Active NPI
Michael Christopher Ciccotti, M.D.
- Orthopaedic Surgery Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD474669
- Practice address
- 9501 Roosevelt Blvd FL 4
Philadelphia, PA 19114-1019 - Phone
- (800) 321-9999
- NPI assigned
- Apr 8, 2014
- Last updated
- Nov 19, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 25MA11173500 | NJ | |
| Orthopaedic Surgery Physician | 207X00000X | 036153327 | IL | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 036153327 | IL | |
| Orthopaedic Surgery Physician | 207X00000X | MD474669 | PA | Primary |
Addresses
Primary practice location
9501 Roosevelt Blvd FL 4
Philadelphia, PA 19114-1019
Mailing address
833 Chestnut St Ste 520
Philadelphia, PA 19107-4430
Phone (609) 677-7003
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Jefferson Medical College of Thomas Jefferson University, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
925 Chestnut St
FL 5
Philadelphia, PA 19107-4206
Phone (267) 339-3500
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.32 of 100
- Quality
- 79.04
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 82.85
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA11173500 | NJ | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reconstructive Orthopaedic Associates II LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Reconstructive Orthopaedic Associates II LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Rothman Orthopaedics of New Jersey, LLC | Orthopaedic Surgery | Past | Accepting new patients |
Locations
999 Route 73 N
Ste 401
Marlton, NJ 08053
3300 Tillman Dr
Fl 2
Bensalem, PA 19020
Phone (215) 637-1800
101 Pheasant Run
Newtown, PA 18940
833 Chestnut St
Ste 520
Philadelphia, PA 19107
Phone (267) 592-6191
925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738
9501 Roosevelt Blvd
Fl 4
Philadelphia, PA 19114
Phone (215) 992-4975
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rothman Orthopaedics Institute
- Orthopaedic Surgery Physician
- Philadelphia, PA
- NPI 1861433278
-
dba Rothman Orthopaedics Institute
- Prosthetic/Orthotic Supplier
- Philadelphia, PA
- NPI 1497571830
Orthopaedic Surgery
-
dba Rothman Orthopaedics Institute
- Orthopaedic Surgery Physician
- Marlton, NJ
- NPI 1215978630
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1801963343
-
- General Acute Care Hospital
- Bensalem, PA
- NPI 1336378132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637280000000",
"number": "1528487436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 CHESTNUT ST STE 520",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074430",
"telephone_number": "609-677-7003",
"fax_number": "267-339-3761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9501 ROOSEVELT BLVD FL 4",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191141019",
"telephone_number": "800-321-9999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CICCOTTI",
"first_name": "MICHAEL",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-08",
"last_updated": "2021-11-19",
"certification_date": "2021-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NJ",
"license": "25MA11173500",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IL",
"license": "036153327",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "IL",
"license": "036153327",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "PA",
"license": "MD474669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.