MICHAEL CHARLES TRICOCI (MD) – Emergency Medicine Physician, NPI 1619105103

MICHAEL CHARLES TRICOCI (MD) is a healthcare provider. based in Williamsport, Indiana. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. 01071498A (IN). The NPI Number for MICHAEL CHARLES TRICOCI (MD) is 1619105103

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL CHARLES TRICOCI (MD)
NPI
1619105103
Phone
(765) 762-4050
Address
412 N MONROE ST
Enumeration Date
23 June 2009
Last Update Date
11 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7657624178
Graduation Year
2001 (25 years ago)
PAC ID
7618125337
Group Practice PAC ID
4486636776
Professional Enrollment ID
I20120920000654
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:16State licenses:1Digital endpointsOther names

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Provider Addresses for MICHAEL CHARLES TRICOCI (MD)

  • Saint Vincent Williamsport Hospital, 412, North Monroe Street, Williamsport, Warren County, Indiana, 47993, United States

    WILLIAMSPORT, IN 479931049

    Phone: (765) 762-4050

    Type: Location

  • New Liberty Church Road, Covington County, Mississippi, United States

    COVINGTON, IN 479328038

    Phone: (312) 399-4935

    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: 2012-09-20

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120920000654IEmergency MedicineINTBD

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
99285Emergency department visit with high level of medical decision making253200$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only244190$0
99284Emergency department visit with moderate level of medical decision making130119$0
99283Emergency department visit with low level of medical decision making2525$0
View full utilization report →

Insurance plans in this area (ZIP 47993)

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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: 4486636776View full group profile
NameSpecialtyState
Nurse PractitionerIN
General SurgeryIN
Nurse PractitionerIN
Nurse PractitionerIN
Internal MedicineIN
G A S T R O E N T E R O L O G YIN
Certified Registered Nurse Anesthetist (Crna)IN
Family PracticeVA
Internal Medicine, HospitalistIN
Nurse PractitionerIN

Reviews

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Frequently asked questions

Can I cross-check MICHAEL CHARLES TRICOCI (MD) using NPI 1619105103?
NPI 1619105103 belongs to MICHAEL CHARLES TRICOCI (MD); compare other details if you need extra assurance.
Is there an active status for MICHAEL CHARLES TRICOCI (MD)?
For scheduling context, MICHAEL CHARLES TRICOCI (MD) is shown as active in the registry.
What area of care is associated with MICHAEL CHARLES TRICOCI (MD)?
MICHAEL CHARLES TRICOCI (MD)'s record emphasizes Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MICHAEL CHARLES TRICOCI (MD)?
Travel planning: use Williamsport, Indiana as the reference point for MICHAEL CHARLES TRICOCI (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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