JACOB A DICESARE (DO) – Sports Medicine (Family Medicine) Physician, NPI 1184862427
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
440 SPORTS MEDICINE in PA
Provider Addresses for JACOB A DICESARE (DO)
599 N Church St Ste 200
Mount Pleasant, PA 156661004
Phone: (724) 261-4080
Fax: (724) 261-4081
Type: Location
438 PELLIS RD
GREENSBURG, PA 156017900
Phone: (724) 261-4080
Fax: (724) 261-4081
Type: Location
8775 Norwin Ave Ste 107
North Huntingdon, PA 156427705
Phone: (724) 261-4080
Fax: (724) 261-4081
Type: Location
Bovard, Hempfield Township, Westmoreland County, Pennsylvania, 15619, United States
BOVARD, PA 156190007
Phone: (724) 261-4080
Fax: (724) 261-4081
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $35.
Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.
Last reported payment date: 2024-08-15 • Largest payer in this snapshot: Bioventus LLC ($35).
Total Amount
$35
General + Research + Ownership
Payments
2
Total payment records
General Amount
$35
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bioventus LLC | $35 |
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: 2010-01-04
PECOS data refreshed: 2026-05-27
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 |
|---|---|---|---|---|
| I20100104000058 | I | Sports Medicine | PA | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 712 | 189 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 222 | 102 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 171 | 128 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 138 | 94 | $0 |
| J7321 | Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose | 132 | 25 | $0 |
Insurance plans in this area (ZIP 15666)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| SPORTS MEDICINE | PA | 20610 | Aspiration and/or injection of large joint or joint capsule | 346 | 154 |
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