle Hospitals, and is a graduate of West Virginia University School Of Medicine (1987).

NPPES Registry Identity

NPI1407848674
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOHN T CINICOLACredential: MD
Location Address205 S FRONT ST STE 3CHarrisburg, PA 17104-1619
Mailing Address409 South Second Street, Suite 2fHarrisburg, PA 17104-1612 · (717) 231-8508 · Fax (717) 231-8535
Fax(717) 231-8535
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 1987
Enumeration DateAugust 15, 2005
Last NPPES UpdateJanuary 23, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2021
NPI 1407848674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · MD041470L
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
205 S FRONT ST STE 3C, Harrisburg, PA 17104

Other Identifiers 1

Medicaid001208470PA

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

Dr. John T Cinicola 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 ID2365401452
PECOS Enrollment IDI20041005000675
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 4

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
78 services43 patients
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.
76 services41 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
45 services42 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17104 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

82.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.62
Promoting Interoperability100
Improvement Activities40
Cost65.18

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tracheostomy, inner cannula A4623
DME-Orthotic Devices · category DF000N
1 supplier13 claims400 services$6.34 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$17.18 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$82.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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
205 S FRONT ST STE 3C
HARRISBURG, PA 17104
Student in an Organized Health Care Education/Training Program
205 S FRONT ST STE 3C
HARRISBURG, PA 17104
Student in an Organized Health Care Education/Training Program
205 S FRONT ST STE 3C
HARRISBURG, PA 17104
Internal Medicine
205 S FRONT ST STE 3C
HARRISBURG, PA 17104
Internal Medicine
205 S FRONT ST STE 3C
HARRISBURG, PA 17104
Internal Medicine
205 S FRONT ST STE 3C
HARRISBURG, PA 17104
Student in an Organized Health Care Education/Training Program
205 S FRONT ST STE 3C
HARRISBURG, PA 17104
Student in an Organized Health Care Education/Training Program
205 S FRONT ST STE 3C
HARRISBURG, PA 17104

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 John Cinicola's NPI number?

The NPI number for John Cinicola is 1407848674. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is John Cinicola located?

John Cinicola practices at 205 S Front St Ste 3C, Harrisburg, PA 17104. The listed phone number is (717) 231-8532.

What is John Cinicola's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Cinicola enrolled in Medicare?

Yes. John Cinicola 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 John Cinicola affiliated with any hospitals?

According to CMS data, John Cinicola is affiliated with Upmc Pinnacle Hospitals.

When was this NPI record last updated?

The NPPES record for John Cinicola was last updated on January 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.