NICHOLAS PELLICCIO MD
NPI 1598297244
Surgery - Vascular Surgery in Memphis, TN

Q: What is Nicholas Pelliccio's NPI number?

The NPI number for Nicholas Pelliccio is 1598297244. It was assigned to this individual provider in the NPPES registry on March 31, 2017.

Q: What is Nicholas Pelliccio's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Active since March 31, 2017PECOS EnrolledAccepts Medicare Assignment

6025 WALNUT GROVE RD STE 301, MEMPHIS, TN 38120(901) 226-0458 Get Directions Write a Review

NPPES record last updated: July 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 28, 2024, May 16, 2024, Mar 31, 2017 (3 updates tracked since 2017).

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About Nicholas Pelliccio Md NPPES

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

NICHOLAS PELLICCIO MD (NPI 1598297244) is an individual vascular surgery provider in Memphis, Tennessee, licensed in Mississippi (33099) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital Desoto, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1598297244

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameNICHOLAS PELLICCIOCredential: MD

Location Address6025 WALNUT GROVE RD STE 301Memphis, TN 38120-2123

Mailing Address965 Ridge Lake BlvdMemphis, TN 38120-9401 · (901) 227-4692

Phone(901) 226-0458

Sole ProprietorYes

Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2017

Enumeration DateMarch 31, 2017

Last NPPES UpdateJuly 28, 20243 updates tracked since enumeration

NPPES CertifiedJuly 28, 2024

✔ NPI 1598297244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in MS · 33099

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Also ListedSurgeryTaxonomy 208600000X · License 33099 (MS)

6025 WALNUT GROVE RD STE 301, Memphis, TN 38120

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Secondary Practice Locations 2

Location 18138 Country Village DrCordova, TN 38016-2029 · Phone (901) 725-8606

Location 22100 Exeter RdGermantown, TN 38138-3966 · Phone (901) 757-1350

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, BlueCross BlueShield of Tennessee and more.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

Nicholas Pelliccio 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 ID6800161209

PECOS Enrollment IDI20240827001685, I20250407003737

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.

Hospital Affiliations CMS Care Compare 3

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

Baptist Memorial Hospital Desoto

Acute Care Hospitals · Southaven, MS

1/5 CMS rating

OwnershipProprietary

CMS Certification Number250141

Location7601 Southcrest ParkwaySouthaven, MS 38671 · De Soto County

Emergency services Birthing friendly

Baptist Memorial Hospital

Acute Care Hospitals · Memphis, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440048

Location6019 Walnut Grove RoadMemphis, TN 38120 · Shelby County

Emergency services Birthing friendly

Baptist Memorial Hospital Tipton

Acute Care Hospitals · Covington, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number440131

Location1995 Highway 51 SCovington, TN 38019 · Tipton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38120 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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.

Other Providers at the Same Location NPPES 13

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

CORTNEY TERHUNE NP

Nurse Practitioner (Acute Care)