MR. MICHAEL F CARNUCCIO D.O.
NPI 1598749012
Family Medicine in Thorndale, PA

Active since November 30, 2005PECOS EnrolledAccepts Medicare Assignment
80.13/100
CMS Quality Rating
200 MUNICIPAL DR, THORNDALE, PA 19372(610) 383-6300(610) 383-0114 Get Directions Write a Review

NPPES record last updated: November 23, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Michael F Carnuccio D.o. NPPES

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

MR. MICHAEL F CARNUCCIO D.O. (NPI 1598749012) is an individual family medicine provider in Thorndale, Pennsylvania, licensed in Pennsylvania (OS011990) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (1995).

NPPES Registry Identity

NPI1598749012
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. MICHAEL F CARNUCCIOCredential: D.O.
Location Address200 MUNICIPAL DRThorndale, PA 19372-1016
Mailing Address309 Highview CirWest Chester, PA 19382-1821
Fax(610) 383-0114
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1995
Enumeration DateNovember 30, 2005
Last NPPES UpdateNovember 23, 2009
NPI 1598749012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · OS011990
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
200 MUNICIPAL DR, Thorndale, PA 19372

Other Identifiers 2

Medicare UPINH59928PA
Medicare PIN057518D3UPA

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

Mr. Michael F Carnuccio D.o. 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 ID8729113436
PECOS Enrollment IDI20100319000793
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 41

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,260 services16 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
765 services317 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
739 services278 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
733 services331 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
580 services296 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
245 services173 patients

Hospital Affiliations CMS Care Compare 4

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

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390100
Location555 North Duke StreetLancaster, PA 17602 · Lancaster County
Emergency services Birthing friendly

Paoli Hospital

Acute Care Hospitals · Paoli, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390153
Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County
Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390195
Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19372 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

80.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.36
Promoting Interoperability100
Improvement Activities40
Cost52.41

Referred Medical Equipment & Supplies CMS DME claims 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers24 claims98 services$5.84 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers14 claims22 services$1.15 avg. paid by Medicare
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181
DME-Other DME · category DE000N
1 supplier11 claims11 services$8.71 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers23 claims23 services$40.32 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers17 claims17 services$14.01 avg. paid by Medicare
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470
DME-Other DME · category DE001N
1 supplier11 claims11 services$73.35 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 8

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

Registered Nurse (Ambulatory Care)
200 MUNICIPAL DR
THORNDALE, PA 19372
Family Medicine
200 MUNICIPAL DR
THORNDALE, PA 19372
Physician Assistant (Medical)
200 MUNICIPAL DR
THORNDALE, PA 19372
Family Medicine
200 MUNICIPAL DR
THORNDALE, PA 19372
Family Medicine
200 MUNICIPAL DR
THORNDALE, PA 19372
Clinic/Center (Physical Therapy)
200 MUNICIPAL DR
THORNDALE, PA 19372
Family Medicine
200 MUNICIPAL DR
THORNDALE, PA 19372
Family Medicine
200 MUNICIPAL DR
THORNDALE, PA 19372

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 Michael Carnuccio's NPI number?

The NPI number for Michael Carnuccio is 1598749012. It was assigned to this individual provider in the NPPES registry on November 30, 2005.

Where is Michael Carnuccio located?

Michael Carnuccio practices at 200 Municipal Dr, Thorndale, PA 19372. The listed phone number is (610) 383-6300.

What is Michael Carnuccio's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Carnuccio enrolled in Medicare?

Yes. Michael Carnuccio 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 Michael Carnuccio accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Michael Carnuccio 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 Michael Carnuccio affiliated with any hospitals?

According to CMS data, Michael Carnuccio is affiliated with Lancaster General Hospital, Paoli Hospital, Chester County Hospital and Main Line Hospital Lankenau.

When was this NPI record last updated?

The NPPES record for Michael Carnuccio was last updated on November 23, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.