JOSEPH LEO CICCONE DPT
NPI 1750559597
Physical Therapist - Orthopedic in New York, NY


Quality Rating: 99.39 out of 100 score

NPI Status: Active since February 14, 2008

Contact Information

622 W 168TH ST PH 11
NEW YORK, NY
ZIP 10032
Phone: (212) 305-5974

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  • Individual
  • Male
  • Years of Experience 19
  • Physical Therapist
  • Orthopedic
  • Accepts Medicare Approved Payment

About JOSEPH CICCONE

This page provides the complete NPI Profile along with additional information for Joseph Ciccone, a provider established in New York, New York with a medical specialization in Physical Therapist, focusing in orthopedic and more than 19 years of experience. The healthcare provider is registered in the NPI registry with number 1750559597 assigned on February 2008. The practitioner's primary taxonomy code is 2251X0800X with license number 029930 (NY). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1750559597
Provider Name
JOSEPH LEO CICCONE DPT
Gender
Male
Entity Type
Individual
Location Address
622 W 168TH ST PH 11 NEW YORK, NY 10032
Location Phone
(212) 305-5974
Mailing Address
622 W 168TH ST PH 11 NEW YORK, NY 10032
Mailing Phone
(212) 305-5974
Medical School Name
OTHER
Graduation Year
2007
Is Sole Proprietor?
No
Enumeration Date
02-14-2008
Last Update Date
05-02-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist Orthopedic

Taxonomy Code
2251X0800X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
029930
License State
NY
Taxonomy Description
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist
Sports

029930 (NY)

Medicare Participation & PECOS Enrollment Status

Joseph Ciccone is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 2365520376

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20090218000597

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 99.39, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 99.39 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 81.07

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750559597
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2710010518518
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 0 + 5 + 1 + 8 + 5 + 1 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1750559597 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1477767606MS. MAIKEN JACOBS MA
Individual
Occupational Therapist622 W 168TH ST PH 11
NEW YORK, NY 10032
(212) 305-3521
1720577133 MARC ANTHONY MORTELLARO
Individual
Specialist/Technologist (Athletic Trainer)622 W 168TH ST PH 11
NEW YORK, NY 10032
(212) 305-6445
1821625732 PETER C NOBACK MD
Individual
Student in an Organized Health Care Education/Training Program622 W 168TH ST PH 11
NEW YORK, NY 10032
(212) 305-5976
1578190534 WILLIAM KEALY CROCKATT
Individual
Student in an Organized Health Care Education/Training Program622 W 168TH ST PH 11
NEW YORK, NY 10032
(212) 305-5976
1851972327DR. EMMA ROSE WOLFF BERUBE MD
Individual
Student in an Organized Health Care Education/Training Program622 W 168TH ST PH 11
NEW YORK, NY 10032
(212) 305-5974
1699415307 AARON Z CHEN MD
Individual
Student in an Organized Health Care Education/Training Program622 W 168TH ST PH 11
NEW YORK, NY 10032
(212) 305-5974
1710689310 TIFFANY ASHLEY SMITH MD
Individual
Student in an Organized Health Care Education/Training Program622 W 168TH ST PH 11
NEW YORK, NY 10032
(973) 796-7146
1992406128 PAUL D LIVE ATC
Individual
Specialist/Technologist (Athletic Trainer)622 W 168TH ST PH 11
NEW YORK, NY 10032
(914) 787-3283
1467211896DR. CRISTINA ROSE DELPRETE MD
Individual
Student in an Organized Health Care Education/Training Program622 W 168TH ST PH 11
NEW YORK, NY 10032
(212) 305-2862
1780446906 EMMA GUO PA-C
Individual
Physician Assistant622 W 168TH ST PH 11
NEW YORK, NY 10032
(212) 305-5974
1538629589 GEORDIE CLAIRE LONZA MD
Individual
Orthopaedic Surgery622 W 168TH ST PH 11
NEW YORK, NY 10032
(212) 305-8193
1235792615DR. JOSEPHINE ROSE COURY MD
Individual
Orthopaedic Surgery622 W 168TH ST PH 11
NEW YORK, NY 10032
(212) 305-5976
1699235994 ANTHONY HANZCHUNG ZOU MD
Individual
Orthopaedic Surgery622 W 168TH ST PH 11
NEW YORK, NY 10032
(212) 305-2862

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750559597, enumerated in the NPI registry as an "individual" on February 14, 2008

The provider is located at 622 W 168th St Ph 11 New York, Ny 10032 and the phone number is (212) 305-5974

The provider's speciality is Physical Therapist with taxonomy code 2251X0800X with a focus in Orthopedic

The provider has more than 19 years of experience.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.

This NPI record was last updated on February 14, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.