EDWARD J. MARCACCIO MD NPI 1073511218

NPI Information

  • NPI: 1073511218
  • Provider Name: EDWARD J. MARCACCIO, MD
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2 DUDLEY ST
    SUITE 470
    PROVIDENCE, RI
    ZIP 02905
  • Phone: (401) 553-8318

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NPI Details

Edward J. Marcaccio, MD is a vascular surgery surgery in Providence, RI with 40 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Edward J. Marcaccio, MD NPI is 1073511218. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Graduation Year:1986

The provider's business location address is:

2 DUDLEY ST
SUITE 470
PROVIDENCE, RI
ZIP 02905-236
Phone: (401) 553-8318
Fax: (401) 868-2307

The NPI 1073511218 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
  • Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Telephone medical discussion with physician, 21-30 minutes (HCPCS:99443)
  • Ultrasound of one leg arteries or artery grafts (HCPCS:93926)
  • Ultrasound of one leg arteries or artery grafts (HCPCS:93926)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Review by radiologist of arm or leg artery image (HCPCS:75710)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Balloon dilation of artery of leg, initial vessel (HCPCS:37228)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Review by radiologist of additional artery image (HCPCS:75774)
  • Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93978)
  • Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance (HCPCS:36475)
  • Balloon dilation of artery of leg (HCPCS:37224)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • Insertion of stent in arteries of leg (HCPCS:37226)
  • Removal of blood clot and portion of chest, neck, or brain artery (HCPCS:35301)
  • Varicose vein removal (HCPCS:NAN08)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 7/12/2005 and was last updated on 7/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular SurgeryMD08399RHODE ISLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13089657MEDICAIDMASSACHUSETTS
27003376MEDICAIDRHODE ISLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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