Individual provider Active NPI

Anthony D Cicoria, MD

  • Orthopaedic Surgery Physician
  • Norwich, NY
National Provider Identifier
1073535274
Registry record updated May 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
174322-1 Issued in NY
Practice address
33-39 Court St
Norwich, NY 13815-1325
Phone
(607) 337-4700
Fax
(607) 334-8306
NPI assigned
Jul 24, 2006
Last updated
May 15, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 174322-1 NY Primary

Addresses

Primary practice location

33-39 Court St
Norwich, NY 13815-1325

Mailing address

33-39 Court St
Norwich, NY 13815-1325
Phone (607) 337-4700

Other identifiers 5

IdentifierTypeStateIssuer
000000082021OtherGHI-HMO
201344838OtherEXCELLUS BC/BS
10032308OtherCDPHP
0598754OtherGHI-PPO
188032OtherMVP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190417002500 ME Practitioner - Orthopedic Surgery 9133194327 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.58 of 100Reported as apm
Quality
83.17
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
174322-1NYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince May 24, 2019 Accepting new patients
St. Joseph Hospital CurrentSince Aug 28, 2023 Accepting new patients
Mainehealth CurrentSince May 24, 2019 Accepting new patients
Mainehealth Current Accepting new patients
Delaware Valley Hospital, Inc Past Accepting new patients

Locations

360 Broadway
Bangor, ME 04401
Phone (207) 262-1703

360 Broadway
#L
Bangor, ME 04401
Phone (207) 262-1703

35 Miles St
Damariscotta, ME 04543
Phone (207) 563-1234

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

Interoperability endpoints

  • Direct secure messaging: acicoria252368@direct.mmc.mainehealth.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242345600000",
    "number": "1073535274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33-39 COURT ST",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138151325",
            "telephone_number": "607-337-4700",
            "fax_number": "607-334-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33-39 COURT ST",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138151325",
            "telephone_number": "607-337-4700",
            "fax_number": "607-334-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICORIA",
        "first_name": "ANTHONY",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2009-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "174322-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI-HMO",
            "identifier": "000000082021",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS BC/BS",
            "identifier": "201344838",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10032308",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI-PPO",
            "identifier": "0598754",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "188032",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, NY

Sources for this page

Verify at the official NPI Registry.