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

KEVIN DISE PA-C
NPI 1093434383
Physician Assistant - Medical in Hershey, PA

Active since August 22, 2022PECOS Enrolled
71.78/100
CMS Quality Rating
500 UNIVERSITY DR, HERSHEY, PA 17033(800) 243-1455 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 23, 2026, Sep 20, 2022, Aug 22, 2022 (3 updates tracked since 2022).

About Kevin Dise Pa-c NPPES

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

KEVIN DISE PA-C (NPI 1093434383) is an individual medical provider in Hershey, Pennsylvania, licensed in Pennsylvania (MA063794) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Lancaster, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1093434383
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameKEVIN DISECredential: PA-C
Location Address500 UNIVERSITY DRHershey, PA 17033-2360
Mailing Address500 University DrHershey, PA 17033-2360 · (800) 243-1455
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 22, 2022
Last NPPES UpdateJuly 23, 20263 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
NPI 1093434383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in PA · MA063794
500 UNIVERSITY DR, Hershey, PA 17033

Secondary Practice Location 1

Location 12192 Embassy DrLancaster, PA 17603-2392 · Phone (717) 394-7160

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kevin Dise Pa-c 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 ID7113303918
PECOS Enrollment IDI20221003000072
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 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.

71.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality48.32
Promoting Interoperability100
Improvement Activities40
Cost57.63

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.

Physician Assistant
500 UNIVERSITY DR
HERSHEY, PA 17033
Internal Medicine
500 UNIVERSITY DR, H088
HERSHEY, PA 17033
Otolaryngology
500 UNIVERSITY DR
HERSHEY, PA 17033
Surgery (Trauma Surgery)
500 UNIVERSITY DR
HERSHEY, PA 17033
Anesthesiology (Critical Care Medicine)
500 UNIVERSITY DR, BOX 3951, DAVISON BLDG, TRENT DRIVE
HERSHEY, PA 17033
Pathology (Clinical Pathology/Laboratory Medicine)
500 UNIVERSITY DR, HERSHEY MEDICAL CENTER
HERSHEY, PA 17033
Family Medicine
500 UNIVERSITY DR
HERSHEY, PA 17033
Pediatrics (Pediatric Endocrinology)
500 UNIVERSITY DR
HERSHEY, PA 17033

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 Kevin Dise's NPI number?

The NPI number for Kevin Dise is 1093434383. It was assigned to this individual provider in the NPPES registry on August 22, 2022.

Where is Kevin Dise located?

Kevin Dise practices at 500 University Dr, Hershey, PA 17033. The listed phone number is (800) 243-1455.

What is Kevin Dise's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kevin Dise enrolled in Medicare?

Yes. Kevin Dise 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.

When was this NPI record last updated?

The NPPES record for Kevin Dise was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.