MICHELLE MARIE DICOSTANZO (MD) – Family Medicine Physician, NPI 1053764936
Family Medicine Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
2,861 FAMILY PRACTICE in IN
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Provider Addresses for MICHELLE MARIE DICOSTANZO (MD)
East Ridge Road, University Park, Gary, Lake County, Indiana, 46409, United States
HOBART, IN 463422468
Phone: (219) 947-7880
Fax: (219) 962-9772
Type: Location
2022, Kelle Drive, Chesterton, Porter County, Indiana, 46304, United States
CHESTERTON, IN 463048708
Phone: (219) 364-3616
Fax: (219) 364-3610
Type: Mailing
1263 HOSPITAL DR NW STE 280
CORYDON, IN 471122174
Phone: (812) 738-3086
Fax: (812) 738-1865
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $31.
Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Avanos Medical ($18).
Total Amount
$31
General + Research + Ownership
Payments
2
Total payment records
General Amount
$31
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Avanos Medical | $18 |
| Nevro Corp. | $13 |
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: 2019-07-27
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 |
|---|---|---|---|---|
| I20190727000249 | I | Family Practice | IN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46342)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Sports Medicine | IN | |
| Certified Registered Nurse Anesthetist (Crna) | KY | |
| - | KY | |
| - | IN | |
| - | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| Family Practice | IN | |
| Orthopedic Surgery | IN | |
| General Surgery | KY |
Reviews
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