ENRICO A CIFELLI MD
NPI 1760573620
Hospitalist in Paoli, PA

Active since September 27, 2006PECOS EnrolledAccepts Medicare Assignment
255 W LANCASTER AVE, 1ST FLOOR, PAOLI, PA 19301(484) 565-1510(484) 565-1513 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 20, 2021, Apr 28, 2017 (2 updates tracked since 2017).

About Enrico A Cifelli Md NPPES

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

ENRICO A CIFELLI MD (NPI 1760573620) is an individual hospitalist provider in Paoli, Pennsylvania, licensed in Pennsylvania (MD41817) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Paoli Hospital, and maintains a secondary practice location in Royersford.

NPPES Registry Identity

NPI1760573620
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameENRICO A CIFELLICredential: MD
Location Address255 W LANCASTER AVE, 1ST FLOORPaoli, PA 19301-1763
Mailing Address255 W Lancaster Ave, 1st FloorPaoli, PA 19301-1763 · (484) 565-1510 · Fax (484) 565-1513
Fax(484) 565-1513
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateSeptember 27, 2006
Last NPPES UpdateDecember 20, 20212 updates tracked since enumeration
NPPES CertifiedDecember 17, 2021
✔ NPI 1760573620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in PA · MD41817
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD41817 (PA)
255 W LANCASTER AVE, Paoli, PA 19301

Secondary Practice Location 1

Location 1Physicians Care Surgical Hospital, 454 Enterprise DriveRoyersford, PA 19468 · Phone (610) 495-3330

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

Enrico A Cifelli 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 ID8628063690
PECOS Enrollment IDI20040419000749
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 Reassignment

Medicare enrollment records show Enrico Cifelli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
3803 WEST CHESTER PIKE, H BLDG SUITE 160
Newtown Square, PA 19073
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,638 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.

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.
224 services141 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.
109 services107 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.
77 services54 patients

Hospital Affiliations CMS Care Compare

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

Paoli Hospital

Acute Care Hospitals · Paoli, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390153
Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19301 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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Walker, folding (pickup), adjustable or fixed height E0135
DME-Other DME · category DE000N
2 suppliers15 claims15 services$35.67 avg. paid by Medicare
Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers84 claims84 services$42.46 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers17 claims17 services$13.29 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 suppliers33 claims33 services$63.49 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.

Nurse Practitioner (Acute Care)
255 W LANCASTER AVE
PAOLI, PA 19301
Physician Assistant
255 W LANCASTER AVE
PAOLI, PA 19301
Nurse Practitioner (Acute Care)
255 W LANCASTER AVE
PAOLI, PA 19301
Pediatrics
255 W LANCASTER AVE, MOB 1 STE 101
PAOLI, PA 19301
Hospitalist
255 W LANCASTER AVE
PAOLI, PA 19301
Anesthesiology
255 W LANCASTER AVE
PAOLI, PA 19301
Pediatrics
255 W LANCASTER AVE, MOB 1 SUITE 101
PAOLI, PA 19301
Hospitalist
255 W LANCASTER AVE
PAOLI, PA 19301

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 Enrico Cifelli's NPI number?

The NPI number for Enrico Cifelli is 1760573620. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Enrico Cifelli located?

Enrico Cifelli practices at 255 W Lancaster Ave 1st Floor, Paoli, PA 19301. The listed phone number is (484) 565-1510.

What is Enrico Cifelli's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Enrico Cifelli enrolled in Medicare?

Yes. Enrico Cifelli 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 organization bills Medicare for Enrico Cifelli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Enrico Cifelli reassigns Medicare benefits to Main Line Healthcare (Newtown Square, PA). The 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 Enrico Cifelli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Enrico Cifelli accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Enrico Cifelli 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 Enrico Cifelli affiliated with any hospitals?

According to CMS data, Enrico Cifelli is affiliated with Paoli Hospital.

When was this NPI record last updated?

The NPPES record for Enrico Cifelli was last updated on December 20, 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.