EDWARD J. JR. MARCACCIO (MD) – Vascular Surgery Physician, NPI 1073511218

EDWARD J. JR. MARCACCIO (MD) is a healthcare provider. based in Providence, Rhode Island. specializing in VASCULAR SURGERY. They hold the professional credentials MD. They hold a License No. MD08399 (RI). The NPI Number for EDWARD J. JR. MARCACCIO (MD) is 1073511218

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
EDWARD J. JR. MARCACCIO (MD)
NPI
1073511218
Phone
(401) 553-8318
Address
2 DUDLEY ST
Enumeration Date
12 July 2005
Last Update Date
12 July 2024

Doctor Profile

Medical School Name
UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Secondary Phone
6177325500
Graduation Year
1986 (40 years ago)
PAC ID
4082674833
Group Practice PAC ID
3870405988
Professional Enrollment ID
I20161014000146
Address ID
MA021156110BO75XXXSTXX300
Telehealth
Yes

Contacts

Secure Messaging
emarcaccio@direct.carene.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

26 VASCULAR SURGERY in RI

Loading map...

Provider Addresses for EDWARD J. JR. MARCACCIO (MD)

  • 2, Dudley Street, Providence, Providence County, Rhode Island, 02905, United States

    SUITE 470

    PROVIDENCE, RI 029053236

    Phone: (401) 553-8318

    Fax: (401) 868-2307

    Type: Location

  • 455 Toll Gate Rd

    Warwick, RI 028862759

    Phone: (401) 738-6611

    Fax: (401) 921-6952

    Type: Location

  • PO BOX 16149

    RUMFORD, RI 029160697

    Phone: (401) 453-9625

    Fax: (401) 435-7069

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $375.

Total Amount is formed as General ($375) + Research ($0) + Ownership ($0) = $375.

Last reported payment date: 2024-08-22 • Largest payer in this snapshot: Endologix LLC ($207).

Total Amount

$375

General + Research + Ownership

Payments

7

Total payment records

General Amount

$375

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-22

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: 2016-10-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20041015000213IVascular SurgeryRITBD
I20161014000146IVascular SurgeryMATBD

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 minutes625438$0
93922Ultrasound study of arm and leg arteries263235$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes17069$0
99203New patient office or other outpatient visit, 30-44 minutes130130$0
93926Ultrasound of one leg arteries or artery grafts122101$0
View full utilization report →

Insurance plans in this area (ZIP 02905)

Loading plans...

Provider's Procedures

EDWARD J. JR. MARCACCIO (MD) performs procedures in VASCULAR SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
VASCULAR SURGERYRI93922Ultrasound study of arteries of both arms and legs206166

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: 3870405988View full group profile
NameSpecialtyState
N E U R O S U R G E R YMD
-MA
Critical Care (Intensivists), Pulmonary DiseaseFL
Physician AssistantMA
N E U R O L O G YMA
Nurse PractitionerMA
Orthopedic SurgeryMA
Physician AssistantNH
Nurse PractitionerMA
P A T H O L O G YMA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm EDWARD J. JR. MARCACCIO (MD)'s NPI?
Yes. EDWARD J. JR. MARCACCIO (MD) is listed with NPI 1073511218 in the public NPI dataset.
Does the file indicate EDWARD J. JR. MARCACCIO (MD) is practicing under active NPI?
Directory data currently reports EDWARD J. JR. MARCACCIO (MD) as active.
What is EDWARD J. JR. MARCACCIO (MD) best known for clinically?
Directory data describes EDWARD J. JR. MARCACCIO (MD) with Vascular Surgery Physician. Clinical services aligned with this taxonomy classification.
What address line appears for EDWARD J. JR. MARCACCIO (MD)?
EDWARD J. JR. MARCACCIO (MD)'s geographic hint is Providence, Rhode Island in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

JEFFREY M. SLAIBY (MD)

Vascular Surgery Physician
PO BOX 16149
NPI: 1821096777

TZE TEC CHONG (M.D.)

Vascular Surgery Physician
PO BOX 16149
NPI: 1962436758

JUNAID Y MALEK (M.D.)

Vascular Surgery Physician
PO BOX 16149
NPI: 1487769162

DR. ROBERT B PATTERSON (MD)

Vascular Surgery Physician
486, Silver Spring Street, Providence, Providence County, Rhode Island, 02904, United States
NPI: 1124101258
486, Silver Spring Street, Providence, Providence County, Rhode Island, 02904, United States
NPI: 1437232543

DR. ALBERT K WEYMAN (MD)

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
486, Silver Spring Street, Providence, Providence County, Rhode Island, 02904, United States
NPI: 1982789483

THOMAS NICHOLAS CARRUTHERS (MD)

Vascular Surgery Physician
PO BOX 16149
NPI: 1720206568

LARS STANGENBERG (MD)

Vascular Surgery Physician
2, Dudley Street, Providence, Providence County, Rhode Island, 02905, United States
NPI: 1003077090

CARLA C MOREIRA (MD)

Vascular Surgery Physician
PO BOX 16149
NPI: 1487815478