Scott Joseph Cicciarelli Jr.
NPI 1801485271ActiveIndividual· Physician Assistant, Surgical· Peoria, IL
Physician Assistant, Surgical in Peoria, Illinois, trained at Saint Louis University School of Medicine (class of 2021). 211 Medicare patients in 2024, $36,981 paid; all of their 472 Part D prescriptions were generic.
Overview
| NPI | 1801485271 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jan 11, 2021 |
| Last updated in NPPES | Jun 13, 2022 |
| Certified by provider | Jun 13, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 085008908 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 211 |
|---|---|
| Services billed | 1,718 across 48 procedure codes |
| Paid by Medicare | $36,981 |
Part D prescriptions in 2024
| Prescriptions (claims) | 472 · 480 30-day fills |
|---|---|
| Patients | 230 |
| Total drug cost | $4,006 |
| Generic share | 100% of claims |
Education and affiliations
| Medical school | Saint Louis University School of Medicine |
|---|---|
| Graduation year | 2021 |
| Medicare specialty | Physician Assistant |
Medical group
- Midwest Orthopaedic Center S CPeoria, IL · 45 clinicians
Hospital affiliations
- Carle Health Methodist HospitalPeoria, IL
- Carle Health Pekin HospitalPekin, IL
- Carle Health Proctor HospitalPeoria, IL
- Saint Francis Medical CenterPeoria, IL
- St Mary Medical CenterGalesburg, IL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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