DR. DAMIAN P DICOSTANZO MD
NPI 1154300739
Pathology - Dermatopathology in Port Chester, NY
About Dr. Damian P Dicostanzo Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DAMIAN P DICOSTANZO MD (NPI 1154300739) is an individual dermatopathology provider in Port Chester, New York, licensed in New York (168313) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Damian P Dicostanzo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Damian Dicostanzo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Norwalk, CT 06851
- Reassigned Medicare billing, Connecticut enrollment
- 29 clinicians in this Medicare group
New York, NY 10022
- Reassigned Medicare billing, Connecticut enrollment
- 8 clinicians in this Medicare group
Shelton, CT 06484
- Reassigned Medicare billing, Connecticut enrollment
- 38 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10573 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Damian Dicostanzo's NPI number?
The NPI number for Damian Dicostanzo is 1154300739. It was assigned to this individual provider in the NPPES registry on January 12, 2006.
Where is Damian Dicostanzo located?
Damian Dicostanzo practices at 100 Midland Ave, Port Chester, NY 10573. The listed phone number is (800) 942-3376.
What is Damian Dicostanzo's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Dermatopathology, with taxonomy code 207ZD0900X.
Is Damian Dicostanzo enrolled in Medicare?
Yes. Damian Dicostanzo is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Damian Dicostanzo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Damian Dicostanzo reassigns Medicare benefits to 3 organizations: The Connecticut Dermatology Group PLLC (Norwalk, CT), Schweiger Dermatology PLLC (New York, NY) and Connecticut Skinhealth LLP (Shelton, CT). 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 Damian Dicostanzo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Damian Dicostanzo was last updated on June 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. Damian P Dicostanzo, MD · NPI 1154300739
Dermatopathology physician in Port Chester, New York. Individual provider, active in the CMS NPPES registry since January 12, 2006.
## Identity
- **NPI:** 1154300739 (Entity type: Individual)
- **Enumerated:** January 12, 2006
- **Primary specialty:** Pathology - Dermatopathology · taxonomy 207ZD0900X
- **State license:** 168313 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 MIDLAND AVE, Port Chester, NY 10573-4943
- **Phone:** (800) 942-3376 · **Fax:** (914) 934-9819
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): The Connecticut Dermatology Group PLLC (NPI 1699881557, Norwalk, CT); Schweiger Dermatology PLLC (NPI 1831438662, New York, NY); Connecticut Skinhealth LLP (NPI 1649606385, Shelton, CT) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 26, 2015
- **Other identifiers:** Medicare UPIN A62518 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1154300739) · Data from the CMS NPPES public registry.