SCOTT JOSEPH CICCIARELLI JR.
NPI 1801485271
Physician Assistant - Surgical in Peoria, IL
NPI Status: Active since January 11, 2021
Contact Information
6000 N ALLEN RD
PEORIA, IL
ZIP 61614
Phone: (309) 691-1400
Fax: (309) 693-3197
- Individual
- Male
- Years of Experience 5
- Physician Assistant
- Surgical
- Accepts Medicare Approved Payment
- PECOS Enrolled
About SCOTT CICCIARELLI
This page provides the complete NPI Profile along with additional information for Scott Cicciarelli, a provider established in Peoria, Illinois with a medical specialization in Physician Assistant, focusing in surgical and more than 5 years of experience. He graduated from Saint Louis University School Of Medicine in 2021. The healthcare provider is registered in the NPI registry with number 1801485271 assigned on January 2021. The practitioner's primary taxonomy code is 363AS0400X with license number 085008908 (IL). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1801485271
- Provider Name
- SCOTT JOSEPH CICCIARELLI JR.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 6000 N ALLEN RD PEORIA, IL 61614
- Location Phone
- (309) 691-1400
- Location Fax
- (309) 693-3197
- Mailing Address
- 6000 N ALLEN RD PEORIA, IL 61614
- Mailing Phone
- (309) 691-1400
- Mailing Fax
- (309) 693-3197
- Medical School Name
- SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
- Graduation Year
- 2021
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-11-2021
- Last Update Date
- 06-13-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 085008908
- License State
- IL
Medicare Participation & PECOS Enrollment Status
Scott Cicciarelli is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Scott Cicciarelli is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 3870972656
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20220624001724
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Laminectomy or laminotomy (partial removal of spine bones)
A laminectomy or laminotomy is a surgical procedure that involves removing part of the bone in your spine, specifically the lamina, to alleviate pressure on your spinal cord or nerves. This can help reduce pain and improve mobility if you're suffering from conditions like herniated discs or spinal stenosis.
This service was performed for 1-10 patientsFind Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Scott Cicciarelli is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| PROCTOR HOSPITAL | 5409 N KNOXVILLE AVE PEORIA, IL 61614 | (309) 691-1000 | Acute Care Hospitals | |
| SAINT FRANCIS MEDICAL CENTER | 530 NE GLEN OAK AVE PEORIA, IL 61637 | (309) 655-2000 | Acute Care Hospitals | |
| METHODIST MEDICAL CENTER OF ILLINOIS | 221 N E GLEN OAK AVE PEORIA, IL 61636 | (309) 672-5522 | Acute Care Hospitals |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1801485271, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801485271, enumerated as an "individual" on January 11, 2021.
The provider is located at 6000 N ALLEN RD PEORIA, IL 61614 and the phone number is (309) 691-1400.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
Scott Cicciarelli is affiliated with: PROCTOR HOSPITAL, SAINT FRANCIS MEDICAL CENTER and METHODIST MEDICAL CENTER OF ILLINOIS.