AGISILAOS MAKRODIMITRIS (PA) – Physician Assistant, NPI 1144326703

AGISILAOS MAKRODIMITRIS (PA) is a healthcare provider. based in Conshohocken, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. C02281 (MD). The NPI Number for AGISILAOS MAKRODIMITRIS (PA) is 1144326703

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
AGISILAOS MAKRODIMITRIS (PA)
NPI
1144326703
Phone
(800) 355-3818
Address
1000 RIVER RD
Enumeration Date
14 September 2006
Last Update Date
12 January 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2014 (12 years ago)
PAC ID
1951430784
Professional Enrollment ID
I20250505001030
Address ID
DC200083030WA3007XNWXX448
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,366 PHYSICIAN ASSISTANT in MD

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Provider Addresses for AGISILAOS MAKRODIMITRIS (PA)

  • River Road, West Conshohocken, Montgomery County, Pennsylvania, 19462, United States

    STE 100

    CONSHOHOCKEN, PA 194282439

    Phone: (800) 355-3818

    Fax: (610) 834-2862

    Type: Mailing

  • 210, East University Parkway, Charles Village, Oakenshawe, Baltimore, Maryland, 21218, United States

    BALTIMORE, MD 212182828

    Phone: (202) 877-9696

    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: 2025-05-05

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
I20100603000491IPhysician AssistantMDTBD
I20250505001030IPhysician AssistantDCTBD

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
99284Emergency department visit with moderate level of medical decision making8984$0
99285Emergency department visit with high level of medical decision making2424$0
99283Emergency department visit with low level of medical decision making1414$0
View full utilization report →

Insurance plans in this area (ZIP 19428)

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Reviews

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Frequently asked questions

Does AGISILAOS MAKRODIMITRIS (PA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — AGISILAOS MAKRODIMITRIS (PA) uses 1144326703.
Is AGISILAOS MAKRODIMITRIS (PA) listed as active for patients and plans?
The listing shows AGISILAOS MAKRODIMITRIS (PA) as active in the NPI system.
What is AGISILAOS MAKRODIMITRIS (PA) best known for clinically?
Directory data describes AGISILAOS MAKRODIMITRIS (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does AGISILAOS MAKRODIMITRIS (PA) list a practice location?
Patients near Conshohocken, Pennsylvania may find AGISILAOS MAKRODIMITRIS (PA) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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