DR. ROBERT A JR. DECOLLI (D.O) – Internal Medicine Physician, NPI 1790778991
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,526 INTERNAL MEDICINE in TN
Provider Addresses for DR. ROBERT A JR. DECOLLI (D.O)
Mechanicsville Turnpike, Richmond, Richmond City, Virginia, 23223, United States
RICHMOND, VA 232231114
Phone: (804) 228-1143
Fax: (804) 228-7382
Type: Mailing
3360 N WATKINS ST
MEMPHIS, TN 381276405
Phone: (901) 401-7150
Fax: (901) 347-1285
Type: Location
PO BOX 746725
ATLANTA, GA 303746725
Phone: (312) 733-9730
Fax: (773) 866-8014
Type: Mailing
2252 LAMAR AVE
MEMPHIS, TN 381146608
Phone: (901) 671-1800
Fax: (901) 671-0056
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $338.
Total Amount is formed as General ($338) + Research ($0) + Ownership ($0) = $338.
Last reported payment date: 2024-08-08 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($163).
Total Amount
$338
General + Research + Ownership
Payments
9
Total payment records
General Amount
$338
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $163 |
| Alnylam Pharmaceuticals Inc. | $100 |
| ABBVIE INC. | $35 |
| Gilead Sciences, Inc. | $24 |
| Merck Sharp & Dohme LLC | $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: 2021-02-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20100519000783 | I | Internal Medicine | PA | TBD |
| I20201027000847 | I | Internal Medicine | VA | TBD |
| I20210205000227 | I | Internal Medicine | 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 |
|---|---|---|---|---|
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 72 | 46 | $0 |
| 83036 | Hemoglobin a1c level | 69 | 52 | $0 |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 64 | 51 | $0 |
| 81002 | Urinalysis, manual test | 24 | 19 | $0 |
| 77067 | Screening mammography | 17 | 17 | $0 |
Insurance plans in this area (ZIP 23223)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | PA | 85610 | Blood test, clotting time | 354 | 20 |
| INTERNAL MEDICINE | PA | 90670 | Pneumococcal vaccine for injection into muscle | 18 | 18 |
| INTERNAL MEDICINE | PA | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 981 | 682 |
| INTERNAL MEDICINE | PA | 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 48 | 28 |
Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Family Practice | MI | |
| Nurse Practitioner | GA | |
| - | IL | |
| Family Practice | WA | |
| Clinical Social Worker | MI | |
| - | IL | |
| Family Practice | IL | |
| Family Practice | TN | |
| Internal Medicine | NC | |
| Nurse Practitioner | GA |
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