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VITALIANO SICILIA MD
NPI 1740471903
Internal Medicine in Wolfeboro, NH

Active since August 05, 2007PECOS EnrolledAccepts Medicare Assignment
56.99/100
CMS Quality Rating
240 S MAIN ST, WOLFEBORO, NH 03894(603) 569-7500 Get Directions Write a Review

NPPES record last updated: September 16, 2021. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Vitaliano Sicilia Md NPPES

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

VITALIANO SICILIA MD (NPI 1740471903) is an individual internal medicine provider in Wolfeboro, New Hampshire, licensed in Vermont (042.0011767) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Speare Memorial Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1740471903
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameVITALIANO SICILIACredential: MD
Location Address240 S MAIN STWolfeboro, NH 03894-4455
Mailing Address199 Union Ave Apt 1gRutherford, NJ 07070-3504 · (646) 755-0994
Phone(603) 569-7500
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateAugust 5, 2007
Last NPPES UpdateSeptember 16, 2021
NPPES CertifiedSeptember 16, 2021
✔ NPI 1740471903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VT · 042.0011767
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
240 S MAIN ST, Wolfeboro, NH 03894
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Other Identifiers 1

Medicaid257490100MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, WellSense Health Plan.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

Vitaliano Sicilia 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 ID7618061227
PECOS Enrollment IDI20211021001681
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 4

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.

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.
347 services159 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.
163 services154 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.
125 services115 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.
65 services44 patients

Hospital Affiliations CMS Care Compare

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

Speare Memorial Hospital

Critical Access Hospitals · Plymouth, NH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301311
Location16 Hospital RoadPlymouth, NH 03264 · Grafton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03894 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
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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.

56.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality51.92
Improvement Activities40
Cost44.8

Reported Quality Measures

Advance Care Plan
100%407 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%393 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers52 claims52 services$19.25 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier19 claims19 services$8.74 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers52 claims52 services$111.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

WILLIAM B BARTON MD
Surgery
240 S MAIN ST
WOLFEBORO, NH 03894
Carroll County (603) 569-7511
ERIC C LEWIS M.D.
Family Medicine
240 S MAIN ST, SUITE A
WOLFEBORO, NH 03894
Carroll County (603) 569-7574
ELIZABETH NANCY BEAN PA
Physician Assistant
240 S MAIN ST
WOLFEBORO, NH 03894
Carroll County (603) 569-7500
ERIK PATRICK DUTSON MD
Surgery
240 S MAIN ST
WOLFEBORO, NH 03894
Carroll County (603) 569-7511
VICTORIA SPINALE RD, LD
Dietitian, Registered
240 S MAIN ST, DEPT OF CLINICAL NUTRITION
WOLFEBORO, NH 03894
Carroll County (603) 569-7500
MRS. ELLEN DENNEHY PA
Physician Assistant (Medical)
240 S MAIN ST
WOLFEBORO, NH 03894
Carroll County (603) 569-7574
WILLIAM BRADLEY WHITE M.D.
Orthopaedic Surgery
240 S MAIN ST
WOLFEBORO, NH 03894
Carroll County (603) 515-2093
DR. JIM KEVIN COPENHAVER M.D.
Family Medicine
240 S MAIN ST, EMERGENCY DEPARTMENT
WOLFEBORO, NH 03894
Carroll County (360) 257-9403

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 Vitaliano Sicilia's NPI number?

The NPI number for Vitaliano Sicilia is 1740471903. It was assigned to this individual provider in the NPPES registry on August 5, 2007.

Where is Vitaliano Sicilia located?

Vitaliano Sicilia practices at 240 S Main St, Wolfeboro, NH 03894. The listed phone number is (603) 569-7500.

What is Vitaliano Sicilia's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Vitaliano Sicilia enrolled in Medicare?

Yes. Vitaliano Sicilia 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 Vitaliano Sicilia accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and WellSense Health Plan list Vitaliano Sicilia 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 Vitaliano Sicilia affiliated with any hospitals?

According to CMS data, Vitaliano Sicilia is affiliated with Speare Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Vitaliano Sicilia was last updated on September 16, 2021. 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.