DR. GRANT VINCENT BOCHICCHIO (MD) – Surgical Critical Care Physician, NPI 1255388906

DR. GRANT VINCENT BOCHICCHIO (MD) is a healthcare provider. based in Carbondale, Illinois. specializing in CRITICAL CARE (INTENSIVISTS), GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 2011020910 (MO). The NPI Number for DR. GRANT VINCENT BOCHICCHIO (MD) is 1255388906

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. GRANT VINCENT BOCHICCHIO (MD)
NPI
1255388906
Phone
(618) 457-3006
Address
305 W Jackson St Ste 206
Enumeration Date
28 May 2006
Last Update Date
4 August 2025

Doctor Profile

Medical School Name
PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
6185490721
Graduation Year
1993 (33 years ago)
PAC ID
9133311509
Group Practice PAC ID
3678677390
Professional Enrollment ID
I20200415000241
Address ID
IL629011462CA405XXSTXX400

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness95
Years active:20State licenses:1Other names

955 CRITICAL CARE (INTENSIVISTS) in IL

Provider Addresses for DR. GRANT VINCENT BOCHICCHIO (MD)

  • 305 W Jackson St Ste 206

    Carbondale, IL 629011474

    Phone: (618) 457-3006

    Fax: (618) 457-3007

    Type: Location

  • PO BOX 60352

    SAINT LOUIS, MO 631601010

    Phone: (314) 273-0500

    Fax: (314) 273-0455

    Type: Mailing

  • 660 S EUCLID AVE

    SAINT LOUIS, MO 631101010

    Phone: (314) 747-2611

    Fax: (314) 362-5743

    Type: Location

  • 660, South Euclid Avenue, Central West End, City of Saint Louis, Missouri, 63110, United States

    MSC 8109-43-1160

    SAINT LOUIS, MO 631101010

    Phone: (314) 747-2829

    Fax: (314) 362-5743

    Type: Mailing

  • Barnes-Jewish Hospital, 1, Barnes Jewish Hospital Plaza, Central West End, St. Louis, Missouri, 63110, United States

    DIV SURG ACCS

    SAINT LOUIS, MO 631101003

    Phone: (314) 362-5298

    Fax: (314) 362-5743

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $3,257.

Total Amount is formed as General ($3,257) + Research ($0) + Ownership ($0) = $3,257.

Last reported payment date: 2024-09-10 • Largest payer in this snapshot: CSL Behring ($1,990).

Total Amount

$3,257

General + Research + Ownership

Payments

12

Total payment records

General Amount

$3,257

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-10

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: 2020-04-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20110801000788IGeneral SurgeryMOTBD
I20200415000241IGeneral SurgeryILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes6754$0
76705Limited ultrasound scan of abdomen5547$0
99213Established patient office or other outpatient visit, 20-29 minutes4438$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3118$0
99204New patient office or other outpatient visit, 45-59 minutes3030$0
View full utilization report →

Insurance plans in this area (ZIP 62901)

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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: 3678677390View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YIL
Cardiovascular Disease (Cardiology)IL
-IL
Emergency MedicineIL
Nurse PractitionerMO
Nurse PractitionerIL
Emergency MedicineIL
-IL
N E U R O L O G YIL
U R O L O G YIL

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. GRANT VINCENT BOCHICCHIO (MD)?
DR. GRANT VINCENT BOCHICCHIO (MD) — NPI 1255388906 — is the standard way to identify this listing.
Is DR. GRANT VINCENT BOCHICCHIO (MD) still practicing?
DR. GRANT VINCENT BOCHICCHIO (MD) is currently listed as active in the public NPI registry.
What is DR. GRANT VINCENT BOCHICCHIO (MD)'s specialty?
The listing groups DR. GRANT VINCENT BOCHICCHIO (MD) with Surgical Critical Care Physician. Clinical services aligned with this taxonomy classification.
Where is DR. GRANT VINCENT BOCHICCHIO (MD) based?
DR. GRANT VINCENT BOCHICCHIO (MD) is tied to Carbondale, Illinois in the data we show; additional addresses may exist on the full record.
Why does DR. GRANT VINCENT BOCHICCHIO (MD) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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