DR. DOMINIC THEODORE DICIRO (MD) – Emergency Medicine Physician, NPI 1376596981
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,351 EMERGENCY MEDICINE in MO
Provider Addresses for DR. DOMINIC THEODORE DICIRO (MD)
1008 N Main St
Sikeston, MO 638015044
Phone: (573) 471-1600
Fax: (573) 472-7606
Type: Location
167th Street Southeast, Monroe, Snohomish County, Washington, 98272, United States
SNOHOMISH, WA 982966323
Phone:
Type: Mailing
1321, Colby Avenue, Northwest Everett, Everett, Snohomish County, Washington, 98201, United States
EVERETT, WA 982011665
Phone: (425) 261-2000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2020-02-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1012 days ago).
Enrollment records
4
Earliest due date
2023-08-31
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 |
|---|---|---|---|---|
| I20040315000656 | I | Emergency Medicine | CA | TBD |
| I20120706000431 | I | Emergency Medicine | MO | 2023-08-31 |
| I20170413001360 | I | Emergency Medicine | WV | TBD |
| I20200210001094 | I | Emergency Medicine | TX | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 301 | 286 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 71 | 63 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 63 | 62 | $0 |
Insurance plans in this area (ZIP 63801)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | MO | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | MO | |
| General Practice, Emergency Medicine | MO | |
| Emergency Medicine, Internal Medicine | OH | |
| Emergency Medicine | LA | |
| - | MO | |
| Nurse Practitioner | MO | |
| Emergency Medicine | MO | |
| - | MO |
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