DR. CHARLES J MARCUCCILLI MD
NPI 1801849559
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Burr Ridge, IL

Q: What is Charles Marcuccilli's NPI number?

The NPI number for Charles Marcuccilli is 1801849559. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Q: What is Charles Marcuccilli's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment

180 HARVESTER DR, SUITE 110, BURR RIDGE, IL 60527(773) 702-1150 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Charles J Marcuccilli Md NPPES

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

DR. CHARLES J MARCUCCILLI MD (NPI 1801849559) is an individual neurology with special qualifications in child neurology provider in Burr Ridge, Illinois, licensed in Illinois (036102274) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Chicago, Pritzker School Of Medicine (1997).

NPPES Registry Identity

NPI1801849559

Entity TypeIndividualMale

Primary Taxonomy2084N0402X

Provider Legal NameDR. CHARLES J MARCUCCILLICredential: MD

Location Address180 HARVESTER DR, SUITE 110Burr Ridge, IL 60527-7594

Mailing Address5841 S Maryland Ave, Dept Of Pediatrics, Mc 3055Chicago, IL 60637-1447 · (773) 702-6487

Phone(773) 702-1150

Sole ProprietorNo

Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 1997

Enumeration DateMay 17, 2006

Last NPPES UpdateSeptember 19, 2024

NPPES CertifiedSeptember 19, 2024

✔ NPI 1801849559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0402X

License✔ Licensed in IL · 036102274

Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

Also ListedPediatrics · Neurodevelopmental DisabilitiesTaxonomy 2080P0008X · License 036102274 (IL)

180 HARVESTER DR, Burr Ridge, IL 60527

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Other Identifiers 1

Medicaid34818000WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Dr. Charles J Marcuccilli 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 ID5597788109

PECOS Enrollment IDI20130215000401

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60527 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

$137.43 typical visit price

range $59.81 – $181.38

Typical copayment $34.35 (range $14.95 – $45.34)

Most-billed visit code 99204

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

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.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREW RICHARDSON APN

Nurse Practitioner (Primary Care)