ANGELA TISON DIMARE (PA-C) – Surgical Physician Assistant, NPI 1245483486
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
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Provider Addresses for ANGELA TISON DIMARE (PA-C)
300, Tower Road Northwest, Elizabeth, Marietta, Cobb, Georgia, 30060, United States
SUITE 200
MARIETTA, GA 300609403
Phone: (770) 427-5717
Fax: (770) 514-6744
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $91.
Total Amount is formed as General ($91) + Research ($0) + Ownership ($0) = $91.
Last reported payment date: 2024-08-19 • Largest payer in this snapshot: Ferring Pharmaceuticals Inc. ($47).
Total Amount
$91
General + Research + Ownership
Payments
4
Total payment records
General Amount
$91
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ferring Pharmaceuticals Inc. | $47 |
| Bioventus LLC | $44 |
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: 2008-12-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20081229000572 | I | Physician Assistant | GA | 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 |
|---|---|---|---|---|
| 73630 | X-ray of foot, minimum of 3 views | 97 | 69 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 89 | 85 | $0 |
| 73610 | X-ray of ankle, minimum of 3 views | 81 | 59 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 76 | 17 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 60 | 56 | $0 |
Insurance plans in this area (ZIP 30060)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | GA | 20610 | Aspiration and/or injection of large joint or joint capsule | 34 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | GA | |
| Occupational Therapist In Private Practice | GA | |
| Physician Assistant | GA | |
| Physical Therapist In Private Practice | OH | |
| - | GA | |
| - | GA | |
| Orthopedic Surgery | GA | |
| - | GA | |
| Physical Medicine And Rehabilitation | GA | |
| Orthopedic Surgery | GA |
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