LAWRENCE PICCIONI MD
NPI 1487651865
Orthopaedic Surgery in Dover, DE

Active since June 30, 2005PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
260 BEISER BLVD, SUITE 101, DOVER, DE 19904(302) 730-8060(302) 730-8063 Get Directions Write a Review

NPPES record last updated: August 30, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Lawrence Piccioni Md NPPES

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

LAWRENCE PICCIONI MD (NPI 1487651865) is an individual orthopaedic surgery provider in Dover, Delaware, licensed in Delaware (C1003B68) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (1985).

NPPES Registry Identity

NPI1487651865
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameLAWRENCE PICCIONICredential: MD
Location Address260 BEISER BLVD, SUITE 101Dover, DE 19904-7790
Mailing Address260 Beiser Blvd, Suite 101Dover, DE 19904-7790 · (302) 730-8060 · Fax (302) 730-8063
Fax(302) 730-8063
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1985
Enumeration DateJune 30, 2005
Last NPPES UpdateAugust 30, 2007
NPI 1487651865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in DE · C1003B68
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
260 BEISER BLVD, Dover, DE 19904

Other Identifiers 2

Medicare UPIND71431
Medicare PING01500L01

Accepted Insurance

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

Lawrence Piccioni 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 ID8628051240
PECOS Enrollment IDI20040612000256
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 11

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
439 services247 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
196 services114 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
128 services88 patients
X-ray of both knees while standing 73565
An X-ray of both knees while standing is a diagnostic procedure that captures images of your knee joints. You'll stand in front of an X-ray machine, and it will take pictures showing the bones and tissues in your knees. This helps doctors identify any abnormalities or injuries.
113 services87 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
59 services45 patients
Injection, methylprednisolone acetate, 40 mg J1030
Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.
54 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19904 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Reported Quality Measures

Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin
Percentage of surgical patients aged 18 years and older undergoing procedures with the indications for a first OR second generation cephalosporin prophylactic antibiotic, who had an order for a first OR second generation cephalosporin for antimicrobial…
100%37 patients
Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)
Percentage of surgical patients aged 18 years and older undergoing procedures for which venous thromboembolism (VTE) prophylaxis is indicated in all patients, who had an order for Low Molecular Weight Heparin (LMWH), Low- Dose Unfractionated Heparin (LDUH)…
100%33 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier18 claims18 services$68.89 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 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
260 BEISER BLVD, SUITE 102
DOVER, DE 19904
Orthopaedic Surgery
260 BEISER BLVD, SUITE 101
DOVER, DE 19904
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
260 BEISER BLVD, SUITE 101
DOVER, DE 19904
Durable Medical Equipment & Medical Supplies
260 BEISER BLVD, SUITE 102
DOVER, DE 19904
Physical Therapist
260 BEISER BLVD, SUITE 102
DOVER, DE 19904
Physical Therapy Assistant
260 BEISER BLVD, SUITE 102
DOVER, DE 19904
Nurse Practitioner
260 BEISER BLVD
DOVER, DE 19904
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
260 BEISER BLVD, SUITE 101
DOVER, DE 19904

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 Lawrence Piccioni's NPI number?

The NPI number for Lawrence Piccioni is 1487651865. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Lawrence Piccioni located?

Lawrence Piccioni practices at 260 Beiser Blvd Suite 101, Dover, DE 19904. The listed phone number is (302) 730-8060.

What is Lawrence Piccioni's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Lawrence Piccioni enrolled in Medicare?

Yes. Lawrence Piccioni 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.

What insurance does Lawrence Piccioni accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Lawrence Piccioni as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lawrence Piccioni was last updated on August 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.