DIMITRIS GEROTHANASSIS (M.D.) – Psychiatry Physician, NPI 1124134069

DIMITRIS GEROTHANASSIS (M.D.) is a healthcare provider. based in Medford, Oregon. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 226334 (MA). The NPI Number for DIMITRIS GEROTHANASSIS (M.D.) is 1124134069

Main info

Male
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
DIMITRIS GEROTHANASSIS (M.D.)
NPI
1124134069
Phone
(541) 891-7000
Address
2825 E BARNETT RD
Enumeration Date
22 August 2006
Last Update Date
5 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5417897000
Graduation Year
1995 (31 years ago)
PAC ID
2163525478
Group Practice PAC ID
8325206246
Professional Enrollment ID
I20220408002255
Address ID
OR975048332ME2825XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

454 PSYCHIATRY in OR

Provider Addresses for DIMITRIS GEROTHANASSIS (M.D.)

  • 2825 E BARNETT RD

    MEDFORD, OR 975048332

    Phone: (541) 891-7000

    Type: Location

  • 3115 ALAMEDA ST APT 23

    MEDFORD, OR 975049677

    Phone:

    Type: Mailing

  • 529, Pearl Street, Winters Corner, Brockton, Plymouth County, Massachusetts, 02357, United States

    BROCKTON, MA 023012825

    Phone: (508) 580-2211

    Type: Location

  • 45;47, Miranda Way, Stanley, Bridgewater, Plymouth County, Massachusetts, 02325, United States

    BRIDGEWATER, MA 023241481

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $119.

Total Amount is formed as General ($119) + Research ($0) + Ownership ($0) = $119.

Last reported payment date: 2024-08-22 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($119).

Total Amount

$119

General + Research + Ownership

Payments

1

Total payment records

General Amount

$119

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Axsome Therapeutics, Inc.$119
View all Open Payments →|Open Payments Risk Radar →

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: 2022-04-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201231000236IPsychiatryMPTBD
I20220408002255IPsychiatryORTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes14840$0
90792Psychiatric diagnostic evaluation with medical services6153$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 97504)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325206246View full group profile

Reviews

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Frequently asked questions

What NPI should I save for DIMITRIS GEROTHANASSIS (M.D.)?
Save NPI 1124134069 if you need a stable reference for DIMITRIS GEROTHANASSIS (M.D.).
Is DIMITRIS GEROTHANASSIS (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DIMITRIS GEROTHANASSIS (M.D.) work in?
You can think of DIMITRIS GEROTHANASSIS (M.D.) as practicing within Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What location shows for DIMITRIS GEROTHANASSIS (M.D.)?
We surface Medford, Oregon for DIMITRIS GEROTHANASSIS (M.D.) based on available NPPES addresses.
What if Medford, Oregon seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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