Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DENISE DALMACION MD
NPI 1063073955
Hospitalist in Keene, NH

Active since June 22, 2019PECOS EnrolledAccepts Medicare Assignment
76.01/100
CMS Quality Rating

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 27, 2026, Nov 26, 2025, Jul 29, 2022 and 1 more (4 updates tracked since 2019).

About Denise Dalmacion Md NPPES

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

DENISE DALMACION MD (NPI 1063073955) is an individual hospitalist provider in Keene, New Hampshire, licensed in New Hampshire (22793) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Javon Bea Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1063073955
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDENISE DALMACIONCredential: MD
Location Address580 COURT STKeene, NH 03431-1718
Mailing Address29624 Network PlChicago, IL 60673-1296 · (815) 971-2000 · Fax (815) 971-9266
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 22, 2019
Last NPPES UpdateAugust 27, 20264 updates tracked since enumeration
NPPES CertifiedAugust 27, 2026
✔ NPI 1063073955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in NH · 22793✔ Licensed in IL · 036177028
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036177028 (IL)
580 COURT ST, Keene, NH 03431

Other Names 1

Other Name (5)Denise Lauren Vergeire Dalmacion Md

Secondary Practice Locations 2

Location 17702 N Alpine RdLoves Park, IL 61111-3107 · Phone (815) 971-2000 · Fax (815) 971-9266
Location 28201 E Riverside BlvdRockford, IL 61114-2300 · Phone (815) 971-7000 · Fax (815) 968-4795

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Denise Dalmacion Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446634992
PECOS Enrollment IDI20251230002143
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Denise Dalmacion reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
590 COURT ST
Keene, NH 03431
  • Reassigned Medicare billing, New Hampshire enrollment
  • 450 clinicians in this Medicare group
Rehabilitation, Substance Use Disorder
24 RAILROAD ST
Keene, NH 03431
  • Reassigned Medicare billing, New Hampshire enrollment
  • 2,999 clinicians in this Medicare group
Multi-Specialty
8201 E RIVERSIDE BLVD
Rockford, IL 61114
  • Reassigned Medicare billing, Illinois enrollment
  • 1,375 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
208 services197 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
45 services43 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Javon Bea Hospital

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140239
Location8201 E Riverside BlvdRockford, IL 61114 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03431 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
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.31
Promoting Interoperability100
Improvement Activities40
Cost54.74

Other Providers at the Same Location NPPES 20

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

Advanced Practice Midwife
580 COURT ST
KEENE, NH 03431
Anesthesiology
580 COURT ST, DEPT OF ANESTHESIOLOGY
KEENE, NH 03431
Obstetrics & Gynecology
580 COURT ST
KEENE, NH 03431
Nurse Practitioner (Family)
580 COURT ST
KEENE, NH 03431
Internal Medicine
580 COURT ST
KEENE, NH 03431
Internal Medicine (Cardiovascular Disease)
580 COURT ST
KEENE, NH 03431
Radiology (Diagnostic Radiology)
580 COURT ST
KEENE, NH 03431
Physician Assistant
580 COURT ST
KEENE, NH 03431

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Denise Dalmacion's NPI number?

The NPI number for Denise Dalmacion is 1063073955. It was assigned to this individual provider in the NPPES registry on June 22, 2019. The provider is also known as Denise Lauren Vergeire Dalmacion MD.

Where is Denise Dalmacion located?

Denise Dalmacion practices at 580 Court St, Keene, NH 03431. The listed phone number is (603) 354-5400.

What is Denise Dalmacion's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Denise Dalmacion enrolled in Medicare?

Yes. Denise Dalmacion is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Denise Dalmacion's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Denise Dalmacion reassigns Medicare benefits to 3 organizations: Cheshire Medical Center (Keene, NH), Dartmouth-Hitchcock Clinic (Keene, NH) and Rockford Health Physicians (Rockford, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Denise Dalmacion's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Denise Dalmacion accept?

Health plans from Anthem Blue Cross and Blue Shield, MercyCare and MercyCare Health Plans list Denise Dalmacion as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Denise Dalmacion affiliated with any hospitals?

According to CMS data, Denise Dalmacion is affiliated with Javon Bea Hospital.

When was this NPI record last updated?

The NPPES record for Denise Dalmacion was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.