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PHILIP DOMINIC VITTICORE M.D.
NPI 1417969049
Psychiatry & Neurology - Neurology in Canandaigua, NY

Active since August 12, 2006PECOS Enrolled
400 FORT HILL AVE, CANANDAIGUA, NY 14424(585) 393-7293(585) 393-8375 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Philip Dominic Vitticore M.d. NPPES

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

PHILIP DOMINIC VITTICORE M.D. (NPI 1417969049) is an individual neurology provider in Canandaigua, New York, licensed in New York (237427) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Clifton Springs.

NPPES Registry Identity

NPI1417969049
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NamePHILIP DOMINIC VITTICORECredential: M.D.
Location Address400 FORT HILL AVECanandaigua, NY 14424-1159
Mailing Address400 Fort Hill AveCanandaigua, NY 14424-1159 · (585) 393-7293 · Fax (585) 393-8375
Phone(585) 393-7293
Fax(585) 393-8375
Sole ProprietorNo
Enumeration DateAugust 12, 2006
Last NPPES UpdateJune 1, 2021
NPPES CertifiedJune 1, 2021
✔ NPI 1417969049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NY · 237427
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
400 FORT HILL AVE, Canandaigua, NY 14424
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Secondary Practice Location 1

Location 126 E Main St, Suite 201Clifton Springs, NY 14432-1224 · Phone (315) 462-9578 · Fax (315) 462-7241

Other Identifiers 1

OtherRB8229NY · Medicare Ptan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Philip Dominic Vitticore M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14424 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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.

MRS. MELISSA ANN MURREY R.D.
Dietitian, Registered
400 FORT HILL AVE
CANANDAIGUA, NY 14424
Ontario County (585) 393-7770
MRS. AMANDA JOY WESTBAY-ROOD LMSW
Social Worker (Clinical)
400 FORT HILL AVE
CANANDAIGUA, NY 14424
Ontario County (585) 394-2000
MISSELLE LAVONNE JEFFCOAT LPMHC, LPC, MS
Counselor (Mental Health)
400 FORT HILL AVE
CANANDAIGUA, NY 14424
Ontario County (585) 393-7218
DR. BUM SUCK LEE MD
Urology
400 FORT HILL AVE
CANANDAIGUA, NY 14424
Ontario County (585) 393-7276
MRS. LUCY ZABELLE STOYLES N.P.
Nurse Practitioner (Family)
400 FORT HILL AVE
CANANDAIGUA, NY 14424
Ontario County (585) 394-2000
JARED OSBORNE
Nurse's Aide
400 FORT HILL AVE
CANANDAIGUA, NY 14424
Ontario County (585) 394-2000
MRS. CAROL ANN COURTNEY CTRS
Recreation Therapist
400 FORT HILL AVE
CANANDAIGUA, NY 14424
Ontario County (585) 393-7798
DR. KATHRYN ANN DONOGHUE PHARM.D.
Pharmacist
400 FORT HILL AVE
CANANDAIGUA, NY 14424
Ontario County (585) 393-7114

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 Philip Vitticore's NPI number?

The NPI number for Philip Vitticore is 1417969049. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Where is Philip Vitticore located?

Philip Vitticore practices at 400 Fort Hill Ave, Canandaigua, NY 14424. The listed phone number is (585) 393-7293.

What is Philip Vitticore's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Philip Vitticore enrolled in Medicare?

Yes. Philip Vitticore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Philip Vitticore was last updated on June 1, 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.