DR. LEE MICHAEL CICCARELLI M.D.
NPI 1417909029
Specialist in Williamsport, PA

Active since May 16, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 39D0188834 · Microscopy
23.53/100
CMS Quality Rating
429 WASHINGTON BLVD, WILLIAMSPORT, PA 17701(570) 327-9480(570) 327-9483 Get Directions Write a Review

NPPES record last updated: January 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 4, 2021, Dec 22, 2020 (2 updates tracked since 2020).

About Dr. Lee Michael Ciccarelli M.d. NPPES

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

DR. LEE MICHAEL CICCARELLI M.D. (NPI 1417909029) is an individual specialist in Williamsport, Pennsylvania, licensed in Pennsylvania (MD022616E) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through August 31, 2026, and is affiliated with Geisinger Medical Center.

NPPES Registry Identity

NPI1417909029
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. LEE MICHAEL CICCARELLICredential: M.D.
Location Address429 WASHINGTON BLVDWilliamsport, PA 17701-5255
Mailing Address429 Washington BlvdWilliamsport, PA 17701-5255 · (570) 327-9480 · Fax (570) 327-9483
Fax(570) 327-9483
Sole ProprietorYes
Medical School CMSWake Forest University School Of MedicineGraduated 1978
Enumeration DateMay 16, 2006
Last NPPES UpdateJanuary 4, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2021
NPI 1417909029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in PA · MD022616E
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedLegal MedicineTaxonomy 173000000X · License MD022616E (PA)
429 WASHINGTON BLVD, Williamsport, PA 17701

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. Lee Michael Ciccarelli M.d. 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 ID6305880899
PECOS Enrollment IDI20050615000633
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 39D0188834

Lee M Ciccarelli MD · Williamsport, PA
Active · expires Aug 31, 2026
CLIA Number39D0188834
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorLee M. Ciccarelli
Laboratory Phone(717) 327-9480
Laboratory LocationLee M Ciccarelli MD429 Washington Blvd, Williamsport, PA 17701
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 17

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,223 services67 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.
967 services143 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
690 services58 patients
Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
412 services59 patients
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420
This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.
270 services58 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
246 services49 patients

Hospital Affiliations CMS Care Compare 5

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

Geisinger Medical Center

Acute Care Hospitals · Danville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390006
Location100 North Academy AvenueDanville, PA 17822 · Montour County
Emergency services Birthing friendly

Upmc Williamsport

Acute Care Hospitals · Williamsport, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390045
Location700 High StreetWilliamsport, PA 17701 · Lycoming County
Emergency services Birthing friendly

Geisinger Jersey Shore Hospital

Critical Access Hospitals · Jersey Shore, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number391300
Location1020 Thompson StreetJersey Shore, PA 17740 · Lycoming County
Emergency services

Upmc Muncy

Critical Access Hospitals · Muncy, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number391301
Location215 East Water StreetMuncy, PA 17756 · Lycoming County
Emergency services

Upmc Wellsboro

Critical Access Hospitals · Wellsboro, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number391316
Location32-36 Central AvenueWellsboro, PA 16901 · Tioga County
Emergency services Birthing friendly

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.

23.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost78.45

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers28 claims42 services$6.09 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers18 claims18 services$20.62 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Lee Ciccarelli's NPI number?

The NPI number for Lee Ciccarelli is 1417909029. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Lee Ciccarelli located?

Lee Ciccarelli practices at 429 Washington Blvd, Williamsport, PA 17701. The listed phone number is (570) 327-9480.

What is Lee Ciccarelli's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Lee Ciccarelli enrolled in Medicare?

Yes. Lee Ciccarelli 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.

Does Lee Ciccarelli hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 39D0188834) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Lee Ciccarelli affiliated with any hospitals?

According to CMS data, Lee Ciccarelli is affiliated with Geisinger Medical Center, Upmc Williamsport, Geisinger Jersey Shore Hospital, Upmc Muncy and Upmc Wellsboro.

When was this NPI record last updated?

The NPPES record for Lee Ciccarelli was last updated on January 4, 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.