DR. GENE CAICCO DPM
NPI 1568462133
Podiatrist in Warren, MI

Q: What is Gene Caicco's NPI number?

The NPI number for Gene Caicco is 1568462133. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Q: What is Gene Caicco's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Q: When was this NPI record last updated?

The NPPES record for Gene Caicco was last updated on October 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since July 26, 2005PECOS EnrolledAccepts Medicare Assignment

0/100

CMS Quality Rating

11900 E 12 MILE RD, SUITE 102, WARREN, MI 48093(586) 573-7470(586) 573-0850 Get Directions Write a Review

NPPES record last updated: October 27, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Gene Caicco Dpm NPPES

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

DR. GENE CAICCO DPM (NPI 1568462133) is an individual podiatrist in Warren, Michigan, licensed in Michigan (GC001745) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Ascension Macomb Oakland Hosp-warren Campus, and is a graduate of William M. Scholl College Of Podiatric Medicine (1994).

NPPES Registry Identity

NPI1568462133

Entity TypeIndividualMale

Primary Taxonomy213E00000X

Provider Legal NameDR. GENE CAICCOCredential: DPM

Location Address11900 E 12 MILE RD, SUITE 102Warren, MI 48093-3400

Mailing Address11900 E 12 Mile Rd, Suite 102Warren, MI 48093-3400 · (586) 573-7470 · Fax (586) 573-0850

Phone(586) 573-7470

Fax(586) 573-0850

Sole ProprietorYes

Medical School CMSWilliam M. Scholl College Of Podiatric MedicineGraduated 1994

Enumeration DateJuly 26, 2005

Last NPPES UpdateOctober 27, 2011

✔ NPI 1568462133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in MI · GC001745

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

11900 E 12 MILE RD, Warren, MI 48093

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Other Identifiers 8

Other5901001745MI · Bcbsm

Other383523897MI · St John Smart Plan

Other383523897MI · United Health Care

Medicare NSC4070840001MI

Other383523897MI · Ppom

Medicare UPINU61949MI

Medicare ID-Type UnspecifiedN13530001MI

Medicaid4246887MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Gene Caicco Dpm 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 ID7618871088

PECOS Enrollment IDI20031126000395

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.

Medicare Billing Reassignments

Medicare enrollment records show Gene Caicco reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Warren Podiatry, PC

3.5 mi

Foot & Ankle Surgery

3701 E 13 MILE RD
Warren, MI 48092

Reassigned Medicare billing, Michigan enrollment
5 clinicians in this Medicare group

NPI 1891914636 (586) 979-1060

Gene Caicco,d.P.M., Plc

26 mi

Podiatrist

11900 E 12 MILE RD, SUITE 102
Warren, MI 48093

Reassigned Medicare billing, Michigan enrollment

NPI 1619062825 (586) 573-7470

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 18

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.

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

555 services177 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

441 services190 patients

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.

174 services102 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

136 services52 patients

Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less 11305

This is a procedure where a small skin growth on the scalp, neck, hands, or feet, measuring 0.5 cm or less, is carefully removed. The process involves shaving off the growth layer by layer to ensure complete removal. It's a safe and common practice.

76 services26 patients

Removal of fingernails or toenails, 1-5 nails 11720

This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.

71 services36 patients

Aspiration and/or injection of fluid from small joint 20600

This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.

58 services33 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

58 services34 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

52 services22 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

43 services16 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

35 services35 patients

Removal of noncancer thickened skin growth, 1 growth 11055

This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.

34 services14 patients

Removal of fingernails or toenails, 6 or more nails 11721

34 services33 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

31 services22 patients

X-ray of foot, 2 views 73620

An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.

24 services16 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

15 services12 patients

Simple separation of fingernail or toenail from nail bed, first nail 11730

This procedure involves the gentle removal of the first nail from its bed, often due to injury or infection. It's performed under local anesthesia to minimize discomfort. The nail will gradually regrow over time.

12 services12 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Ascension Macomb Oakland Hosp-Warren Campus

Acute Care Hospitals · Warren, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230195

Location11800 East Twelve Mile RoadWarren, MI 48093 · Macomb County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48093 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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

Quality

Improvement Activities

Reported Quality Measures

Diabetes: Foot Exam

The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year

64%219 patients3/55-star benchmark: 98%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

100%464 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period

0%913 patients1/55-star benchmark: 99%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

100%293 patients5/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

18%1,634 patients1/55-star benchmark: 99%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

24%1,552 patients2/55-star benchmark: 97%

Preventive Care and Screening: Influenza Immunization

Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization

28%987 patients2/55-star benchmark: 88%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 71% · 1,773 patients

Patients tobacco: 63% · 1,773 patients

0%709 patients1/55-star benchmark: 98%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

97%1,634 patients4/55-star benchmark: 100%

Use of High-Risk Medications in the Elderly

Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.

Lower rates are better for this measure.

Patients 2+: 0% · 881 patients

0%881 patients5/55-star benchmark: 100%

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 3

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

Tape, non-waterproof, per 18 square inches A4450

DME-Medical/Surgical Supplies · category DA000N

2 suppliers12 claims442 services$0.10 avg. paid by Medicare

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500

DME-Orthotic Devices · category DF000N

2 suppliers27 claims54 services$59.05 avg. paid by Medicare

For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5513

DME-Orthotic Devices · category DF000N

1 supplier27 claims162 services$36.94 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.

ASCENSION MEDICAL GROUP MICHIGAN

Orthopaedic Surgery

11900 E 12 MILE RD, SUITE 110
WARREN, MI 48093

Macomb County (586) 582-7070

SALIM MERAM MD

Internal Medicine

11900 E 12 MILE RD, SUITE 100
WARREN, MI 48093

Macomb County (586) 573-5890

DAVID H MENDELSON MD

Orthopaedic Surgery

11900 E 12 MILE RD, SUITE 110
WARREN, MI 48093

Macomb County (586) 582-7070

KIM MARGOLIS MD

Internal Medicine

11900 E 12 MILE RD, SUITE 200
WARREN, MI 48093

Macomb County (586) 558-9033

SARAH MCKENDRICK HAVENS P.A.

Physician Assistant

11900 E 12 MILE RD, SUITE 110
WARREN, MI 48093

Macomb County (586) 261-2600

JILL F. DELY PA-C

Physician Assistant

11900 E 12 MILE RD, SUITE 103
WARREN, MI 48093

Macomb County (586) 574-0890

ANTHONY P. BARON MD

Internal Medicine (Rheumatology)

11900 E 12 MILE RD, SUITE 300
WARREN, MI 48093

Macomb County (586) 751-2072

LINGAREDDY DEVIREDDY MD PC

Clinic/Center (Medical Specialty)

11900 E 12 MILE RD, SUITE 103
WARREN, MI 48093

Macomb County (586) 574-0890

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 Gene Caicco's NPI number?

The NPI number for Gene Caicco is 1568462133. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Where is Gene Caicco located?

Gene Caicco practices at 11900 E 12 Mile Rd Suite 102, Warren, MI 48093. The listed phone number is (586) 573-7470.

What is Gene Caicco's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Gene Caicco enrolled in Medicare?

Yes. Gene Caicco 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.

Which organizations bill Medicare for Gene Caicco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gene Caicco reassigns Medicare benefits to 2 organizations: Warren Podiatry, PC (Warren, MI) and Gene Caicco,d.P.M., Plc (Warren, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gene Caicco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gene Caicco accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Gene Caicco 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.

Is Gene Caicco affiliated with any hospitals?

According to CMS data, Gene Caicco is affiliated with Ascension Macomb Oakland Hosp-Warren Campus.

When was this NPI record last updated?

The NPPES record for Gene Caicco was last updated on October 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.