VINCENT J MICCOLI (PA) – Surgical Physician Assistant, NPI 1811949571

VINCENT J MICCOLI (PA) is a healthcare provider. based in Torrington, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 000949 (CT). The NPI Number for VINCENT J MICCOLI (PA) is 1811949571

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
VINCENT J MICCOLI (PA)
NPI
1811949571
Phone
(860) 482-8539
Address
245 ALVORD PARK ROAD
Enumeration Date
17 May 2006
Last Update Date
17 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8604828539
Graduation Year
1999 (27 years ago)
PAC ID
7517141971
Group Practice PAC ID
7113826397
Professional Enrollment ID
I20110408000159
Address ID
CT067903493TO245XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,257 PHYSICIAN ASSISTANT in CT

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Provider Addresses for VINCENT J MICCOLI (PA)

  • 245, Alvord Park Road, Torrington, Litchfield County, Connecticut, 06790, United States

    TORRINGTON, CT 06790

    Phone: (860) 482-8539

    Fax: (860) 482-0258

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $732.

Total Amount is formed as General ($732) + Research ($0) + Ownership ($0) = $732.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Endo USA, Inc. ($229).

Total Amount

$732

General + Research + Ownership

Payments

31

Total payment records

General Amount

$732

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2011-04-08

PECOS data refreshed: 2026-06-15

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110408000159IPhysician AssistantCTTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg20339$0
99213Established patient office or other outpatient visit, 20-29 minutes12273$0
99212Established patient office or other outpatient visit, 10-19 minutes7354$0
99214Established patient office or other outpatient visit, 30-39 minutes4442$0
20610Aspiration and/or injection of fluid from large joint4125$0
View full utilization report →

Insurance plans in this area (ZIP 06790)

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Provider's Procedures

VINCENT J MICCOLI (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTCT20610Aspiration and/or injection of large joint or joint capsule11965

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: 7113826397View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Orthopedic SurgeryOH
Orthopedic Surgery, Sports MedicineNY
Occupational Therapist In Private PracticeCT
Orthopedic SurgeryCT
Occupational Therapist In Private PracticeCT
P O D I A T R YNY
Physical Therapist In Private PracticeCT
-CT

Reviews

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Frequently asked questions

Can I cross-check VINCENT J MICCOLI (PA) using NPI 1811949571?
NPI 1811949571 belongs to VINCENT J MICCOLI (PA); compare other details if you need extra assurance.
Is VINCENT J MICCOLI (PA) still an active registrant?
VINCENT J MICCOLI (PA) carries an active NPI according to the public dataset.
What area of care is associated with VINCENT J MICCOLI (PA)?
VINCENT J MICCOLI (PA)'s record emphasizes Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is VINCENT J MICCOLI (PA) located near Torrington?
VINCENT J MICCOLI (PA) currently maps to Torrington, Connecticut in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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