DR. RICHARD LARK DICICCO M.D.
NPI 1811989874
Surgery in Tampa, FL

Q: What is Richard Dicicco's NPI number?

The NPI number for Richard Dicicco is 1811989874. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Q: What is Richard Dicicco's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Richard Dicicco was last updated on January 14, 2022. 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.

Active since August 16, 2005PECOS EnrolledAccepts Medicare Assignment

508 S HABANA AVE, SUITE 160, TAMPA, FL 33609(813) 877-6000(813) 877-6002 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Richard Lark Dicicco M.d. NPPES

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

DR. RICHARD LARK DICICCO M.D. (NPI 1811989874) is an individual surgery provider in Tampa, Florida, licensed in Florida (ME90737) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Hca Florida South Tampa Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1811989874

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. RICHARD LARK DICICCOCredential: M.D.

Location Address508 S HABANA AVE, SUITE 160Tampa, FL 33609-4181

Mailing Address37840 Medical Arts CtZephyrhills, FL 33541-4325 · (813) 788-5569 · Fax (813) 782-8628

Phone(813) 877-6000

Fax(813) 877-6002

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateAugust 16, 2005

Last NPPES UpdateJanuary 14, 2022

✔ NPI 1811989874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in FL · ME90737

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

508 S HABANA AVE, Tampa, FL 33609

Open in Google Maps ↗

Other Identifiers 3

Other50968FL · Blue Cross Blue Shield Fl

Other307206FL · Amerigroup

Other7683574FL · Aetna Healthcare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed and more.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. Richard Lark Dicicco M.d. 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 ID5395712616

PECOS Enrollment IDI20040915000441

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

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 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.

83 services37 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida South Tampa Hospital

Acute Care Hospitals · Tampa, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100206

Location2901 W Swann AveTampa, FL 33609 · Hillsborough County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33609 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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

Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin

Percentage of surgical patients aged 18 years and older undergoing procedures with the indications for a first OR second generation cephalosporin prophylactic antibiotic, who had an order for a first OR second generation cephalosporin for antimicrobial…

100%31 patients

Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)

Percentage of surgical patients aged 18 years and older undergoing procedures for which venous thromboembolism (VTE) prophylaxis is indicated in all patients, who had an order for Low Molecular Weight Heparin (LMWH), Low- Dose Unfractionated Heparin (LDUH)…

100%21 patients

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.

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.

GUNJANI PATEL M.A

Counselor (Mental Health)

508 S HABANA AVE, SUITE 340
TAMPA, FL 33609

Hillsborough County (813) 873-7367

BAYSHORE PODIATRY CENTER INC

Podiatrist (Foot & Ankle Surgery)

508 S HABANA AVE, 230
TAMPA, FL 33609

Hillsborough County (813) 877-6636

DR. MORIAH R MOFFITT M.D.

Plastic Surgery

508 S HABANA AVE, SUITE 180
TAMPA, FL 33609

Hillsborough County (813) 414-0908

DR. JOHN P LIPPELMAN M.D.

Specialist

508 S HABANA AVE, SUITE 220
TAMPA, FL 33609

Hillsborough County (813) 870-0207

JONATHAN D. FORMAN M.D.

Otolaryngology (Otolaryngology/Facial Plastic Surgery)

508 S HABANA AVE, SUITE #170
TAMPA, FL 33609

Hillsborough County (813) 877-3100

MORRIS R HANAN MD PA

Internal Medicine (Gastroenterology)

508 S HABANA AVE, SUITE 260
TAMPA, FL 33609

Hillsborough County (813) 876-9191

GINA PAOLA HOYOS APRN

Nurse Practitioner (Family)

508 S HABANA AVE
TAMPA, FL 33609

Hillsborough County (813) 873-7367

NICOLE MARIE MANZARDO AU.D.

Audiologist

508 S HABANA AVE
TAMPA, FL 33609

Hillsborough County (813) 877-3100

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 Richard Dicicco's NPI number?

The NPI number for Richard Dicicco is 1811989874. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Richard Dicicco located?

Richard Dicicco practices at 508 S Habana Ave Suite 160, Tampa, FL 33609. The listed phone number is (813) 877-6000.

What is Richard Dicicco's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Richard Dicicco enrolled in Medicare?

Yes. Richard Dicicco 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 Richard Dicicco accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Richard Dicicco 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 Richard Dicicco affiliated with any hospitals?

According to CMS data, Richard Dicicco is affiliated with Hca Florida South Tampa Hospital.

When was this NPI record last updated?

The NPPES record for Richard Dicicco was last updated on January 14, 2022. 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.