Karen Jill C Iccarelli, M.D.
Individual provider Active NPI Family Medicine Physician · Williamsport, MD
NPI 1508894023 · NPPES record last updated Oct 16, 2012
Key facts
- NPI
- 1508894023
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- D0052136 (MD)
- Practice address
- 16605 Kendle Rd
Williamsport, MD 21795-1614 - Phone
- (301) 223-1241
- Fax
- (301) 223-1240
- NPI assigned
- Jun 30, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Pittsburgh School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Meritus Medical Center Inc
Practice addresses (Care Compare)
11110 Medical Campus Rd
Hagerstown, MD 21742-6700
16605 Kendle Rd
Williamsport, MD 21795-1614
Phone (301) 223-1241
Hospital & facility affiliations
- Home Call
- Meritus Medical Center, Inc
- Hospice of Washington County, Inc
- Meritus Medical Center
- Berkeley Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.95 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 83.16
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 12 |
| Skin biopsy | 12 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070728000121 | MD | Practitioner - Family Practice | 0345341764 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0052136 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karen Jill Ciccarelli, M.D. PC | Family Medicine | Current |
Accepting new patients |
| Washington County Emergency Medicine Physicians, LLC | Past | Accepting new patients | |
| Meritus Medical Laboratory LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/21601/brand/1/csg/1/fhir/r4
- karen.jill.ciccarelli.1@21601.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0052136 | MD | Yes |
Addresses
Primary practice location
16605 Kendle Rd
Williamsport, MD 21795-1614
Mailing address
16605 Kendle Rd
Williamsport, MD 21795-1614
Phone (301) 223-1241
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 401020500 | Medicaid | MD |
Other providers in Williamsport, MD
- Amy Brown
- Jessica Buchanan
- Kayle Buchanan
- Cara Nicole Burgan
- Kelsey Buterbaugh
- Cynthia L Campbell
- Rebecca Anne Cavanaugh
- Cedar Ridge Children'S Home and School
- Judith Ann Christner
- Amanda Marie Cook
All providers in Williamsport, MD · Family Medicine Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.