MARK J MICCICHE (DPM) – Podiatrist, NPI 1336195031
Podiatrist
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Profile Insights
NPPES metrics only — not quality of care.
1,279 PODIATRY in PA
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Provider Addresses for MARK J MICCICHE (DPM)
Geisinger Medical Center Danville, 100, North Academy Avenue, Danville, Montour County, Pennsylvania, 17822, United States
DANVILLE, PA 178224903
Phone: (570) 271-6144
Fax: (570) 271-6578
Type: Mailing
Geisinger Community Medical Center, 1800, Mulberry Street, Scranton, Lackawanna County, Pennsylvania, 18510, United States
SCRANTON, PA 185102369
Phone: (570) 703-8146
Fax: (570) 703-7205
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 48 Open Payments records for all available years, with a total value of $2,084.
Total Amount is formed as General ($2,084) + Research ($0) + Ownership ($0) = $2,084.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Stryker Corporation ($1,554).
Total Amount
$2,084
General + Research + Ownership
Payments
48
Total payment records
General Amount
$2,084
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $1,554 |
| Smith+Nephew, Inc. | $412 |
| Integra LifeSciences Corporation | $102 |
| Organogenesis Inc. | $16 |
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: 2004-08-11
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 |
|---|---|---|---|---|
| I20040811000159 | I | Podiatry | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 11721 | Removal of fingernails or toenails, 6 or more nails | 349 | 117 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 134 | 79 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 64 | 11 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 56 | 23 | $0 |
| 11055 | Removal of noncancer thickened skin growth, 1 growth | 46 | 23 | $0 |
Insurance plans in this area (ZIP 17822)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NC | |
| - | PA | |
| P S Y C H I A T R Y | NY | |
| Internal Medicine, Hospice/Palliative Care | PA | |
| - | PA | |
| Nurse Practitioner | PA | |
| Physician Assistant | PA | |
| - | PA | |
| - | PA | |
| Physician Assistant | PA |
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