DR. THOMAS NICHOLAS DETESCO M.D. - NPI 1013911403 - Internal Medicine in Boardman, OH

Q: What is Thomas Detesco's NPI number?

The NPI number for Thomas Detesco is 1013911403. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Q: What is Thomas Detesco's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Detesco was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Dr. Thomas Nicholas Detesco M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THOMAS NICHOLAS DETESCO M.D. (NPI 1013911403) is an individual internal medicine provider in Boardman, Ohio, licensed in Ohio (35100173D) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013911403

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. THOMAS NICHOLAS DETESCOCredential: M.D.

Location Address7341 EISENHOWER DRBoardman, OH 44512-5900

Mailing Address7341 Eisenhower DrBoardman, OH 44512-5900 · (330) 726-1138 · Fax (330) 726-6128

Phone(330) 726-1138

Fax(330) 726-6128

Sole ProprietorNo

Enumeration DateJune 13, 2005

Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration

✔ NPI 1013911403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in OH · 35100173D

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

7341 EISENHOWER DR, Boardman, OH 44512

Open in Google Maps ↗

Other Identifiers 2

Other35100173DOH · License

Medicaid0359348OH

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas Nicholas Detesco M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44512 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DENNIS MICHAEL MOODY D.D.S.

Dentist (General Practice)

7341 EISENHOWER DR
YOUNGSTOWN, OH 44512

Mahoning County (330) 726-1152

FIRST MEDICAL ASSOCIATES INC

Internal Medicine