BRYAN CICUTO (D.O.) – Plastic and Reconstructive Surgery Physician, NPI 1871709196

BRYAN CICUTO (D.O.) is a healthcare provider. based in Lititz, Pennsylvania. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials D.O.. They hold a License No. OS017124 (PA). The NPI Number for BRYAN CICUTO (D.O.) is 1871709196

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
BRYAN CICUTO (D.O.)
NPI
1871709196
Phone
(717) 625-3509
Address
1535 HIGHLANDS DR STE 300
Enumeration Date
15 May 2007
Last Update Date
2 October 2019

Doctor Profile

Medical School Name
UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Secondary Phone
7176253509
Graduation Year
2004 (22 years ago)
PAC ID
5890849079
Group Practice PAC ID
7416228358
Professional Enrollment ID
I20140918000621
Address ID
PA175437681LI1535XDRXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

395 PLASTIC AND RECONSTRUCTIVE SURGERY in PA

Provider Addresses for BRYAN CICUTO (D.O.)

  • 1535 HIGHLANDS DR STE 300

    LITITZ, PA 175437681

    Phone: (717) 625-3509

    Fax: (717) 625-4258

    Type: Location

  • 2, South 2nd Street, Harrisburg, Dauphin County, Pennsylvania, 17104, United States

    HARRISBURG, PA 171041612

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $556.

Total Amount is formed as General ($556) + Research ($0) + Ownership ($0) = $556.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Musculoskeletal Transplant Foundation Inc. ($178).

Total Amount

$556

General + Research + Ownership

Payments

19

Total payment records

General Amount

$556

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

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: 2014-09-18

PECOS data refreshed: 2026-06-15

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
I20140918000621IPlastic And Reconstructive SurgeryPATBD

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
99205New patient office or other outpatient visit, 60-74 minutes2222$0
99204New patient office or other outpatient visit, 45-59 minutes1717$0
99214Established patient office or other outpatient visit, 30-39 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 17543)

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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: 7416228358View full group profile
NameSpecialtyState
Certified Nurse Midwife (Cnm)PA
Family PracticePA
Family PracticePA
-PA
Hospitalist, Internal MedicinePA
Orthopedic SurgeryPA
Nurse PractitionerPA
-PA
-FL
-PA

Reviews

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Frequently asked questions

Is there an official ID for BRYAN CICUTO (D.O.) in U.S. healthcare records?
The official identifier for BRYAN CICUTO (D.O.) is NPI 1871709196.
Is BRYAN CICUTO (D.O.) shown as active in public data?
Registry records indicate BRYAN CICUTO (D.O.) maintains an active NPI.
How would a patient describe BRYAN CICUTO (D.O.)'s focus?
For BRYAN CICUTO (D.O.), the primary taxonomy reads as Plastic and Reconstructive Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with BRYAN CICUTO (D.O.)?
Directory geography for BRYAN CICUTO (D.O.) centers on Lititz, Pennsylvania.
When was this NPI issued?
Enumeration for BRYAN CICUTO (D.O.) is noted as May 15, 2007 where the registry provides it.

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