Individual provider Active NPI

Philip Mark Cacchione Jr.

  • Family Medicine Physician
  • Erie, PA
National Provider Identifier
1083233100
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS025128 Issued in PA
Practice address
921 Peach St
Erie, PA 16501-1403
Phone
(814) 877-7960
NPI assigned
Apr 9, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS025128 PA Primary

Addresses

Primary practice location

921 Peach St
Erie, PA 16501-1403

Mailing address

921 Peach St
Erie, PA 16501-1403
Phone (814) 877-7960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250827001573 PA Practitioner - Family Practice 1759701964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erie Physicians Network-Upmc,IncGroup PAC ID 1052587268, 19 clinicians

Practice addresses (Care Compare)

3535 Pine Ave
Erie, PA 16504-1743
Phone (814) 835-3751

Hospital & facility affiliations

  • Upmc Hamot Hospital, Erie, PA, CCN 390063

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
79.37
Promoting interoperability
100
Improvement activities
40
Cost
73.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS025128PAMDFamily Medicine Physician
20626CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Erie Physicians Network-Upmc,Inc Family Medicine CurrentSince Oct 1, 2025 Accepting new patients
Regional Health Services Inc Family Medicine PastSince Aug 17, 2025 Accepting new patients
UCLA Medical Group Family Medicine Past Accepting new patients

Locations

3535 Pine Ave
Erie, PA 16504
Phone (814) 454-3363

921 Peach St
Erie, PA 16501
Phone (814) 877-7960

2 Hot Metal St
Fl 3
Pittsburgh, PA 15203
Phone (412) 432-5869

Organizations & group practices 3

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1083233100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011403",
            "telephone_number": "814-877-7960",
            "fax_number": "814-877-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011403",
            "telephone_number": "814-877-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACCHIONE",
        "first_name": "PHILIP",
        "middle_name": "MARK",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-09",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS025128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.