Doctor profile · Federal record
Dr. Stephen Marcaccio, MD
Orthopaedic Surgery Physician (CMS: Orthopedic Surgery) · East Providence, RI
- NPI 1225567514
- Accepts Medicare
- MIPS 75.4 / 100 · 2023
- 9 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
1 Kettle Point Ave
East Providence, RI 029145375
(401) 457-1500
Credentials & registration
- NPI registered
- June 2017 — 9 yrs on file
- Profile last updated
- August 13, 2024
- Year of graduation
- 2017 — 9 yrs since
- Specialty taxonomy
- 207X00000X — NUCC code
- State license (1)
- Rhode Island #MD18296
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1225567514. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
96
Distinct HCPCS
4
Medicare allowed
$23,821
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 36 | 28 | $89 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 34 | 34 | $131 | |
99221 |
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 14 | 14 | $84 | |
27245 |
Treatment of broken neck of thigh bone with bone implant | 12 | 12 | $1,249 |
In context: peer comparison
Among 4 peers in East Providence Orthopaedic Surgery Physician, average services per provider: 92. This provider delivers 1.0× the peer median.Open Payments
Industry payments received
All-time total
$6,021
Transactions
51
Manufacturers
6
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Smith+Nephew, INC. | 2 | $2,991.55 | |
| Arthrex, INC. | 22 | $1,601.56 | |
| Mid-Atlantic Surgical Systems, LLC | 20 | $893.19 | |
| Kairos Surgical INC | 5 | $256.42 | |
| Stryker Corporation | 1 | $168.90 | |
| Zimmer Biomet Holdings, INC. | 1 | $109.71 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
31
Patients
0
Total drug cost
$78
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Meloxicam | Generic | 16 | 0 | $29 |
| Oxycodone Hcl | Generic | 15 | 0 | $49 |
Frequently asked questions
What is Dr. Stephen Marcaccio's medical specialty?
Dr. Stephen Marcaccio practices Orthopaedic Surgery Physician in East Providence, RI.
Where does Dr. Stephen Marcaccio practice?
Dr. Stephen Marcaccio practices at 1 Kettle Point Ave, East Providence, RI 029145375. Office phone: 4014571500.
What is Dr. Stephen Marcaccio's NPI?
Dr. Stephen Marcaccio's National Provider Identifier (NPI) is 1225567514, issued by NPPES.
Does Dr. Stephen Marcaccio accept Medicare assignment?
Yes. Dr. Stephen Marcaccio accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Stephen Marcaccio commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222); Initial hospital care with straightforward or low level of medical decision making (HCPCS 99221). Source: CMS Medicare Physician & Other Practitioners file.