VINCENT M FIORICA MD
NPI 1811916604
Urology in Latrobe, PA

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
911 LIGONIER ST STE 104, LATROBE, PA 15650(724) 539-9736(724) 539-9736 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Oct 25, 2017 (2 updates tracked since 2017).

About Vincent M Fiorica Md NPPES

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

VINCENT M FIORICA MD (NPI 1811916604) is an individual urology provider in Latrobe, Pennsylvania, licensed in Pennsylvania (MD040920E) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Los Alamos Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1811916604
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameVINCENT M FIORICACredential: MD
Location Address911 LIGONIER ST STE 104Latrobe, PA 15650-1805
Mailing Address911 Ligonier St Ste 104Latrobe, PA 15650-1805 · (724) 539-9736 · Fax (724) 539-2836
Fax(724) 539-9736
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1983
Enumeration DateJuly 19, 2006
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1811916604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in PA · MD040920E
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
911 LIGONIER ST STE 104, Latrobe, PA 15650

Secondary Practice Locations 2

Location 1522 W Newton St Ste 300Greensburg, PA 15601-2820 · Phone (724) 838-7500 · Fax (724) 837-6670
Location 21712 Amherst StreetWinchester, VA 22601 · Phone (540) 667-1712 · Fax (814) 539-3649

Other Identifiers 2

Medicaid0011237760002PA
OtherFI173102PA · Highmark Bc Bs

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

Vincent M Fiorica 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 ID4486612611
PECOS Enrollment IDI20150918002570
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 9

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.
413 services301 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
313 services213 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
103 services103 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
80 services70 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
62 services45 patients
Biopsy of prostate gland 55700
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
30 services30 patients

Hospital Affiliations CMS Care Compare

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

Los Alamos Medical Center

Acute Care Hospitals · Los Alamos, NM
OwnershipProprietary
CMS Certification Number320033
Location3917 West RoadLos Alamos, NM 87544 · Los Alamos County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15650 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
87%76 patients4/55-star benchmark: 100%
Elder Maltreatment Screen and Follow-Up Plan
Percentage of patients aged 65 years and older with a documented elder maltreatment screen using an Elder Maltreatment Screening Tool on the date of encounter AND a documented follow-up plan on the date of the positive screen
100%125 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%132 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.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
2 suppliers36 claims3,850 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers48 claims5,430 services$1.74 avg. paid by Medicare
Lubricant, per ounce A4402
DME-Orthotic Devices · category DF010N
1 supplier14 claims145 services$1.34 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 7

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

Urology
911 LIGONIER ST STE 104
LATROBE, PA 15650
Urology
911 LIGONIER ST STE 104
LATROBE, PA 15650
Urology
911 LIGONIER ST STE 104
LATROBE, PA 15650
Urology
911 LIGONIER ST STE 104
LATROBE, PA 15650
Urology
911 LIGONIER ST STE 104
LATROBE, PA 15650
Physician Assistant
911 LIGONIER ST STE 104
LATROBE, PA 15650
Physician Assistant (Medical)
911 LIGONIER ST STE 104
LATROBE, PA 15650

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 Vincent Fiorica's NPI number?

The NPI number for Vincent Fiorica is 1811916604. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Vincent Fiorica located?

Vincent Fiorica practices at 911 Ligonier St Ste 104, Latrobe, PA 15650. The listed phone number is (724) 539-9736.

What is Vincent Fiorica's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Vincent Fiorica enrolled in Medicare?

Yes. Vincent Fiorica 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.

Is Vincent Fiorica affiliated with any hospitals?

According to CMS data, Vincent Fiorica is affiliated with Los Alamos Medical Center.

When was this NPI record last updated?

The NPPES record for Vincent Fiorica was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.