ANDREW MICHAEL CICCARELLI (M.D.) – Diagnostic Radiology Physician, NPI 1407893738

ANDREW MICHAEL CICCARELLI (M.D.) is a healthcare provider. based in Rohnert park, California. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 15912C (WY). The NPI Number for ANDREW MICHAEL CICCARELLI (M.D.) is 1407893738

Main info

Male
26 Years Of Experience
Name
ANDREW MICHAEL CICCARELLI (M.D.)
NPI
1407893738
Phone
(707) 576-4392
Address
6000 State Farm Dr Ste 150
Enumeration Date
2 June 2006
Last Update Date
27 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8592190542
Graduation Year
2000 (26 years ago)
PAC ID
9436162302
Group Practice PAC ID
8921906983
Professional Enrollment ID
I20060718000181
Address ID
MA024931014WE500XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience90
Completeness85
Years active:20State licenses:7Digital endpointsOther names

4,800 DIAGNOSTIC RADIOLOGY in CA

Provider Addresses for ANDREW MICHAEL CICCARELLI (M.D.)

  • 6000 State Farm Dr Ste 150

    Rohnert Park, CA 949282226

    Phone: (707) 576-4392

    Fax: (707) 576-4841

    Type: Location

  • 1401 W 5th St

    Sheridan, WY 828012799

    Phone: (307) 672-1000

    Type: Location

  • 701 W Forevergreen Rd

    North Liberty, IA 523179848

    Phone: (319) 356-3375

    Fax: (319) 356-3949

    Type: Location

  • 6000 Hospital Dr

    Hannibal, MO 634016887

    Phone: (573) 248-1300

    Fax: (573) 248-5264

    Type: Location

  • 500 E Market St

    Iowa City, IA 522452633

    Phone: (833) 228-6889

    Fax: (877) 853-0376

    Type: Location

  • 1470 Sugarland Dr Ste 1

    Sheridan, WY 828015774

    Phone: (307) 672-2411

    Type: Location

  • Cooley Dickinson Hospital, 30, Locust Street, Florence, Northampton, Hampshire County, Massachusetts, 01061, United States

    NORTHAMPTON, MA 010602052

    Phone: (413) 582-2000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-02-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 16 Medicare enrollment records; no due dates published yet.

Enrollment records

16

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060718000181IDiagnostic RadiologyMATBD
I20230623001015IDiagnostic RadiologyILTBD
I20231008000188IDiagnostic RadiologyGUTBD
I20231220001044IDiagnostic RadiologyTXTBD
I20240424004050IDiagnostic RadiologySCTBD
I20240612001242IDiagnostic RadiologyCTTBD
I20240909000484IDiagnostic RadiologyIATBD
I20241002003504IDiagnostic RadiologyWATBD
I20241105000224IDiagnostic RadiologyWITBD
I20250124002630IDiagnostic RadiologyNCTBD
I20251006002067IDiagnostic RadiologyMOTBD
I20251029000909IDiagnostic RadiologyCATBD
I20251124003856IDiagnostic RadiologyNETBD
I20260130000858IDiagnostic RadiologyFLTBD
I20260202002343IDiagnostic RadiologyNMTBD
I20260211001765IDiagnostic RadiologyWYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml19,645183$0
A9578Injection, gadobenate dimeglumine (multihance multipack), per ml70484$0
71046X-ray of chest, 2 views541500$0
73562X-ray of knee, 3 views304246$0
73630X-ray of foot, minimum of 3 views240190$0
View full utilization report →

Insurance plans in this area (ZIP 94928)

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Provider's Procedures

ANDREW MICHAEL CICCARELLI (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYMA71250CT scan chest6363
DIAGNOSTIC RADIOLOGYMA73630X-ray of foot, minimum of 3 views3430
DIAGNOSTIC RADIOLOGYMA74177CT scan of abdomen and pelvis with contrast144134
DIAGNOSTIC RADIOLOGYMA78815Nuclear medicine study with CT imaging skull base to mid-thigh2522
DIAGNOSTIC RADIOLOGYMA93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers1111

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921906983View full group profile
NameSpecialtyState
DR. ROBERT COUNTS POPE (D.O.)
Diagnostic RadiologyKY
Unknown Individual
-KY
RAYMONDA STEVENS (M.D.)
Diagnostic RadiologyKY
ALLEN DAVID IV WESTERFIELD (M.D.)
Diagnostic RadiologyKY
DR. SHARDAN MARC RADMANESH (M.D.)
Diagnostic RadiologyKY
DR. WAYNE MINORU KISHIMOTO (M.D.)
-CA
ALLISON LUANNE SUMMERS (MD)
Diagnostic RadiologyCO
DR. CARINA L BUTLER (M.D.)
Diagnostic RadiologyMN
NIDHI NARENDRA DESAI (MD)
Diagnostic RadiologyIA
DR. DONALD JEFFREY BOSS (M.D.)
-CA

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Frequently asked questions

What is the registry number for ANDREW MICHAEL CICCARELLI (M.D.)?
The registry entry for ANDREW MICHAEL CICCARELLI (M.D.) shows NPI 1407893738.
Should I treat ANDREW MICHAEL CICCARELLI (M.D.) as an active provider?
Patients and plans typically see ANDREW MICHAEL CICCARELLI (M.D.) as active in the national extract.
What does the directory say ANDREW MICHAEL CICCARELLI (M.D.) does?
Insurance directories may phrase it differently, but here ANDREW MICHAEL CICCARELLI (M.D.) maps to Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to ANDREW MICHAEL CICCARELLI (M.D.)?
The directory associates ANDREW MICHAEL CICCARELLI (M.D.) with Rohnert Park, California. Check all listed addresses for suites or satellite offices.
Why is information missing for ANDREW MICHAEL CICCARELLI (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.