NICHOLAS GIACOMO CICCONE (MSPAS, PA-C) – Physician Assistant, NPI 1093104879
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
9,691 PHYSICIAN ASSISTANT in PA
Provider Addresses for NICHOLAS GIACOMO CICCONE (MSPAS, PA-C)
8000 CRANBERRY SPRINGS DR
CRANBERRY TOWNSHIP, PA 160666687
Phone: (855) 937-7678
Type: Mailing
1030 BEANER HOLLOW RD
BEAVER, PA 150099722
Phone: (724) 775-4242
Fax: (724) 775-4960
Type: Mailing
1330 Boiling Springs Rd Ste 1540
Spartanburg, SC 29303
Phone: (864) 560-2663
Type: Location
3200 S Water St
Pittsburgh, PA 152032307
Phone: (855) 937-7678
Type: Location
1030 Beaner Hollow Rd
Beaver, PA 150099722
Phone: (724) 775-4242
Fax: (724) 775-4960
Type: Location
303 E Wood St
Spartanburg, SC 293033020
Phone: (864) 208-8800
Type: Location
1004 Harvest Dr
Aliquippa, PA 150014396
Phone: (724) 624-6548
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $287.
Total Amount is formed as General ($287) + Research ($0) + Ownership ($0) = $287.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Ethicon US, LLC ($62).
Total Amount
$287
General + Research + Ownership
Payments
15
Total payment records
General Amount
$287
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2020-08-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200805001759 | I | Physician Assistant | PA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 16066)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| - | PA | |
| - | PA | |
| Physician Assistant | PA | |
| - | PA | |
| H O S P I T A L I S T | PA | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | PA | |
| Physician Assistant | NY | |
| - | NC | |
| Internal Medicine | PA |
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