DR. RICHARD ROBERT DILORENZO (DO) – Gastroenterology Physician, NPI 1528090164
Gastroenterology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
401 GASTROENTEROLOGY in TN
Provider Addresses for DR. RICHARD ROBERT DILORENZO (DO)
1 Medical Park Blvd
Bristol, TN 376207430
Phone: (423) 844-1121
Type: Location
130 W Ravine Rd
Kingsport, TN 376603837
Phone: (423) 224-4000
Type: Location
404 Lincoln Dr
Herrin, IL 629483789
Phone: (618) 993-0056
Fax: (618) 993-0752
Type: Location
7950 W Jefferson Blvd
Fort Wayne, IN 468044140
Phone: (260) 435-7001
Type: Location
1730 E LAKE SHORE DR
DECATUR, IL 625213809
Phone: (217) 329-1000
Type: Mailing
2920, North Cascade Avenue, Roswell, Colorado Springs, El Paso County, Colorado, 80907, United States
SUITE 301
COLORADO SPRINGS, CO 809076262
Phone: (719) 636-1059
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 $121.
Total Amount is formed as General ($121) + Research ($0) + Ownership ($0) = $121.
Last reported payment date: 2024-03-05 • Largest payer in this snapshot: Merz North America, Inc. ($105).
Total Amount
$121
General + Research + Ownership
Payments
2
Total payment records
General Amount
$121
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merz North America, Inc. | $105 |
| Takeda Pharmaceuticals U.S.A., Inc. | $16 |
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: 2024-06-21
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050114000328 | I | Gastroenterology | IL | TBD |
| I20240621003510 | I | Gastroenterology | TN | 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 |
|---|---|---|---|---|
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 34 | 34 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 30 | 30 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 12 | 12 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 11 | 11 | $0 |
Insurance plans in this area (ZIP 37620)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | IL | |
| - | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| General Surgery | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| Gastroenterology, Internal Medicine | IL | |
| - | IL |
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