DR. GLORIA L CICCONE MD
NPI 1790767440
Pediatrics in Boston, MA
NPI Status: Active since November 17, 2005
Contact Information
55 FRUIT ST
MASSACHUSETTS GENERAL HOSPITAL NEW BORN SERVICE FND 442
BOSTON, MA
ZIP 02114
Phone: (617) 724-9040
Fax: (617) 726-9346
- Individual
- Female
- Pediatrics
- PECOS Enrolled
About GLORIA CICCONE
This page provides the complete NPI Profile along with additional information for Gloria Ciccone, a pediatrician established in Boston, Massachusetts with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1790767440 assigned on November 2005. The practitioner's primary taxonomy code is 208000000X with license number 81978 (MA). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1790767440
- Provider Name
- DR. GLORIA L CICCONE MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 55 FRUIT ST MASSACHUSETTS GENERAL HOSPITAL NEW BORN SERVICE FND 442 BOSTON, MA 02114
- Location Phone
- (617) 724-9040
- Location Fax
- (617) 726-9346
- Mailing Address
- PO BOX 9142 MASS GENERAL PHYSICIAN ORGANIZATION CHARLESTOWN, MA 02129
- Mailing Phone
- (617) 724-0287
- Mailing Fax
- (617) 726-9346
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-17-2005
- Last Update Date
- 12-21-2016
- Code Navigator
A pediatrician like Gloria Ciccone is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
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
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 81978
- License State
- MA
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| J17479 | OTHER (01) | MA | BCBS MA |
| 081978 | OTHER (01) | MA | TUFTS HEALTH PLAN |
| A28791 | MEDICARE ID-TYPE UNSPECIFIED (04) | MA | |
| 3151034 | MEDICAID (05) | MA | |
| G78111 | MEDICARE UPIN (02) |
Medicare Participation & PECOS Enrollment Status
Gloria Ciccone is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
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.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 02114 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $97.64
- Minimum New Patient Price $63.72
- Maximum New Patient Price $189.86
- Average New Patient Copayment $24.41
- Minimum New Patient Copayment $15.93
- Maximum New Patient Copayment $47.46
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $111.18
- Minimum Established Patient Price $21.07
- Maximum Established Patient Price $155.29
- Average Established Patient Copayment $27.79
- Minimum Established Patient Copayment $5.26
- Maximum Established Patient Copayment $38.82
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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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. | |||||||||
| 1 | 7 | 9 | 0 | 7 | 6 | 7 | 4 | 4 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 14 | 6 | 14 | 4 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 1 + 4 + 6 + 1 + 4 + 4 + 8 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1790767440 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1982600144 | ANDREW T CHAN M.D. Individual | Internal Medicine (Gastroenterology) | 55 FRUIT ST BOSTON, MA 02114 (617) 726-3212 |
| 1538166889 | KALOYAN S TANEV MD Individual | Psychiatry & Neurology (Psychiatry) | 55 FRUIT ST WARREN 1220 BOSTON, MA 02114 (617) 726-7511 |
| 1124028238 | DR. DEBRA F WEINSTEIN MD Individual | Internal Medicine (Gastroenterology) | 55 FRUIT ST BOSTON, MA 02114 (617) 724-6007 |
| 1225023658 | BRADEN KUO M.D. Individual | Internal Medicine (Gastroenterology) | 55 FRUIT ST BLAKE 4, GI UNIT. MGH BOSTON, MA 02114 (617) 726-2132 |
| 1881680767 | DR. NANCY J GAGLIANO MD Individual | Internal Medicine | 55 FRUIT ST 4710B BOSTON, MA 02114 (617) 724-6700 |
| 1285620161 | DR. DAVID F TORCHIANA MD Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 55 FRUIT ST BUL 119 BOSTON, MA 02114 (617) 724-9644 |
| 1205823176 | DAVID MICHAEL SHAHIAN MD Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 55 FRUIT ST MGH, BULFINCH 2 BOSTON, MA 02114 (617) 643-4335 |
| 1396734570 | DR. JAY JEFFREY SCHNITZER M.D., PH.D. Individual | Surgery | 55 FRUIT ST PEDIATRIC SURGERY, WRN 11 BOSTON, MA 02114 (617) 724-1602 |
| 1538158696 | DR. THEODORE JOSEPH ONGARO MD Individual | Urology | 55 FRUIT ST GRB 1102 BOSTON, MA 02114 (617) 726-3012 |
| 1922098730 | DR. WEI CHAO MD PHD Individual | Anesthesiology | 55 FRUIT ST CLN 3 BOSTON, MA 02114 (617) 724-3267 |
| 1194715904 | DR. MAURICE ALBRIGHT MD Individual | Orthopaedic Surgery | 55 FRUIT ST YAW 3E ORTHOPAEDIC ASSOCIATES BOSTON, MA 02114 (617) 726-8523 |
| 1841280674 | DR. GREGORY YVES LAUWERS MD Individual | Pathology (Anatomic Pathology) | 55 FRUIT ST PATHOLOGY ASSOCIATES WRN 2 BOSTON, MA 02114 (617) 726-2931 |
| 1609866516 | DR. KENT BALANIS LEWANDROWSKI MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 55 FRUIT ST GRB 5 PATHOLOGY ASSOCIATES BOSTON, MA 02114 (617) 726-2275 |
| 1114917986 | DR. JEFFREY A GELFAND MD Individual | Allergy & Immunology | 55 FRUIT ST S50-801 INFECTIOUS DISEASE ASSOCIATES BOSTON, MA 02114 (617) 726-1796 |
| 1750371563 | DR. KATHLEEN BRIGID TRAINOR PSYD Individual | Psychologist | 55 FRUIT ST YAW 6A MASSACHUSSETTS GENERAL HOSPITAL BOSTON, MA 02114 (617) 724-6300 |
| 1073503884 | DR. BOYD TAYLOR THOMPSON MD Individual | Internal Medicine (Pulmonary Disease) | 55 FRUIT ST BOSTON, MA 02114 (617) 724-3705 |
| 1992795512 | DR. RAJESH TIM GANDHI MD Individual | Internal Medicine (Infectious Disease) | 55 FRUIT ST FND 8 INFECTIOUS DISEASE ASSOCIATES BOSTON, MA 02114 (617) 726-8403 |
| 1821088451 | DR. SHIHAB AHMED MBBS Individual | Anesthesiology (Pain Medicine) | 55 FRUIT ST CLN 309 ANESTHESIA ASSOCIATES BOSTON, MA 02114 (617) 726-3030 |
| 1528058153 | DR. MARIE B DEMAY MD Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 55 FRUIT ST WEL 5 BOSTON, MA 02114 (617) 726-8720 |
| 1225028863 | DR. MICHELE TRUCKSIS MD PHD Individual | Internal Medicine | 55 FRUIT ST INFECTIOUS DISEASE ASSOCIATES GRJ 504 BOSTON, MA 02114 (617) 726-3812 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790767440, enumerated in the NPI registry as an "individual" on November 17, 2005
The provider is located at 55 Fruit St Massachusetts General Hospital New Born Service Fnd 442 Boston, Ma 02114 and the phone number is (617) 724-9040
The provider's speciality is Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $97.64 with an average copayment of $24.41 for new patient appointments. Established patients should expect a typical charge of $111.18 and an average copayment of 27.79. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on November 17, 2005. 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].
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