DR. DENNIS CHARLES DESIMONE (D.O.) – Gynecology Physician, NPI 1255599130

DR. DENNIS CHARLES DESIMONE (D.O.) is a healthcare provider. based in Clovis, California. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials D.O.. They hold a License No. 5369 (TN). The NPI Number for DR. DENNIS CHARLES DESIMONE (D.O.) is 1255599130

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. DENNIS CHARLES DESIMONE (D.O.)
NPI
1255599130
Phone
(559) 451-3676
Address
782 Medical Center Dr E Ste 212
Enumeration Date
28 May 2008
Last Update Date
9 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4235788400
Graduation Year
2007 (19 years ago)
PAC ID
4688840150
Group Practice PAC ID
7719079532
Professional Enrollment ID
I20231221001103
Address ID
TN376605904KI2202XHWYX602
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:18State licenses:2Digital endpointsOther names

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

View all Open Payments →|Open Payments Risk Radar →

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141013000656IGynecological OncologyLATBD
I20200402003319IObstetrics/GynecologyCATBD
I20231221001103IObstetrics/GynecologyTNTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes3129$0
View full utilization report →

Insurance plans in this area (ZIP 93611)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719079532View full group profile
NameSpecialtyState
General SurgeryTN
-VA
Family PracticeTN
Nurse PractitionerTN
-TN
Nurse PractitionerTN
Certified Nurse Midwife (Cnm)NC
H E M A T O L O G Y/ O N C O L O G YTN
Hematology/Oncology, HospitalistFL
Nurse PractitionerTN

Reviews

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Frequently asked questions

What unique ID ties claims to DR. DENNIS CHARLES DESIMONE (D.O.)?
NPI 1255599130 is assigned to DR. DENNIS CHARLES DESIMONE (D.O.) under the national enumeration system.
Does this profile mean DR. DENNIS CHARLES DESIMONE (D.O.) is currently active?
Yes — DR. DENNIS CHARLES DESIMONE (D.O.) appears active in the national provider directory.
What kind of provider is DR. DENNIS CHARLES DESIMONE (D.O.)?
The page reflects Gynecology Physician for DR. DENNIS CHARLES DESIMONE (D.O.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. DENNIS CHARLES DESIMONE (D.O.)?
The page summarizes Clovis, California for DR. DENNIS CHARLES DESIMONE (D.O.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.