DR. MICHAEL MACCIOCCA M.D.
NPI 1700012820
Internal Medicine - Interventional Cardiology in Wynnewood, PA

Q: What is Michael Macciocca's NPI number?

The NPI number for Michael Macciocca is 1700012820. It was assigned to this individual provider in the NPPES registry on June 3, 2009.

Q: What is Michael Macciocca's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Michael Macciocca was last updated on June 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 03, 2009PECOS EnrolledAccepts Medicare Assignment

81.19/100

CMS Quality Rating

100 E LANCASTER AVE, WYNNEWOOD, PA 19096(484) 476-1000(484) 476-9000 Get Directions Write a Review

NPPES record last updated: June 28, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 28, 2018, Mar 17, 2018, Aug 4, 2017 and 1 more (4 updates tracked since 2017).

On this page

About Dr. Michael Macciocca M.d. NPPES

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

DR. MICHAEL MACCIOCCA M.D. (NPI 1700012820) is an individual interventional cardiology provider in Wynnewood, Pennsylvania, licensed in Pennsylvania (MD444353) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1700012820

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameDR. MICHAEL MACCIOCCACredential: M.D.

Location Address100 E LANCASTER AVEWynnewood, PA 19096

Mailing Address100 E Lancaster AveWynnewood, PA 19096-3450 · (484) 476-1000 · Fax (484) 476-9000

Phone(484) 476-1000

Fax(484) 476-9000

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJune 3, 2009

Last NPPES UpdateJune 28, 20184 updates tracked since enumeration

✔ NPI 1700012820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

Licenses✔ Licensed in PA · MD444353✔ Licensed in NJ · 25MA09075400

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

100 E LANCASTER AVE, Wynnewood, PA 19096

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1222 Schanck Rd # Suie104Freehold, NJ 07728-3068 · Phone (732) 663-0300 · Fax (732) 663-0301

Location 211 Meridian RdEatontown, NJ 07724-2242 · Phone (732) 663-0300 · Fax (732) 663-0301

Other Identifiers 2

Other343723DQUNJ · Medicare

MedicaidMT195033PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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. Michael Macciocca 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 ID1557517869

PECOS Enrollment IDI20180606000724

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

Medicare enrollment records show Michael Macciocca reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tower Health Medical Group

6.7 mi

Transplant Surgery

8835 GERMANTOWN AVE
Philadelphia, PA 19118

Reassigned Medicare billing, Pennsylvania enrollment
1,473 clinicians in this Medicare group

NPI 1306476924 (484) 628-7700

Phoenixville Clinic Company LLC

17 mi

Neurology

140 NUTT RD
Phoenixville, PA 19460

Reassigned Medicare billing, Pennsylvania enrollment
529 clinicians in this Medicare group

NPI 1275173957 (610) 983-1100

Coatesville Cardiology Clinic LLC

27 mi

Cardiovascular Disease

3025 C G ZINN RD
Thorndale, PA 19372

Reassigned Medicare billing, Pennsylvania enrollment
24 clinicians in this Medicare group

NPI 1427369404 (610) 384-2211

Reading Hospital

43 mi

Family Medicine

430 N 2ND ST
Reading, PA 19601

Reassigned Medicare billing, Pennsylvania enrollment
399 clinicians in this Medicare group

NPI 1386702413 (484) 628-0400

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 16

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

348 services314 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

128 services122 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

107 services66 patients

Insertion of tube in coronary artery for diagnosis with review by radiologist 93454

This procedure involves placing a small tube into your coronary artery. It helps to identify any blockages or issues within the artery. A radiologist, a doctor specialized in medical imaging, will review the results to ensure accurate diagnosis.

94 services92 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

92 services85 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.

84 services83 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

81 services77 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

35 services35 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

27 services22 patients

Insertion of tube in right heart chambers for measurement 93451

This procedure involves placing a small, flexible tube into the right side of your heart. It helps assess how your heart is functioning by measuring pressures within the heart chambers. It's a key tool in diagnosing certain heart conditions.

26 services25 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

26 services14 patients

Critical care, first 30-74 minutes 99291

19 services14 patients

Insertion of tube in right heart chambers and coronary artery for diagnosis with review by radiologist 93456

This procedure involves placing a small tube into your right heart chambers and coronary artery. It helps in diagnosing heart conditions. A radiologist will review the images obtained for accurate results. It's a standard, safe process.

16 services16 patients

Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928

This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.

15 services15 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

14 services14 patients

Replacement of aortic valve through the skin and femoral artery 33361

This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Reading Hospital

Acute Care Hospitals · West Reading, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390044

Location420 S 5th AvenueWest Reading, PA 19611 · Berks County

Emergency services Birthing friendly

Penn State Health St. Joseph

Acute Care Hospitals · Reading, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390096

Location2500 Bernville RoadReading, PA 19605 · Berks County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19096 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

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.

81.19/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

74.56

Promoting Interoperability

Improvement Activities

Cost

65.23

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.

DR. AKHNUWKH JONES M.D.

Internal Medicine

100 E LANCASTER AVE
WYNNEWOOD, PA 19096

Montgomery County (610) 645-2000

AMANDA B CHRISTINI MD

Internal Medicine

100 E LANCASTER AVE, 4 PAVILION, SUITE 4303
WYNNEWOOD, PA 19096

Montgomery County (484) 476-6421

LAI KWAN LOUIE RPH

Pharmacist

100 E LANCASTER AVE, SUITE #12
WYNNEWOOD, PA 19096

Montgomery County (610) 658-8640

DANIEL WANG MD

Internal Medicine

100 E LANCASTER AVE, 4 PAVILION STE 4303
WYNNEWOOD, PA 19096

Montgomery County (484) 476-6421

SARAH TYRRELL CRNA

Nurse Anesthetist, Certified Registered

100 E LANCASTER AVE
WYNNEWOOD, PA 19096

Montgomery County (610) 645-2000

MARGARET MACK

Student in an Organized Health Care Education/Training Program

100 E LANCASTER AVE
WYNNEWOOD, PA 19096

Montgomery County (610) 642-3796

XIAOLING YU MD

Hospitalist

100 E LANCASTER AVE
WYNNEWOOD, PA 19096

Montgomery County (484) 476-6421

JONATHAN HONGYI CHEN MD

Student in an Organized Health Care Education/Training Program

100 E LANCASTER AVE
WYNNEWOOD, PA 19096

Montgomery County (484) 476-2000

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 Macciocca's NPI number?

The NPI number for Michael Macciocca is 1700012820. It was assigned to this individual provider in the NPPES registry on June 3, 2009.

Where is Michael Macciocca located?

Michael Macciocca practices at 100 E Lancaster Ave, Wynnewood, PA 19096. The listed phone number is (484) 476-1000.

What is Michael Macciocca's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Michael Macciocca enrolled in Medicare?

Yes. Michael Macciocca 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 Michael Macciocca's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Macciocca reassigns Medicare benefits to 4 organizations: Tower Health Medical Group (Philadelphia, PA), Phoenixville Clinic Company LLC (Phoenixville, PA), Coatesville Cardiology Clinic LLC (Thorndale, PA) and Reading Hospital (Reading, PA). 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 Michael Macciocca's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Macciocca accept?

Health plans from Oscar Health list Michael Macciocca 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 Macciocca affiliated with any hospitals?

According to CMS data, Michael Macciocca is affiliated with Reading Hospital and Penn State Health St. Joseph.

When was this NPI record last updated?

The NPPES record for Michael Macciocca was last updated on June 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.