Active NPI 1245221472 Individual Practitioner Male Practitioner

Dr. Luca Cicalese , MD

Transplant Surgery • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Luca Cicalese, MD is a certified Transplant Surgery practicing in Worcester, MA. With approximately 28 years of clinical experience since graduating from University Of Pittsburgh School Of Medicine in 1998, Dr. Cicalese delivers high-quality medical care to the local community at 55 LAKE AVE N.

Dr. Cicalese is affiliated with Utmb Faculty Group Practice and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, new patient outpatient office visit, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

55 Lake Ave N
Department Of Transplant Surgery

Worcester, MA 016550002

Telephone 5083347232

Associated Practice Facility / Clinic

🏢 Umass Memorial Medical Center Facility NPI 1679574933

Medicare Profile & Education

Medical School

University Of Pittsburgh School Of Medicine

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Transplant Surgery in Worcester, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +5.6 yrs vs City Avg

City Avg: 22.4 Yrs

State Avg: 24.0 Yrs

Regional Practice Density

8 Specialists

Practicing in Worcester, MA (27 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cicalese (28 Years) 28 Yrs

Worcester Specialty Average (22.4 Years) 22.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	136	25	$200.00	$76.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	48	14	$199.08	$79.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	11	$178.00	$73.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$415.00	$139.05
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$183.00	$69.03
50360 Transplantation of donor kidney	13	13	$6483.00	$2206.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
50360 Transplantation of donor kidney	12	12	$6483.00	$2504.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	15	$270.00	$80.41
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$183.00	$52.15
50360 Transplantation of donor kidney	11	11	$6483.00	$2498.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	42	33	$183.00	$52.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	32	$270.00	$79.41
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	13	$178.00	$73.61
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	11	$98.00	$39.63
50360 Transplantation of donor kidney	23	23	$6483.00	$2464.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$110.00	$26.83
50327 Preparation of donor kidney for transplantation	15	15	$540.00	$110.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	63	48	$183.00	$51.78
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	59	23	$178.00	$71.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	34	$110.00	$25.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$340.00	$132.84
50360 Transplantation of donor kidney	13	13	$6483.00	$2309.41

Medical Specialties & State Licenses

Transplant Surgery Primary Specialty

NUCC Taxonomy Code: 204F00000X

State License MA 216445

A surgeon who specializes in transplant surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0189111 (MA)

Hospital & Practice Group Affiliations

Utmb Faculty Group Practice

2240 Gulf Fwy S, League City, TX 775735143

Phone: 8325051234

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Hillary Irons , MD

Emergency Medicine

NPI 1003041971

Doctor of Medicine (M.D.)

Eileen Duhamel , NP

Nurse Practitioner

NPI 1003054727

Nurse Practitioner

Ewa Hryniszyn , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003056284

Certified Registered Nurse Anesthetist

Helen Copsey , PA-C

Physician Assistant

NPI 1003066804

Physician Assistant (Certified)

Dr. Adepeju Champion , MD

Internal Medicine

NPI 1003090499

Doctor of Medicine (M.D.)

Sowmya Korapati

Internal Medicine - Hematology & Oncology

NPI 1003108259

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 02, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location July 02, 2012

Registered at 55 LAKE AVE N, DEPARTMENT OF TRANSPLANT SURGERY, WORCESTER, MA 016550002 (Tel: 5083347232)

📍

Updated Business Mailing Address July 02, 2012

Registered at PO BOX 62, TURNPIKE STATION, SHREWSBURY, MA 015450062 (Tel: 5083348815)

👤

Provider Name / Credentials Updated July 02, 2012

Recorded as LUCA CICALESE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2012

Transplant Surgery (License #216445 in MA)

🟢

Initial NPI Registration & Enumeration November 05, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245221472

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 05, 2005

Last Update: July 02, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 62, Turnpike Station

Shrewsbury, MA 015450062

Phone: 5083348815

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.