2026 NPPES data Urology Physician NPI 1255505574 M.D.
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JOSEPH CICCONE, M.D.

Urology Physician in NEEDHAM, Massachusetts. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
2K
Medicare Part D claims · 442 beneficiaries · Urology Physician avg: 1K
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: JOSEPH CICCONE, M.D. is a Urology Physician ([object Object]) practicing in NEEDHAM, Massachusetts with a Medicare Part D prescribing footprint of 2K claims across 442 beneficiaries — 5% brand-name prescribing .

What stands out: JOSEPH CICCONE, M.D. filed 1,513 Medicare Part D claims in 2023 across NEEDHAM, Massachusetts. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

JOSEPH CICCONE, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

JOSEPH CICCONE, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 04/17/2008

NPI 1255505574

Primary specialty

Urology Physician

Mid-sized

13,350 US NPIs in this specialty

Medicare Part D claims

1,513 18% vs specialty avg

2023 prescription claims

Specialty avg: 1,280

Specialty distribution in Massachusetts

How Urology Physician compares to other specialties among Massachusetts providers

Massachusetts providers

Urology Physician share within Massachusetts

1. Urology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Urology Physician share within Massachusetts

Specialty board-certification context

Estimated specialty board-certified rate — Urology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Urology Physician ABMS/AOA estimate

Est. board-certified rate (Urology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Urology Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

JOSEPH CICCONE, M.D. is a Urology Physician provider practicing in NEEDHAM, Massachusetts, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1255505574. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JOSEPH CICCONE, M.D. appears in the CMS NPPES registry as a Urology Physician provider holding M.D. credentials at 100 WEST ST, NEEDHAM, MA, 02494, with a listed phone of (781) 433-2110. NPI 1255505574 was issued on 04/17/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CICCONE most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 1,513 prescription claims written by this provider, covering 442 Medicare beneficiaries and totaling roughly $95K in drug spend, split 5% brand-name and 95% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Urology Physician is a mid-sized specialty nationwide, with 13,350 enrolled providers across 54 states and an average of 1,280 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

100 WEST ST
NEEDHAM, MA 02494

Provider Details

NPI 1255505574
Specialty Urology Physician
Credentials M.D.
Gender Male
NPI Issued 04/17/2008

Hospital and facility affiliations

Facilities where JOSEPH CICCONE, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

ATRIUS HEALTH INC
DEDHAM, MA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Massachusetts BORIM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~38K Massachusetts medical licensees in 2023 — they are NOT specific to JOSEPH CICCONE, M.D.. To verify JOSEPH CICCONE, M.D.'s current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

JOSEPH CICCONE, M.D. — brand share 5.0%
Specialty average (est.)

5% brand-name claims vs 95% generic, on 1,513 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,513
Total Claims
$95K
Total Drug Cost
442
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,226
Total Day Supply
94,745
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$51K
Generic Drug Cost
$43K
Antibiotic Claims
80

Patient Demographics

Average Patient Age
76.6 years
Avg HCC Risk Score
1.33
Gender Split
9% female / 91% male
Age Distribution
<65: 15, 65-74: 164, 75-84: 207, 85+: 56

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Tamsulosin Hcl
698
Finasteride
348
Trospium Chloride
78
Oxybutynin Chloride Er
Oxybutynin Chloride
77
Myrbetriq
Mirabegron
67
Alfuzosin Hcl Er
Alfuzosin Hcl
44
Doxazosin Mesylate
35
Cefpodoxime Proxetil
20
Levofloxacin
15
Dutasteride
13

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Urology Physician Overview

How JOSEPH CICCONE, M.D. fits within the Urology Physician landscape nationally.

13,350
Urology Physician Providers in US
54
States with Urology Physician
1,280
Avg Claims per Provider

JOSEPH CICCONE, M.D.'s 1,513 claims are above the specialty average of 1,280.

Nearby Urology Physician Providers in Massachusetts

Other clinicians with the same primary specialty enrolled in Massachusetts, drawn from the same CMS NPPES roster as CICCONE.

Compare Urology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOSEPH CICCONE, M.D.'s specialty?
JOSEPH CICCONE, M.D. specializes in Urology Physician and practices in NEEDHAM, Massachusetts. Credentials: M.D..
How much does JOSEPH CICCONE, M.D. prescribe under Medicare Part D?
In 2023, JOSEPH CICCONE, M.D. wrote 1,513 Medicare Part D claims totaling $95K in drug costs for 442 beneficiaries.
Where is JOSEPH CICCONE, M.D. located?
JOSEPH CICCONE, M.D. is located at 100 WEST ST, NEEDHAM, MA, 02494. Phone: (781) 433-2110.
What is JOSEPH CICCONE, M.D.'s NPI number?
JOSEPH CICCONE, M.D.'s National Provider Identifier (NPI) is 1255505574, issued on 04/17/2008.
Does JOSEPH CICCONE, M.D. prescribe more brand-name or generic drugs?
JOSEPH CICCONE, M.D.'s prescribing is 5% brand-name and 95% generic drugs by claim count, with $51K in brand drug costs.
How many Urology Physician providers are there in the US?
There are 13,350 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,280 Medicare Part D claims per year.
What drugs does JOSEPH CICCONE, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JOSEPH CICCONE, M.D.'s most frequently prescribed drugs include Tamsulosin Hcl, Finasteride, Trospium Chloride. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOSEPH CICCONE, M.D. accept Medicare?
JOSEPH CICCONE, M.D. appears in CMS Medicare data with 1,513 Part D claims and 442 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSEPH CICCONE, M.D.'s credentials?
JOSEPH CICCONE, M.D.'s NPI is 1255505574 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology