MR. PETER JOSEPH SICARDI JR.
NPI 1720612880
Physician Assistant - Surgical in East Patchogue, NY

Q: What is Peter Sicardi's NPI number?

The NPI number for Peter Sicardi is 1720612880. It was assigned to this individual provider in the NPPES registry on February 27, 2020.

Q: What is Peter Sicardi's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Peter Sicardi was last updated on November 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 27, 2020PECOS EnrolledAccepts Medicare Assignment

84.47/100

CMS Quality Rating

285 SILLS RD BLDG 18, EAST PATCHOGUE, NY 11772(631) 475-1224(631) 475-1588 Get Directions Write a Review

NPPES record last updated: November 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 17, 2021, Oct 30, 2020, Feb 27, 2020 (3 updates tracked since 2020).

On this page

About Mr. Peter Joseph Sicardi Jr. NPPES

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

MR. PETER JOSEPH SICARDI JR. (NPI 1720612880) is an individual surgical provider in East Patchogue, New York, licensed in New York (025498-01) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1720612880

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMR. PETER JOSEPH SICARDI JR.

Location Address285 SILLS RD BLDG 18East Patchogue, NY 11772-4808

Mailing Address285 Sills Rd Bldg 18East Patchogue, NY 11772-4808 · (631) 475-1224 · Fax (631) 475-1588

Phone(631) 475-1224

Fax(631) 475-1588

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateFebruary 27, 2020

Last NPPES UpdateNovember 17, 20213 updates tracked since enumeration

NPPES CertifiedNovember 17, 2021

✔ NPI 1720612880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in NY · 025498-01

285 SILLS RD BLDG 18, East Patchogue, NY 11772

Open in Google Maps ↗

Secondary Practice Locations 2

Location 12500 Nesconset Hwy Bldg 20AStony Brook, NY 11790-2564 · Phone (631) 475-1224 · Fax (631) 475-1588

Location 2715 Roanoke Ave Ste 4Riverhead, NY 11901-2769 · Phone (631) 475-1224 · Fax (631) 475-1588

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. Peter Joseph Sicardi Jr. 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 ID5294125977

PECOS Enrollment IDI20211213001174

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 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.

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.

75 services72 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

48 services42 patients

Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose J7323

Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.

24 services15 patients

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.

84.47/100

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

Scored as part of a group practice

Quality

93.33

Promoting Interoperability

100

Improvement Activities

Cost

54.91

Leave this field empty

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. BRIAN G. KINCAID JR. M.D.

Orthopaedic Surgery (Hand Surgery)