DR. PAUL JEROME PALAFOX CUSTODIO (M.D.) – Endocrinology, Diabetes & Metabolism Physician, NPI 1093997280
Endocrinology, Diabetes & Metabolism Physician
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Profile Insights
NPPES metrics only — not quality of care.
511 ENDOCRINOLOGY in PA
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Provider Addresses for DR. PAUL JEROME PALAFOX CUSTODIO (M.D.)
356, Freeport Street, Parnassus, New Kensington, Westmoreland County, Pennsylvania, 15068, United States
NEW KENSINGTON, PA 150686071
Phone: (724) 367-2400
Fax: (724) 367-2401
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 1 Open Payments records for all available years, with a total value of $22.
Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.
Last reported payment date: 2023-03-07 • Largest payer in this snapshot: Dexcom, Inc. ($22).
Total Amount
$22
General + Research + Ownership
Payments
1
Total payment records
General Amount
$22
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dexcom, Inc. | $22 |
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: 2024-12-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20161026002469 | I | Endocrinology | PA | TBD |
| I20210303000988 | I | Endocrinology | NY | TBD |
| I20241204001798 | I | Endocrinology | OH | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 72 | 35 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 59 | 51 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 25 | 23 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 23 | 23 | $0 |
Insurance plans in this area (ZIP 15068)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| - | OH | |
| Critical Care (Intensivists) | KY | |
| - | OH | |
| Family Practice | OH | |
| Family Practice | OH | |
| Cardiovascular Disease (Cardiology) | OH | |
| N E P H R O L O G Y | OH | |
| Nurse Practitioner | OH | |
| General Surgery | IL |
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