DR. MICHAEL J DICLEMENTE (M.D.) – Gynecology Physician, NPI 1639160088
Gynecology Physician
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Profile Insights
NPPES metrics only — not quality of care.
3,164 OBSTETRICS/GYNECOLOGY in TX
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Provider Addresses for DR. MICHAEL J DICLEMENTE (M.D.)
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
DALLAS, TX 752844658
Phone: (254) 724-8800
Type: Mailing
Baylor Scott & White Medical Center – Marble Falls, 810, West Highway 71, Marble Falls, Burnet County, Texas, 78654, United States
MARBLE FALLS, TX 786548602
Phone: (830) 201-8000
Type: Location
5036 JERICHO TPKE STE 205
COMMACK, NY 117252812
Phone: (516) 417-3488
Fax: (516) 584-6717
Type: Mailing
7 W 51ST ST FL 4
NEW YORK, NY 100196910
Phone: (516) 532-8149
Type: Location
3333 New Hyde Park Rd Ste 100
New Hyde Park, NY 110421205
Phone: (516) 439-5300
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $1,051.
Total Amount is formed as General ($1,051) + Research ($0) + Ownership ($0) = $1,051.
Last reported payment date: 2024-10-04 • Largest payer in this snapshot: Baxter Healthcare ($292).
Total Amount
$1,051
General + Research + Ownership
Payments
20
Total payment records
General Amount
$1,051
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Baxter Healthcare | $292 |
| Caldera Medical, Inc | $235 |
| Amgen Inc. | $125 |
| Astellas Pharma US Inc | $118 |
| Minerva Surgical, Inc | $75 |
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: 2025-01-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20080327000388 | I | Obstetrics/Gynecology | TX | TBD |
| I20220328001170 | I | Obstetrics/Gynecology | MD | TBD |
| I20220826000902 | I | Obstetrics/Gynecology | DE | TBD |
| I20250109000912 | I | Obstetrics/Gynecology | NY | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 65 | 38 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 53 | 41 | $0 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 28 | 28 | $0 |
| 81002 | Urinalysis, manual test | 20 | 17 | $0 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 18 | 18 | $0 |
Insurance plans in this area (ZIP 75284)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | NY | |
| - | PA | |
| Internal Medicine | DE | |
| - | DE | |
| - | DE | |
| Internal Medicine | DE | |
| Internal Medicine | DE | |
| Infectious Disease, Internal Medicine | DE | |
| Family Practice | NY | |
| Nurse Practitioner | VA |
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