MICHAEL ROSS DISIENA (D.O.) – Surgical Oncology Physician, NPI 1770572273
Surgical Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,028 GENERAL SURGERY in MA
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Provider Addresses for MICHAEL ROSS DISIENA (D.O.)
777, North Street, Pittsfield, Berkshire County, Massachusetts, 01201, United States
PO BOX 1677
PITTSFIELD, MA 012021677
Phone: (413) 445-6420
Fax: (413) 499-4907
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 6 Open Payments records for all available years, with a total value of $225.
Total Amount is formed as General ($225) + Research ($0) + Ownership ($0) = $225.
Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Mindray DS USA, Inc. ($138).
Total Amount
$225
General + Research + Ownership
Payments
6
Total payment records
General Amount
$225
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mindray DS USA, Inc. | $138 |
| Boston Scientific Corporation | $66 |
| Solventum Corporation | $20 |
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: 2005-08-17
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 |
|---|---|---|---|---|
| I20050817000787 | I | General Surgery | MA | 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 |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 102 | 82 | $0 |
| 19301 | Partial removal of breast | 73 | 65 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 54 | 54 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 46 | 43 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 29 | 29 | $0 |
Insurance plans in this area (ZIP 01202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| Physician Assistant | MA | |
| Nurse Practitioner | MA | |
| - | MA | |
| Nurse Practitioner | MA | |
| - | MA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MA | |
| - | MA | |
| Cardiovascular Disease (Cardiology), Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | PA | |
| Family Practice | MA |
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