LORI LYNN CICCONE (PA) – Medical Physician Assistant, NPI 1205964426
Medical Physician Assistant
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
3,243 PHYSICIAN ASSISTANT in CT
Provider Addresses for LORI LYNN CICCONE (PA)
PO BOX 355
GALES FERRY, CT 063350355
Phone: (860) 464-7274
Fax: (860) 464-7404
Type: Mailing
330 WASHINGTON ST
GENERATIONS FAMILY HEALTH CENTER
NORWICH, CT 063602700
Phone: (860) 885-1308
Fax: (860) 885-1972
Type: Location
322 E MAIN ST STE 1B
BRANFORD, CT 064053136
Phone: (034) 887-2282
Fax: (203) 204-1415
Type: Mailing
350 GOOSE LN STE 203B
GUILFORD, CT 064372492
Phone: (203) 932-6481
Fax: (039) 324-0512
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $540.
Total Amount is formed as General ($540) + Research ($0) + Ownership ($0) = $540.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($175).
Total Amount
$540
General + Research + Ownership
Payments
24
Total payment records
General Amount
$540
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $175 |
| Novo Nordisk Inc | $59 |
| E.R. Squibb & Sons, L.L.C. | $59 |
| ABBVIE INC. | $57 |
| Amgen Inc. | $45 |
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: 2007-04-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070411000315 | I | Physician Assistant | CT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 66 | 59 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 26 | 25 | $0 |
| 81002 | Urinalysis, manual test | 25 | 25 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 20 | 20 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 19 | 19 | $0 |
Insurance plans in this area (ZIP 06335)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CT | |
| Emergency Medicine | RI | |
| P S Y C H I A T R Y | MA | |
| Hematology/Oncology, Medical Oncology | NJ | |
| Physician Assistant | ME | |
| Hospitalist, Internal Medicine | NY | |
| Physician Assistant | CT | |
| Physician Assistant | GA | |
| Internal Medicine | CT | |
| Physician Assistant | RI |
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