JOHN PELLICCIA (MD) – Anesthesiology Physician, NPI 1245252485

JOHN PELLICCIA (MD) is a healthcare provider. based in Indianapolis, Indiana. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. MD.38635 (AL). The NPI Number for JOHN PELLICCIA (MD) is 1245252485

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
JOHN PELLICCIA (MD)
NPI
1245252485
Phone
Not provided
Address
8840 COMMERCE PARK PL STE E
Enumeration Date
24 July 2006
Last Update Date
5 September 2019

Doctor Profile

Medical School Name
NEW YORK UNIVERSITY MEDICAL COLLEGE - NLG
Secondary Phone
6785801349
Graduation Year
1991 (35 years ago)
PAC ID
8820112121
Group Practice PAC ID
8022300748
Professional Enrollment ID
I20191016000949
Address ID
AL363302510EN400XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,447 ANESTHESIOLOGY in IN

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Provider Addresses for JOHN PELLICCIA (MD)

  • 8840, Commerce Park Place, Indianapolis, Indiana, 46268, United States

    INDIANAPOLIS, IN 462683129

    Phone:

    Type: Mailing

  • Saint Vincent Clay Hospital, 1206, East National Avenue, Brazil, Clay County, Indiana, 47834, United States

    BRAZIL, IN 478342718

    Phone: (812) 442-2480

    Type: Location

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: 2020-10-06

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
I20191016000949IAnesthesiologyALTBD
I20201006001810IAnesthesiologyGATBD

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
01402Anesthesia for procedure for total knee joint replacement2727$0
00400Anesthesia for other procedure on skin of arms, legs, and front body2221$0
64415Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus)1918$0
00812Anesthesia for exam of colon using an endoscope1818$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1515$0
View full utilization report →

Insurance plans in this area (ZIP 46268)

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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: 8022300748View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)AL
-GA
Certified Registered Nurse Anesthetist (Crna)AL
-GA
Anesthesiology, Pain ManagementFL
-AL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL

Reviews

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Frequently asked questions

What number should I use to identify JOHN PELLICCIA (MD) for billing?
Administrative and clinical systems typically use NPI 1245252485 for JOHN PELLICCIA (MD).
Is JOHN PELLICCIA (MD)'s NPI status active today?
Active status means JOHN PELLICCIA (MD)'s NPI record is not deactivated in the public file.
Which specialty label fits JOHN PELLICCIA (MD)?
NPPES ties JOHN PELLICCIA (MD) to Anesthesiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is JOHN PELLICCIA (MD) tied to Indianapolis, Indiana?
If you are local to Indianapolis, Indiana, JOHN PELLICCIA (MD) may be relevant to your search.
Can I export JOHN PELLICCIA (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.