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Active NPI 1649294034 Individual Practitioner Male Practitioner

Dr. Michael P Ciccone , MD

Urology • Belleville, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Ciccone, MD is a certified Urology practicing in Belleville, NJ. With approximately 29 years of clinical experience since graduating from Georgetown University School Of Medicine in 1997, Dr. Ciccone delivers high-quality medical care to the local community at 36 NEWARK AVE.

Dr. Ciccone is affiliated with Summit Medical Group Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, automated urinalysis test, limited ultrasound scan of pelvis. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

36 Newark Ave
Suite 200 Urology Consultants Pa

Belleville, NJ 071094121

Telephone 9737596950
Fax 9737596945
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Georgetown University School Of Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Belleville, NJ

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
29 Yrs -0.7 yrs vs City Avg
City Avg: 29.7 Yrs
State Avg: 28.6 Yrs
Regional Practice Density
5 Specialists

Practicing in Belleville, NJ (474 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
73.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ciccone (29 Years) 29 Yrs
Belleville Specialty Average (29.7 Years) 29.7 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
99213 Established patient office or other outpatient visit, typically 15 minutes
836 432 $188.00 $97.98
81003 Automated urinalysis test
694 386 $10.00 $2.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
331 236 $274.00 $138.03
76857 Limited ultrasound scan of pelvis
242 201 $168.00 $51.75
36415 Insertion of needle into vein for collection of blood sample
235 170 $15.00 $8.47
51741 Electronic assessment of bladder emptying
231 197 $247.17 $14.66
J0690 Injection, cefazolin sodium, 500 mg
152 42 $2.00 $0.77
J0696 Injection, ceftriaxone sodium, per 250 mg
116 14 $2.00 $0.39
76775 Limited ultrasound scan behind abdominal cavity
114 105 $201.00 $62.69
76770 Complete ultrasound scan behind abdominal cavity
104 95 $392.85 $117.59
84153 Psa (prostate specific antigen) measurement, total
83 82 $76.00 $17.59
87086 Bacterial colony count, urine
73 51 $33.00 $7.78
52281 Dilation of bladder canal (urethra) using an endoscope
68 51 $1143.00 $358.85
55899 Other procedure on male genital system
67 62 $1737.00 $202.02
87088 Bacterial urine culture
63 47 $34.00 $7.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
60 60 $412.00 $182.40
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution
48 30 $13.00 $8.30
87077 Bacterial culture for aerobic isolates
46 30 $33.00 $7.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
45 25 $116.00 $62.35
76856 Complete ultrasound scan of pelvis
31 28 $389.00 $118.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
28 26 $336.00 $138.69
J1580 Injection, garamycin, gentamicin, up to 80 mg
27 23 $3.00 $2.41
76872 Ultrasound scan of pelvic region through rectum
26 26 $322.46 $141.29
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
23 22 $179.00 $83.65
52000 Diagnostic exam of bladder and urethra using an endoscope
22 22 $890.00 $268.73
51798 Ultrasound measurement of bladder capacity after voiding
19 19 $115.00 $12.29
74420 Imaging of urinary tract
16 15 $59.00 $25.66
55700 Biopsy of prostate gland
15 15 $1443.00 $249.93
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
14 14 $366.00 $184.18
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings
11 11 $571.82 $38.77

Medical Specialties & State Licenses

CMS Verified: 2022-03-09
Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License NJ 25MA06919000

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0004065 (NJ)

Hospital & Practice Group Affiliations

Summit Medical Group Pa

1 Diamond Hill Rd, Berkeley Heights, NJ 079222104

Phone: 9082734300

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1083633283

Doctor of Medicine (M.D.)

NPI 1477576643

Doctor of Medicine (M.D.)

NPI 1639192800

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address March 09, 2022

Registered at 1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 079222104 (Tel: 9082734300)

NPI Profile Active February 28, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location February 28, 2011

Registered at 36 NEWARK AVE, SUITE 200 UROLOGY CONSULTANTS PA, BELLEVILLE, NJ 071094121 (Tel: 9737596950)

📍
Updated Business Mailing Address February 28, 2011

Registered at 36 NEWARK AVE, SUITE 200 UROLOGY CONSULTANTS PA, BELLEVILLE, NJ 071094121 (Tel: 9737596950)

👤
Provider Name / Credentials Updated February 28, 2011

Recorded as MICHAEL CICCONE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2011

Urology (License #25MA06919000 in NJ)

🟢
Initial NPI Registration & Enumeration July 27, 2006

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: 1649294034
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2006
Last Update: March 09, 2022
Sole Proprietor: No

Mailing Address

1 Diamond Hill Rd

Berkeley Heights, NJ 079222104

Phone: 9082734300

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.