PAULO DE PAULA PICCOLO (M.D.) – Plastic Surgery Physician, NPI 1407172158

PAULO DE PAULA PICCOLO (M.D.) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials M.D.. They hold a License No. MD456649 (PA). The NPI Number for PAULO DE PAULA PICCOLO (M.D.) is 1407172158

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
PAULO DE PAULA PICCOLO (M.D.)
NPI
1407172158
Phone
(215) 662-7659
Address
3400 CIVIC CENTER BLVD
Enumeration Date
20 April 2010
Last Update Date
20 May 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7032878277
Graduation Year
2009 (17 years ago)
PAC ID
7416247309
Group Practice PAC ID
5890984314
Professional Enrollment ID
I20210208000814
Address ID
VA221022834MC7601XRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:16State licenses:1Digital endpointsOther names

293 PLASTIC AND RECONSTRUCTIVE SURGERY in OH

Provider Addresses for PAULO DE PAULA PICCOLO (M.D.)

  • 3400 CIVIC CENTER BLVD

    7TH FLR SOUTH

    PHILADELPHIA, PA 19104

    Phone: (215) 662-7659

    Type: Mailing

  • 2710 EUCLID HEIGHTS BLVD

    APT.201

    CLEVELAND HEIGHTS, OH 441062882

    Phone: (216) 482-7432

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 40 Open Payments records for all available years, with a total value of $2,911.

Total Amount is formed as General ($2,911) + Research ($0) + Ownership ($0) = $2,911.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Davol Inc. ($926).

Total Amount

$2,911

General + Research + Ownership

Payments

40

Total payment records

General Amount

$2,911

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-02-08

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
I20210208000814IPlastic And Reconstructive SurgeryDCTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes3017$0
99214Established patient office or other outpatient visit, 30-39 minutes2014$0
14301Repair of wound by transferring skin, 30.1-60.0 sq cm1713$0
15860Injection of agent into vein to assess blood flow of skin graft or flap1111$0
99205New patient office or other outpatient visit, 60-74 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 19104)

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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: 5890984314View full group profile
NameSpecialtyState
Physician AssistantDC
Plastic And Reconstructive SurgeryVA
Plastic And Reconstructive SurgeryVA
Plastic And Reconstructive SurgeryDC
Physician AssistantVA
Nurse PractitionerFL
Physician AssistantMD
Physician AssistantDC
Physician AssistantVA
General SurgeryDC

Reviews

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Frequently asked questions

What is PAULO DE PAULA PICCOLO (M.D.)'s NPI number?
PAULO DE PAULA PICCOLO (M.D.)'s NPI is 1407172158 — the number used across U.S. healthcare to identify this provider.
Is PAULO DE PAULA PICCOLO (M.D.) shown as active in public data?
Registry records indicate PAULO DE PAULA PICCOLO (M.D.) maintains an active NPI.
What area of care is associated with PAULO DE PAULA PICCOLO (M.D.)?
PAULO DE PAULA PICCOLO (M.D.)'s record emphasizes Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where in Pennsylvania is PAULO DE PAULA PICCOLO (M.D.) registered?
Use Philadelphia, Pennsylvania as the headline location for PAULO DE PAULA PICCOLO (M.D.) here.
When was this NPI issued?
Enumeration for PAULO DE PAULA PICCOLO (M.D.) is noted as April 20, 2010 where the registry provides it.

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