DR. DAMIAN P DICOSTANZO (MD) – Dermatopathology (Pathology) Physician, NPI 1154300739
Dermatopathology (Pathology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. DAMIAN P DICOSTANZO (MD)
14275, Midway Road, Addison, Dallas County, Texas, 75001, United States
SUITE 400
ADDISON, TX 750013614
Phone: (214) 932-8029
Fax: (610) 271-4245
Type: Mailing
Midland Avenue, Purdys Grove, Port Chester, New York, 10580, United States
PORT CHESTER, NY 105734943
Phone: (800) 942-3376
Fax: (914) 934-9819
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: 2015-01-06
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 |
|---|---|---|---|---|
| I20150106001561 | I | Pathology | CT | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75001)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | NY | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 22 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | CT | |
| Pathology, Dermatology | CT | |
| - | NY | |
| P A T H O L O G Y | NY | |
| P A T H O L O G Y | NY | |
| P A T H O L O G Y | NY | |
| P A T H O L O G Y | NY | |
| - | NY |
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