Active NPI
Bryan Cicuto, D.O.
- Plastic and Reconstructive Surgery Physician
- Lititz, PA
National Provider Identifier
1871709196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- OS017124
- Practice address
- 1535 Highlands Dr Ste 300
Lititz, PA 17543-7681 - Phone
- (717) 625-3509
- Fax
- (717) 625-4258
- NPI assigned
- May 15, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | OS017124 | PA | Primary |
| Surgery Physician | 208600000X | OT010894 | PA |
Addresses
Primary practice location
1535 Highlands Dr Ste 300
Lititz, PA 17543-7681
Mailing address
409 S 2ND St Ste 2F
Harrisburg, PA 17104-1612
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1029496100006 | Medicaid | PA |
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
- Plastic and Reconstructive Surgery
- Education
- University of New England, College of Osteo Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1535 Highlands Dr
Suite 300
Lititz, PA 17543-7681
Phone (717) 625-3509
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.61 of 100
- Quality
- 83.98
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.06
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 32 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT010894 | PA | MD | Surgery Physician |
| OS017124 | PA | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Health Regional Physicians | Surgery | Current | Accepting new patients |
| Pinnacle Health Regional Physicians | Surgery | Current | Accepting new patients |
| Pinnacle Health Medical Services | Surgery | Past | Accepting new patients |
Locations
210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300
366 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-1900
409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049
233 College Ave
Ste 203
Lancaster, PA 17603
Phone (717) 396-9167
1535 Highlands Dr
Ste 300
Lititz, PA 17543
Phone (717) 625-3509
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.
-
- Internal Medicine Physician
- Harrisburg, PA
- NPI 1013441690
Surgery
-
- Surgery Physician
- Lancaster, PA
- NPI 1962922104
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lititz, PA
- NPI 1285167916
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1265537674
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1407813603
-
- General Acute Care Hospital
- Mechanicsburg, PA
- NPI 1972613305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569974400000",
"number": "1871709196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 S 2ND ST STE 2F",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171041612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1535 HIGHLANDS DR STE 300",
"city": "LITITZ",
"state": "PA",
"postal_code": "175437681",
"telephone_number": "717-625-3509",
"fax_number": "717-625-4258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CICUTO",
"first_name": "BRYAN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2019-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "PA",
"license": "OS017124",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "OT010894",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1029496100006",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lititz, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.