DICESARE ORTHOPEDIC MEDICINE LLC
NPI 1114546736
Family Medicine - Sports Medicine in Greensburg, PA

Q: What is Dicesare Orthopedic Medicine LLC's NPI number?

The NPI number for Dicesare Orthopedic Medicine LLC is 1114546736. It was assigned to this organization in the NPPES registry on April 14, 2020.

Q: What is Dicesare Orthopedic Medicine LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Active since April 14, 2020

438 PELLIS RD, GREENSBURG, PA 15601(724) 261-4080(724) 261-4081 Get Directions Write a Review

NPPES record last updated: May 4, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 4, 2020, Apr 22, 2020, Apr 14, 2020 (3 updates tracked since 2020).

On this page

About Dicesare Orthopedic Medicine Llc NPPES

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

DICESARE ORTHOPEDIC MEDICINE LLC (NPI 1114546736) is a healthcare organization registered as a sports medicine in Greensburg, Pennsylvania and active in the NPI registry since April 2020. The organization lists Jacob A Dicesare, President, as its authorized official.

NPPES Registry Identity

NPI1114546736

Entity TypeOrganization

Primary Taxonomy207QS0010X

Legal Business NameDICESARE ORTHOPEDIC MEDICINE LLC

Location Address438 PELLIS RDGreensburg, PA 15601-7900

Mailing AddressPo Box 7Bovard, PA 15619-0007 · (724) 261-4080 · Fax (412) 261-4081

Phone(724) 261-4080

Fax(724) 261-4081

Organization SubpartNo

Authorized OfficialJacob A DicesarePresident · (724) 261-4080

Enumeration DateApril 14, 2020

Last NPPES UpdateMay 4, 20203 updates tracked since enumeration

NPPES CertifiedMay 4, 2020

✔ NPI 1114546736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

438 PELLIS RD, Greensburg, PA 15601

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dicesare Orthopedic Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dicesare Orthopedic Medicine LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jacob Dicesare, DO

Sports Medicine

NPI 1184862427

438 PELLIS RD
Greensburg, PA 15601

(724) 261-4080

✔ PECOS✔ Accepts MedicareSame address

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

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 Dicesare Orthopedic Medicine LLC's NPI number?

The NPI number for Dicesare Orthopedic Medicine LLC is 1114546736. It was assigned to this organization in the NPPES registry on April 14, 2020.

Where is Dicesare Orthopedic Medicine LLC located?

Dicesare Orthopedic Medicine LLC is located at 438 Pellis Rd, Greensburg, PA 15601. The listed phone number is (724) 261-4080.

What is Dicesare Orthopedic Medicine LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Dicesare Orthopedic Medicine LLC enrolled in Medicare?

Yes. Dicesare Orthopedic Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dicesare Orthopedic Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Sports Medicine) reassigns their Medicare billing to Dicesare Orthopedic Medicine LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dicesare Orthopedic Medicine LLC was last updated on May 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.