Individual provider Active NPI

Philip S Vuocolo, MD

  • Surgery Physician
  • Warren, PA
National Provider Identifier
1770536591
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD465014 Issued in PA
Practice address
103 W Saint Clair St RM 2D
Warren, PA 16365
Phone
(814) 723-2686
Fax
(814) 726-9417
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 15331 NH
Surgery Physician 208600000X MD465014 PA Primary

Addresses

Primary practice location

103 W Saint Clair St RM 2D
Warren, PA 16365

Mailing address

2 W Crescent Park
Warren, PA 16365-2111
Phone (814) 723-4973

Other identifiers 1

IdentifierTypeStateIssuer
3080022MedicaidNH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address philipvuocolo@wagho.allscriptsdirect.net

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
I20180808001568 PA Practitioner - General Surgery 6507959269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
State University of Ny Upstate Medical University, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians

Practice addresses (Care Compare)

271 Railroad St
Philipsburg, PA 16866-2300
Phone (814) 342-9186

761 Johnsonburg Rd
Saint Marys, PA 15857-3480
Phone (814) 781-1188

807 Turnpike Ave
Suite 250
Clearfield, PA 16830-1238
Phone (814) 205-1900

Hospital & facility affiliations

  • Penn Highlands Dubois Hospital, Dubois, PA, CCN 390086
  • Penn Highlands Elk Hospital, Saint Marys, PA, CCN 391315

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15331NHMDSurgery Physician
MD465014PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dubois Regional Medical Center Surgery CurrentSince Oct 1, 2021 Accepting new patients
Dubois Regional Medical Center CurrentSince Oct 1, 2021 Accepting new patients
Macmillan Paul and Burkarth PA Past Accepting new patients
Dubois Regional Medical Center Surgery Past Accepting new patients
St Lucie General Surgery LLC Surgery Past Accepting new patients
Warren Medical Group Inc Past Accepting new patients

Locations

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

145 Hospital Ave
Ste 301
Dubois, PA 15801
Phone (814) 375-4000

145 Hospital Ave
Ste 215
Dubois, PA 15801
Phone (814) 371-1717

271 Railroad St
Philipsburg, PA 16866
Phone (814) 342-1872

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 and National Provider Directory roles.

Hospital & facility affiliations 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1770536591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W CRESCENT PARK",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163652111",
            "telephone_number": "814-723-4973",
            "fax_number": "814-723-8952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W SAINT CLAIR ST RM 2D",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "16365",
            "telephone_number": "814-723-2686",
            "fax_number": "814-726-9417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUOCOLO",
        "first_name": "PHILIP",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NH",
            "license": "15331",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD465014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3080022",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "philipvuocolo@wagho.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "103 W Saint Clair St Rm 2D",
            "city": "Warren",
            "state": "PA",
            "country_code": "US",
            "postal_code": "16365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warren, PA

Sources for this page

Verify at the official NPI Registry.