ANTHONY R PUCCI (DO) – Diagnostic Radiology Physician, NPI 1922007582

ANTHONY R PUCCI (DO) is a healthcare provider. based in Petoskey, Michigan. specializing in INTERVENTIONAL RADIOLOGY, DIAGNOSTIC RADIOLOGY. They hold the professional credentials DO. They hold a License No. 5101010113 (MI). The NPI Number for ANTHONY R PUCCI (DO) is 1922007582

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
ANTHONY R PUCCI (DO)
NPI
1922007582
Phone
(866) 287-5269
Address
330 E MITCHELL ST
Enumeration Date
18 July 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6162527200
Graduation Year
1986 (40 years ago)
PAC ID
1153319348
Group Practice PAC ID
5597651836
Professional Enrollment ID
I20040505001023
Address ID
MI495199606WY5900XSWXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

219 INTERVENTIONAL RADIOLOGY in MI

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Provider Addresses for ANTHONY R PUCCI (DO)

  • 330, East Mitchell Street, Petoskey, Emmet County, Michigan, 49770, United States

    SUITE 210

    PETOSKEY, MI 497702671

    Phone: (866) 287-5269

    Type: Mailing

  • McLaren Northern Michigan, 416, Connable Avenue, Petoskey, Emmet County, Michigan, 49770, United States

    PETOSKEY, MI 497702212

    Phone: (231) 487-4000

    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: 2004-05-05

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
I20040505001023IDiagnostic RadiologyMITBD

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
71046X-ray of chest, 2 views199189$0
71250Ct scan of chest without contrast143131$0
74177Ct scan of abdomen and pelvis with contrast128117$0
71045X-ray of chest, 1 view122113$0
71260Ct scan of chest with contrast8377$0
View full utilization report →

Insurance plans in this area (ZIP 49770)

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Provider's Procedures

ANTHONY R PUCCI (DO) performs procedures in INTERVENTIONAL RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYMI71250CT scan chest6161
DIAGNOSTIC RADIOLOGYMI73110X-ray of wrist, minimum of 3 views2118
DIAGNOSTIC RADIOLOGYMI73140X-ray of fingers, minimum of 2 views1313
DIAGNOSTIC RADIOLOGYMI73630X-ray of foot, minimum of 3 views7468

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: 5597651836View full group profile
NameSpecialtyState
Internal MedicineMI
-MI
Nurse PractitionerMI
Physician AssistantMI
Hospitalist, Internal MedicineMI
-MI
Family PracticeMI
Physician AssistantMI
-MI
Physician AssistantMI

Reviews

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Frequently asked questions

What unique ID ties claims to ANTHONY R PUCCI (DO)?
NPI 1922007582 is assigned to ANTHONY R PUCCI (DO) under the national enumeration system.
Is ANTHONY R PUCCI (DO) currently active in the NPI registry?
CMS-published data lists ANTHONY R PUCCI (DO) as an active registrant.
What kind of provider is ANTHONY R PUCCI (DO)?
The page reflects Diagnostic Radiology Physician for ANTHONY R PUCCI (DO). Clinical services aligned with this taxonomy classification.
Does ANTHONY R PUCCI (DO) practice in Michigan?
You will see Petoskey, Michigan on file for ANTHONY R PUCCI (DO) alongside any extra practice locations.
How can I contact ANTHONY R PUCCI (DO)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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