MICHAEL P CICCONE MD
NPI 1649294034
Urology in Belleville, NJ

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
36 NEWARK AVE, SUITE 200 UROLOGY CONSULTANTS PA, BELLEVILLE, NJ 07109(973) 759-6950(973) 759-6945 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2022, Jun 22, 2021 (2 updates tracked since 2021).

About Michael P Ciccone Md NPPES

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

MICHAEL P CICCONE MD (NPI 1649294034) is an individual urology provider in Belleville, New Jersey, licensed in New Jersey (25MA06919000) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Clara Maass Medical Center, and is a graduate of Georgetown University School Of Medicine (1997).

NPPES Registry Identity

NPI1649294034
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameMICHAEL P CICCONECredential: MD
Location Address36 NEWARK AVE, SUITE 200 UROLOGY CONSULTANTS PABelleville, NJ 07109-4121
Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · (908) 273-4300
Fax(973) 759-6945
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1997
Enumeration DateJuly 27, 2006
Last NPPES UpdateMarch 9, 20222 updates tracked since enumeration
NPPES CertifiedMarch 9, 2022
NPI 1649294034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in NJ · 25MA06919000
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
36 NEWARK AVE, Belleville, NJ 07109

Other Identifiers 1

Medicaid0004065NJ

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

Michael P Ciccone 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 ID9537223383
PECOS Enrollment IDI20090123000147
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 30

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.
836 services432 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
694 services386 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.
331 services236 patients
Limited ultrasound scan of pelvis 76857
A limited ultrasound scan of the pelvis is a non-invasive imaging test. It uses high-frequency sound waves to create pictures of the lower abdomen area. This helps doctors view and assess the health of certain internal structures. It's painless and usually takes about 30 minutes.
242 services201 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.
235 services170 patients
Electronic assessment of bladder emptying 51741
Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.
231 services197 patients

Hospital Affiliations CMS Care Compare 3

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

Clara Maass Medical Center

Acute Care Hospitals · Belleville, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310009
LocationOne Clara Maass DriveBelleville, NJ 07109 · Essex County
Emergency services Birthing friendly

Hackensack Meridian Health, Mountainside Medical

Acute Care Hospitals · Montclair, NJ
2/5 CMS rating
OwnershipProprietary
CMS Certification Number310054
Location1 Bay AvenueMontclair, NJ 07042 · Essex County
Emergency services Birthing friendly

The University Hospital

Acute Care Hospitals · Newark, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310119
Location150 Bergen StNewark, NJ 07103 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07109 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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 20

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

Nurse Practitioner (Primary Care)
36 NEWARK AVE
BELLEVILLE, NJ 07109
Orthopaedic Surgery
36 NEWARK AVE, STE 220
BELLEVILLE, NJ 07109
Orthopaedic Surgery
36 NEWARK AVE, SUITE 220
BELLEVILLE, NJ 07109
Otolaryngology
36 NEWARK AVE, STE 318
BELLEVILLE, NJ 07109
Legal Medicine
36 NEWARK AVE, SUITE 300
BELLEVILLE, NJ 07109
Otolaryngology
36 NEWARK AVE, STE 318
BELLEVILLE, NJ 07109
Dermatology
36 NEWARK AVE, STE 120 LIGRESTI DERMATOLOGY ASSOCIATES PA
BELLEVILLE, NJ 07109
Obstetrics & Gynecology
36 NEWARK AVE, SUITE 128
BELLEVILLE, NJ 07109

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 Ciccone's NPI number?

The NPI number for Michael Ciccone is 1649294034. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Michael Ciccone located?

Michael Ciccone practices at 36 Newark Ave Suite 200 Urology Consultants PA, Belleville, NJ 07109. The listed phone number is (973) 759-6950.

What is Michael Ciccone's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Michael Ciccone enrolled in Medicare?

Yes. Michael Ciccone 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 Ciccone accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Michael Ciccone 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 Ciccone affiliated with any hospitals?

According to CMS data, Michael Ciccone is affiliated with Clara Maass Medical Center, Hackensack Meridian Health, Mountainside Medical and The University Hospital.

When was this NPI record last updated?

The NPPES record for Michael Ciccone was last updated on March 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.