GREGORY ALAN DICAMILLO (M.D.) – Family Medicine Physician, NPI 1669907077
Family Medicine Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,206 EMERGENCY MEDICINE in WA
Provider Addresses for GREGORY ALAN DICAMILLO (M.D.)
203 S Western Ave
Tonasket, WA 988558803
Phone: (509) 486-2151
Fax: (509) 486-3176
Type: Location
820 N CHELAN AVE
WENATCHEE, WA 988012028
Phone: (509) 663-8711
Type: Mailing
418 W MAIN
BREWSTER, WA 98813
Phone: (509) 663-8711
Type: Location
701, West 5th Street, Scharbauer Place, Westside, Odessa, Ector County, Texas, 79763, United States
ODESSA, TX 797634206
Phone: (432) 703-5238
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 $47.
Total Amount is formed as General ($47) + Research ($0) + Ownership ($0) = $47.
Last reported payment date: 2024-06-03 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($26).
Total Amount
$47
General + Research + Ownership
Payments
2
Total payment records
General Amount
$47
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $26 |
| Takeda Pharmaceuticals U.S.A., Inc. | $21 |
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: 2025-06-06
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 |
|---|---|---|---|---|
| I20201123000770 | I | Family Practice | TX | TBD |
| I20210803001526 | I | Emergency Medicine | WA | TBD |
| I20250606001347 | I | Emergency Medicine | MP | 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 98855)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | MA | |
| Physician Assistant | WA | |
| Internal Medicine | OH | |
| Family Practice | TN | |
| Physician Assistant | MP | |
| Nurse Practitioner | HI | |
| Physician Assistant | MP | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NJ | |
| Internal Medicine | GU | |
| - | MP |
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