THOMAS GIANCARLO (DO) – Neurology Physician, NPI 1780627018
Neurology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
968 NEUROLOGY in MI
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Provider Addresses for THOMAS GIANCARLO (DO)
34025, Harper Avenue, Clinton Township, Macomb County, Michigan, 48035, United States
CLINTON TOWNSHIP, MI 48043
Phone: (586) 445-9900
Fax: (586) 445-2641
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 36 Open Payments records for all available years, with a total value of $752.
Total Amount is formed as General ($752) + Research ($0) + Ownership ($0) = $752.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: PFIZER INC. ($152).
Total Amount
$752
General + Research + Ownership
Payments
36
Total payment records
General Amount
$752
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $152 |
| Neurelis, Inc. | $111 |
| ABBVIE INC. | $80 |
| UCB, Inc. | $73 |
| Ultragenyx Pharmaceutical Inc. | $49 |
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: 2004-04-27
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20040427000337 | I | Neurology | MI | 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 |
|---|---|---|---|---|
| J0588 | Injection, incobotulinumtoxin a, 1 unit | 6,600 | 11 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,812 | 736 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,558 | 806 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 680 | 33 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 364 | 283 | $0 |
Insurance plans in this area (ZIP 48043)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEUROLOGY | MI | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 64 | 41 |
| NEUROLOGY | MI | 95811 | Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube | 26 | 26 |
| NEUROLOGY | MI | 95819 | Measurement and recording of brain wave (EEG) activity, awake and asleep | 235 | 220 |
| NEUROLOGY | MI | 96375 | Injection of different drug or substance into a vein for therapy, diagnosis, or prevention | 107 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| - | MI | |
| Diagnostic Radiology | MI | |
| Physician Assistant | MI | |
| Clinical Psychologist | MI | |
| Clinical Psychologist | MI | |
| Nurse Practitioner | MI |
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