Paul John Caracciolo Jr., PAC
Individual provider Active NPI Physician Assistant · Clairton, PA
NPI 1992798425 · NPPES record last updated Oct 7, 2020
Key facts
- NPI
- 1992798425
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- MA001365L (PA)
- Practice address
- 575 Coal Valley Rd Ste 504
Clairton, PA 15025-3729 - Phone
- (412) 267-6810
- Fax
- (412) 267-6817
- NPI assigned
- Aug 30, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
575 Coal Valley Rd
Jefferson Hills, PA 15025-3703
575 Coal Valley Rd
Suite 504
Clairton, PA 15025-3729
Hospital & facility affiliations
- Jefferson Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.9 of 100
- Quality
- 85.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060105000457 | PA | Practitioner - Physician Assistant | 1052334000 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pittsburgh Cardiac Electrophysiology Associates PC | Past | Accepting new patients | |
| Jefferson Regional Medical Center | Past | Accepting new patients |
Interoperability endpoints
- pcaracciolo97149@direct.ahn.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA001365L | PA | Yes |
Addresses
Primary practice location
575 Coal Valley Rd Ste 504
Clairton, PA 15025-3729
Mailing address
PO Box 18119
Pittsburgh, PA 15236-0119
Phone (412) 469-7275
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pcaracciolo97149@direct.ahn.org |
Other providers in Clairton, PA
- Rochelle Brown
- Holly Marian Bryan
- Felicity Bryant
- Stephanie Bungo
- Sharis Burrow-Mumin
- Care & Care Company
- Bruno Casile
- Ambaram V Chauhan
- Chet Phitayakorn, MD PC
- Clairton City School District
All providers in Clairton, PA · Physician Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2020. 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.