DR. DENNIS CHARLES DESIMONE (D.O.) – Gynecology Physician, NPI 1255599130
Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,008 OBSTETRICS/GYNECOLOGY in CA
Provider Addresses for DR. DENNIS CHARLES DESIMONE (D.O.)
782 Medical Center Dr E Ste 212
Clovis, CA 936116889
Phone: (559) 451-3676
Fax: (559) 451-3680
Type: Location
1 Professional Park Dr Ste 21
Johnson City, TN 376046909
Phone: (423) 232-6900
Fax: (423) 232-6903
Type: Location
2625, Divisadero Street, Fresno, Fresno County, California, 93721, United States
FRESNO, CA 937211431
Phone: (559) 443-2682
Fax: (559) 443-2681
Type: Mailing
Medical Center Drive East, Clovis, Fresno County, California, 93619, United States
CLOVIS, CA 936116889
Phone: (559) 451-3676
Fax: (559) 451-3680
Type: Location
2202 N JOHN B DENNIS HWY STE 204
KINGSPORT, TN 376605904
Phone: (423) 245-1040
Fax: (423) 245-1869
Type: Location
1021 W OAKLAND AVE STE 310
JOHNSON CITY, TN 376042192
Phone: (423) 952-2111
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 51 Open Payments records for all available years, with a total value of $3,317.
Total Amount is formed as General ($3,317) + Research ($0) + Ownership ($0) = $3,317.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($2,401).
Total Amount
$3,317
General + Research + Ownership
Payments
51
Total payment records
General Amount
$3,317
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $2,401 |
| Merck Sharp & Dohme LLC | $291 |
| GlaxoSmithKline, LLC. | $163 |
| AstraZeneca Pharmaceuticals LP | $115 |
| CONMED Corporation | $107 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-12-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141013000656 | I | Gynecological Oncology | LA | TBD |
| I20200402003319 | I | Obstetrics/Gynecology | CA | TBD |
| I20231221001103 | I | Obstetrics/Gynecology | TN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 31 | 29 | $0 |
Insurance plans in this area (ZIP 93611)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| General Surgery | TN | |
| - | VA | |
| Family Practice | TN | |
| Nurse Practitioner | TN | |
| - | TN | |
| Nurse Practitioner | TN | |
| Certified Nurse Midwife (Cnm) | NC | |
| H E M A T O L O G Y/ O N C O L O G Y | TN | |
| Hematology/Oncology, Hospitalist | FL | |
| Nurse Practitioner | TN |
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