ADRIAN A CARACIONI MD
NPI 1952313850
Internal Medicine - Hematology & Oncology in Topeka, KS

Active since August 12, 2006PECOS EnrolledAccepts Medicare Assignment
96.6/100
CMS Quality Rating
1700 SW 7TH ST, 2ND FLOOR, TOPEKA, KS 66606(785) 295-7800(785) 231-5990 Get Directions Write a Review

NPPES record last updated: March 11, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Adrian A Caracioni Md NPPES

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

ADRIAN A CARACIONI MD (NPI 1952313850) is an individual hematology & oncology provider in Topeka, Kansas, licensed in Kansas (04-30678) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Kansas Health System - St Francis Campus, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1952313850
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameADRIAN A CARACIONICredential: MD
Location Address1700 SW 7TH ST, 2ND FLOORTopeka, KS 66606-2489
Mailing AddressDept Ch 14389Palatine, IL 60055-4389 · (785) 295-8108 · Fax (785) 270-7646
Fax(785) 231-5990
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateAugust 12, 2006
Last NPPES UpdateMarch 11, 2014
NPI 1952313850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in KS · 04-30678
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1700 SW 7TH ST, Topeka, KS 66606

Other Identifiers 1

Medicare UPINF96480

Accepted 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

Adrian A Caracioni 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 ID749252294
PECOS Enrollment IDI20040806000411
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 13

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
669 services203 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.
409 services263 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
110 services11 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.
103 services88 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
95 services39 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
67 services67 patients

Hospital Affiliations CMS Care Compare 5

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

2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number170016
Location1700 SW 7th StreetTopeka, KS 66606 · Shawnee County
Emergency services Birthing friendly

Nemaha Valley Community Hospital

Critical Access Hospitals · Seneca, KS
OwnershipVoluntary non-profit - Private
CMS Certification Number171315
Location1600 Community DrSeneca, KS 66538 · Nemaha County
Emergency services Birthing friendly

Holton Community Hospital

Critical Access Hospitals · Holton, KS
OwnershipVoluntary non-profit - Private
CMS Certification Number171319
Location1110 Columbine DriveHolton, KS 66436 · Jackson County
Emergency services

Hiawatha Community Hospital

Critical Access Hospitals · Hiawatha, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number171341
Location300 Utah StreetHiawatha, KS 66434 · Brown County
Emergency services Birthing friendly

Community Hospital, Onaga And St Marys Campus

Critical Access Hospitals · Onaga, KS
OwnershipGovernment - Hospital District or Authority
CMS Certification Number171354
Location120 West 8th StreetOnaga, KS 66521 · Pottawatomie County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66606 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
$161.67 typical visit price
range $53.00 – $161.67
Typical copayment $40.41 (range $13.25 – $40.41)
Most-billed visit code 99205
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

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.

96.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.24
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

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

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
2 suppliers15 claims9,585 services$0.31 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers17 claims17 services$91.69 avg. paid by Medicare
Capecitabine, oral, 150 mg J8520
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers18 claims1,064 services$0.35 avg. paid by Medicare
Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers15 claims1,148 services$0.60 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
2 suppliers17 claims17 services$35.00 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
3 suppliers18 claims23 services$12.07 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 20

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

Emergency Medicine (Emergency Medical Services)
1700 SW 7TH ST
TOPEKA, KS 66606
Pharmacist
1700 SW 7TH ST
TOPEKA, KS 66606
Nurse Anesthetist, Certified Registered
1700 SW 7TH ST
TOPEKA, KS 66606
Nurse Practitioner
1700 SW 7TH ST
TOPEKA, KS 66606
Nurse Practitioner
1700 SW 7TH ST
TOPEKA, KS 66606
Emergency Medicine
1700 SW 7TH ST
TOPEKA, KS 66606
Pharmacist
1700 SW 7TH ST
TOPEKA, KS 66606
Family Medicine
1700 SW 7TH ST
TOPEKA, KS 66606

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 Adrian Caracioni's NPI number?

The NPI number for Adrian Caracioni is 1952313850. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Where is Adrian Caracioni located?

Adrian Caracioni practices at 1700 SW 7th St 2nd Floor, Topeka, KS 66606. The listed phone number is (785) 295-7800.

What is Adrian Caracioni's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Adrian Caracioni enrolled in Medicare?

Yes. Adrian Caracioni 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 Adrian Caracioni accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Adrian Caracioni 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 Adrian Caracioni affiliated with any hospitals?

According to CMS data, Adrian Caracioni is affiliated with University Of Kansas Health System - St Francis Campus, Nemaha Valley Community Hospital, Holton Community Hospital, Hiawatha Community Hospital and Community Hospital, Onaga And St Marys Campus.

When was this NPI record last updated?

The NPPES record for Adrian Caracioni was last updated on March 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.