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ANTHONY PANICCIA MD
NPI 1891761821
Family Medicine in St Clair Shores, MI

Active since February 28, 2006PECOS EnrolledAccepts Medicare Assignment
19901 E 10 MILE RD, ST CLAIR SHORES, MI 48080(586) 777-1277(586) 777-0106 Get Directions Write a Review

NPPES record last updated: December 6, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Anthony Paniccia Md NPPES

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

ANTHONY PANICCIA MD (NPI 1891761821) is an individual family medicine provider in St Clair Shores, Michigan, licensed in Michigan (4301070278) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and is a graduate of Wayne State University School Of Medicine (1997).

NPPES Registry Identity

NPI1891761821
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANTHONY PANICCIACredential: MD
Location Address19901 E 10 MILE RDSt Clair Shores, MI 48080-1069
Mailing Address43800 Garfield Rd, Suite 201Clinton Twp, MI 48038-1136 · (800) 848-0202 · Fax (586) 226-6949
Phone(586) 777-1277
Fax(586) 777-0106
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1997
Enumeration DateFebruary 28, 2006
Last NPPES UpdateDecember 6, 2007
✔ NPI 1891761821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301070278
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
19901 E 10 MILE RD, St Clair Shores, MI 48080
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Other Identifiers 7

Medicare UPINH19562
Other0P27380MI · Medicare Group Legacy #
Other0501046MI · Bcbs Pin
Medicare PINP27380002MI
Medicare ID-Type UnspecifiedP27380002
Medicaid4588604MI
Medicare PIN0P27380MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Anthony Paniccia 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 ID6103815840
PECOS Enrollment IDI20040508000260
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 4

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.
158 services89 patients
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.
56 services43 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
34 services34 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Ascension Macomb Oakland Hosp-Warren Campus

Acute Care Hospitals · Warren, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230195
Location11800 East Twelve Mile RoadWarren, MI 48093 · Macomb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48080 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$215.65 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 4

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

ST. JOHN HOSPITAL AND MEDICAL CENTER
Family Medicine
19901 E 10 MILE RD
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 777-1277
DR. LAURIE JEAN RUDNICK M.D.
Family Medicine
19901 E 10 MILE RD
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 777-1277
PAUL XAVIER BURGOYNE MD
Family Medicine
19901 E 10 MILE RD
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 777-1277
ST. JOHN HOSPITAL AND MEDICAL CENTER
Family Medicine
19901 E 10 MILE RD
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 777-1277

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 Anthony Paniccia's NPI number?

The NPI number for Anthony Paniccia is 1891761821. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Anthony Paniccia located?

Anthony Paniccia practices at 19901 E 10 Mile Rd, St Clair Shores, MI 48080. The listed phone number is (586) 777-1277.

What is Anthony Paniccia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Anthony Paniccia enrolled in Medicare?

Yes. Anthony Paniccia 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 Anthony Paniccia accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Anthony Paniccia 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 Anthony Paniccia affiliated with any hospitals?

According to CMS data, Anthony Paniccia is affiliated with Henry Ford Health Hospital, Ascension St John Hospital and Ascension Macomb Oakland Hosp-Warren Campus.

When was this NPI record last updated?

The NPPES record for Anthony Paniccia was last updated on December 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.