DR. PHILIP J. FRACCOLA M.D.
NPI 1699767707
Radiology - Diagnostic Radiology in Liverpool, NY

Active since August 16, 2005PECOS EnrolledAccepts Medicare Assignment
98.36/100
CMS Quality Rating
5100 W TAFT RD, SUITE 2A, LIVERPOOL, NY 13088(315) 452-2555(315) 452-2559 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Philip J. Fraccola M.d. NPPES

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

DR. PHILIP J. FRACCOLA M.D. (NPI 1699767707) is an individual diagnostic radiology provider in Liverpool, New York, licensed in New York (173758) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Bayonet Point Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1699767707
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. PHILIP J. FRACCOLACredential: M.D.
Location Address5100 W TAFT RD, SUITE 2ALiverpool, NY 13088-3807
Mailing Address4567 Crossroads Park Dr, 2nd FloorLiverpool, NY 13088-3589 · (315) 295-2100 · Fax (315) 295-2125
Fax(315) 452-2559
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateAugust 16, 2005
Last NPPES UpdateAugust 30, 2024
NPPES CertifiedAugust 30, 2024
✔ NPI 1699767707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in NY · 173758✔ Licensed in WA · MD61497216✔ Licensed in FL · ME147948
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
5100 W TAFT RD, Liverpool, NY 13088

Secondary Practice Locations 2

Location 11100 NW 95th StMiami, FL 33150-2038 · Phone (305) 835-6000
Location 21304 Fawcett Ave Ste 100Tacoma, WA 98402-1900 · Phone (253) 761-4200

Other Identifiers 4

Medicaid02224500NY
Medicaid00555500NY
Medicaid00555440NY
Medicaid01334321NY

Accepted 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. Philip J. Fraccola M.d. 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 ID8123923596
PECOS Enrollment IDI20110209000418, I20250203001453
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

20

Medicare enrollment records show Philip Fraccola reassigns Medicare billing to 20 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
5100 W TAFT RD, SUITE 2A
Liverpool, NY 13088
  • Reassigned Medicare billing, New York enrollment
  • 39 clinicians in this Medicare group
Diagnostic Radiology
301 PROSPECT AVE
Syracuse, NY 13203
  • Reassigned Medicare billing, New York enrollment
  • 42 clinicians in this Medicare group
Diagnostic Radiology
224 HARRISON ST, SUITE 601
Syracuse, NY 13202
  • Reassigned Medicare billing, New York enrollment
  • 98 clinicians in this Medicare group
Diagnostic Radiology
91 PERIMETER RD, SUITE 110
Rome, NY 13441
  • Reassigned Medicare billing, New York enrollment
  • 17 clinicians in this Medicare group
Diagnostic Radiology
1 TAMPA GENERAL CIR
Tampa, FL 33606
  • Reassigned Medicare billing, Florida and New York enrollments
  • 1,130 clinicians in this Medicare group
Diagnostic Radiology
14551 HOPE CENTER LOOP
Fort Myers, FL 33912
  • Reassigned Medicare billing, Florida enrollment
  • 65 clinicians in this Medicare group
Internal Medicine
15533 E BROADWAY AVE
Spokane Valley, WA 99037
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 clinicians in this Medicare group
Radiology
1304 FAWCETT AVE STE 100
Tacoma, WA 98402
  • Reassigned Medicare billing, New York enrollment
  • 15 clinicians in this Medicare group
Radiology
2502 S UNION AVE
Tacoma, WA 98405
  • Reassigned Medicare billing, New York enrollment
  • 15 clinicians in this Medicare group
2,247 mi
Radiology
2502 S UNION AVE
Tacoma, WA 98405
  • Reassigned Medicare billing, New York enrollment
  • 15 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 78

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
10,630 services102 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
570 services479 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
499 services499 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
499 services499 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
277 services273 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
228 services223 patients

Hospital Affiliations CMS Care Compare 3

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

Hca Florida Bayonet Point Hospital

Acute Care Hospitals · Hudson, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100256
Location14000 Fivay RdHudson, FL 34667 · Pasco County
Emergency services

Hca Florida Oak Hill Hospital

Acute Care Hospitals · Brooksville, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100264
Location11375 Cortez BlvdBrooksville, FL 34613 · Hernando County
Emergency services Birthing friendly

St Joseph's Hospital Health Center

Acute Care Hospitals · Syracuse, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330140
Location301 Prospect AvenueSyracuse, NY 13203 · Onondaga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13088 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

98.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.04
Improvement Activities40
Cost99.97

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.

Dentist (Oral and Maxillofacial Pathology)
5100 W TAFT RD, SUITE #3M NORTH MEDICAL CENTER
LIVERPOOL, NY 13088
Obstetrics & Gynecology (Gynecology)
5100 W TAFT RD, SUITE 3G
LIVERPOOL, NY 13088
Internal Medicine (Cardiovascular Disease)
5100 W TAFT RD, SUITE 4J
LIVERPOOL, NY 13088
Urology
5100 W TAFT RD, SUITE 4-D
LIVERPOOL, NY 13088
Radiology (Diagnostic Radiology)
5100 W TAFT RD, SUITE 2A
LIVERPOOL, NY 13088
Surgery
5100 W TAFT RD, SUITE 2Q
LIVERPOOL, NY 13088
Radiology (Neuroradiology)
5100 W TAFT RD, SUITE 2A
LIVERPOOL, NY 13088
Radiology (Diagnostic Radiology)
5100 W TAFT RD, SUITE 2A
LIVERPOOL, NY 13088

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 Philip Fraccola's NPI number?

The NPI number for Philip Fraccola is 1699767707. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Philip Fraccola located?

Philip Fraccola practices at 5100 W Taft Rd Suite 2A, Liverpool, NY 13088. The listed phone number is (315) 452-2555.

What is Philip Fraccola's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Philip Fraccola enrolled in Medicare?

Yes. Philip Fraccola 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 Philip Fraccola's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philip Fraccola reassigns Medicare benefits to 20 organizations: St. Josephs Imaging Associates PLLC (Liverpool, NY), Prospect Hill Radiology Group P C (Syracuse, NY), University Radiology Associates, LLP (Syracuse, NY), Mohawk Glen Radiology Associates Of Cny PLLC (Rome, NY), Mori Bean And Brooks Inc (Tampa, FL) and 15 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 Philip Fraccola's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Philip Fraccola accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company and 1 other insurer list Philip Fraccola 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 Philip Fraccola affiliated with any hospitals?

According to CMS data, Philip Fraccola is affiliated with Hca Florida Bayonet Point Hospital, Hca Florida Oak Hill Hospital and St Joseph's Hospital Health Center.

When was this NPI record last updated?

The NPPES record for Philip Fraccola was last updated on August 30, 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.