PHILLIP MARTIN CICCO N.P.
NPI 1679987143
Nurse Practitioner in Syracuse, NY
About Phillip Martin Cicco N.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHILLIP MARTIN CICCO N.P. (NPI 1679987143) is an individual nurse practitioner in Syracuse, New York, licensed in New York (338748) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with St Joseph's Hospital Health Center, and maintains a secondary practice location in Potsdam.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Phillip Martin Cicco N.p. 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.
Medicare Billing Reassignments
9Medicare enrollment records show Phillip Cicco reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Syracuse, NY 13210
- Reassigned Medicare billing, New York enrollment
- 189 clinicians in this Medicare group
Syracuse, NY 13203
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Emergency Care Services Of New York PC
- 240 clinicians in this Medicare group
Syracuse, NY 13203
- Reassigned Medicare billing, New York enrollment
- 235 clinicians in this Medicare group
Syracuse, NY 13203
- Reassigned Medicare billing, New York enrollment
- 369 clinicians in this Medicare group
Liverpool, NY 13088
- Reassigned Medicare billing, New York enrollment
- 625 clinicians in this Medicare group
Gouverneur, NY 13642
- Reassigned Medicare billing, New York enrollment
- Also billed through NPI 1629409925 (New York)
- 143 clinicians in this Medicare group
Potsdam, NY 13676
- Reassigned Medicare billing, New York enrollment
- 414 clinicians in this Medicare group
Massena, NY 13662
- Reassigned Medicare billing, New York enrollment
- 27 clinicians in this Medicare group
Poughkeepsie, NY 12601
- Reassigned Medicare billing, New York enrollment
- 356 clinicians in this Medicare group
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 3
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Joseph's Hospital Health Center
Acute Care Hospitals · Syracuse, NYCrouse Hospital
Acute Care Hospitals · Syracuse, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Phillip Cicco's NPI number?
The NPI number for Phillip Cicco is 1679987143. It was assigned to this individual provider in the NPPES registry on June 12, 2014.
Where is Phillip Cicco located?
Phillip Cicco practices at 736 Irving Ave, Syracuse, NY 13210. The listed phone number is (315) 470-7111.
What is Phillip Cicco's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Phillip Cicco enrolled in Medicare?
Yes. Phillip Cicco 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 Phillip Cicco's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Phillip Cicco reassigns Medicare benefits to 9 organizations: Crouse Health Hospital Inc (Syracuse, NY), Emergency Care Services Of New York, P.C. (Syracuse, NY), Physicians Medical Associates New York PC (Syracuse, NY), St Josephs Hospital Health Center (Syracuse, NY), St Josephs Medical PC (Liverpool, NY) and 4 more organizations, listed in the Medicare section above. 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 Phillip Cicco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Phillip Cicco affiliated with any hospitals?
According to CMS data, Phillip Cicco is affiliated with St Joseph's Hospital Health Center and Crouse Hospital.
When was this NPI record last updated?
The NPPES record for Phillip Cicco was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Phillip Martin Cicco, N.P. · NPI 1679987143
Nurse Practitioner physician in Syracuse, New York. Individual provider, active in the CMS NPPES registry since June 12, 2014.
## Identity
- **NPI:** 1679987143 (Entity type: Individual)
- **Enumerated:** June 12, 2014
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 338748 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 736 IRVING AVE, Syracuse, NY 13210-1687
- **Phone:** (315) 470-7111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Crouse Health Hospital Inc (NPI 1841340205, Syracuse, NY); Emergency Care Services Of New York, P.C. (NPI 1639236656, Syracuse, NY); Physicians Medical Associates New York PC (NPI 1073386421, Syracuse, NY); St Josephs Hospital Health Center (NPI 1508815333, Syracuse, NY); St Josephs Medical PC (NPI 1942501747, Liverpool, NY); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** July 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1679987143) · Data from the CMS NPPES public registry.