CORY R. DEGIACOMO (PA-C) – Physician Assistant, NPI 1649712894

CORY R. DEGIACOMO (PA-C) is a healthcare provider. based in Windsor, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 001079 (CT). The NPI Number for CORY R. DEGIACOMO (PA-C) is 1649712894

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
CORY R. DEGIACOMO (PA-C)
NPI
1649712894
Phone
(860) 688-5774
Address
150 POQUONOCK AVE
Enumeration Date
4 November 2016
Last Update Date
22 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8606497557
Graduation Year
2019 (7 years ago)
PAC ID
8729314778
Group Practice PAC ID
7416244496
Professional Enrollment ID
I20190729001650
Address ID
CT060404111MA18XXXSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:9State licenses:2Digital endpointsOther names

3,244 PHYSICIAN ASSISTANT in CT

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Provider Addresses for CORY R. DEGIACOMO (PA-C)

  • 150, Poquonock Avenue, Windsor, Hartford County, Connecticut, 06095, United States

    WINDSOR, CT 060952429

    Phone: (860) 688-5774

    Fax: (860) 688-6403

    Type: Mailing

  • 71 HAYNES ST

    MANCHESTER, CT 060404131

    Phone: (860) 646-1222

    Fax: (860) 688-6403

    Type: Mailing

  • Manchester Memorial Hospital, 71, Haynes Street, Manchester, Hartford County, Connecticut, 06040, United States

    MANCHESTER, CT 060404131

    Phone: (860) 646-1222

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2023-02-02 • Largest payer in this snapshot: LeMaitre Vascular, Inc. ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
LeMaitre Vascular, Inc.$25
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: 2019-07-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20190729001650IPhysician AssistantCTTBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1919$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1713$0
View full utilization report →

Insurance plans in this area (ZIP 06095)

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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: 7416244496View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to CORY R. DEGIACOMO (PA-C)?
NPI 1649712894 is assigned to CORY R. DEGIACOMO (PA-C) under the national enumeration system.
Is CORY R. DEGIACOMO (PA-C) currently active in the NPI registry?
CMS-published data lists CORY R. DEGIACOMO (PA-C) as an active registrant.
Can you summarize CORY R. DEGIACOMO (PA-C)'s specialty in plain language?
Clinically, the directory lists CORY R. DEGIACOMO (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place CORY R. DEGIACOMO (PA-C)?
The snapshot lists Windsor, Connecticut for CORY R. DEGIACOMO (PA-C); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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