PETER SCUCCIMARRI M.D.
NPI 1568422111
Internal Medicine - Addiction Medicine in Maumee, OH

Q: What is Peter Scuccimarri's NPI number?

The NPI number for Peter Scuccimarri is 1568422111. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Q: What is Peter Scuccimarri's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Q: When was this NPI record last updated?

The NPPES record for Peter Scuccimarri was last updated on July 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 27, 2006PECOS Enrolled

1655 HOLLAND RD STE F, MAUMEE, OH 43537(833) 510-4357 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 12, 2022, Feb 26, 2019, Nov 15, 2018 and 1 more (4 updates tracked since 2016).

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About Peter Scuccimarri M.d. NPPES

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

PETER SCUCCIMARRI M.D. (NPI 1568422111) is an individual addiction medicine provider in Maumee, Ohio, licensed in Ohio (35.146077) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1568422111

Entity TypeIndividualMale

Primary Taxonomy207RA0401X

Provider Legal NamePETER SCUCCIMARRICredential: M.D.

Location Address1655 HOLLAND RD STE FMaumee, OH 43537-1656

Mailing Address615 Elsinore Pl Ste 200Cincinnati, OH 45202-1457 · (513) 834-7063

Phone(833) 510-4357

Sole ProprietorYes

Enumeration DateMarch 27, 2006

Last NPPES UpdateJuly 12, 20224 updates tracked since enumeration

NPPES CertifiedJuly 12, 2022

✔ NPI 1568422111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RA0401X

License✔ Licensed in OH · 35.146077

Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 4301047163 (MI)

Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License 4301047163 (MI)

1655 HOLLAND RD STE F, Maumee, OH 43537

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Secondary Practice Location 1

Location 13901 Chrysler Dr Ste 1ADetroit, MI 48201-2167 · Phone (313) 993-3964 · Fax (313) 993-3974

Other Identifiers 1

Other0811926MI · Blue Cross/blue Shield

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peter Scuccimarri 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 43537 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

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