DR. ROBERT J DIECIDUE DMD, MD
NPI 1225069818
Oral & Maxillofacial Surgery in Philadelphia, PA

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
909 WALNUT ST, 3RD FLOOR, COB, PHILADELPHIA, PA 19107(215) 955-6215(215) 923-9189 Get Directions Write a Review

NPPES record last updated: August 23, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Robert J Diecidue Dmd, Md NPPES

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

DR. ROBERT J DIECIDUE DMD, MD (NPI 1225069818) is an individual oral & maxillofacial surgery provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD421272) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1225069818
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. ROBERT J DIECIDUECredential: DMD, MD
Location Address909 WALNUT ST, 3RD FLOOR, COBPhiladelphia, PA 19107-5211
Mailing Address909 Walnut St, 3rd Floor, CobPhiladelphia, PA 19107-5211 · (215) 955-6215 · Fax (215) 923-9189
Fax(215) 923-9189
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateJuly 5, 2006
Last NPPES UpdateAugust 23, 2019
NPI 1225069818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License Licensed in PA · MD421272
Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License DS026243L (PA)
909 WALNUT ST, Philadelphia, PA 19107

Other Identifiers 1

Medicaid0012768190002PA

Accepted Insurance

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

Dr. Robert J Diecidue Dmd, 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 ID7315075439
PECOS Enrollment IDI20100511000969
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of lower jaws, upper jaws and teeth 70355
An X-ray of lower jaws, upper jaws, and teeth is a diagnostic procedure that uses radiation to create images of these areas. This helps in identifying issues like tooth decay, gum problems, or jawbone irregularities. It's a quick, painless process and crucial for maintaining oral health.
98 services81 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
86 services58 patients
Imaging of jaws and skull 70350
Imaging of jaws and skull involves taking detailed pictures of these areas to help diagnose and treat various conditions. This can include X-rays, CT scans, or MRI scans. These images allow doctors to view the bone structure, tissues, and any abnormalities present. It's a safe and painless process.
72 services59 patients
Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
45 services36 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
30 services30 patients
New patient office or other outpatient visit, 45-59 minutes 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

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.

Clinical Neuropsychologist
909 WALNUT ST, 2ND FLOOR
PHILADELPHIA, PA 19107
Dentist (Oral and Maxillofacial Surgery)
909 WALNUT ST, 300 COB
PHILADELPHIA, PA 19107
Neurological Surgery
909 WALNUT ST, 2ND FLOOR
PHILADELPHIA, PA 19107
Psychiatry & Neurology (Neurology)
909 WALNUT ST, 2ND FLOOR
PHILADELPHIA, PA 19107
General Acute Care Hospital (Critical Access)
909 WALNUT ST
PHILADELPHIA, PA 19107
Dentist (Oral and Maxillofacial Surgery)
909 WALNUT ST, 3RD FLOOR COB
PHILADELPHIA, PA 19107
Dentist (Oral and Maxillofacial Surgery)
909 WALNUT ST, 3RD FLOOR COB
PHILADELPHIA, PA 19107
Nurse Practitioner
909 WALNUT ST, 3RD FLOOR
PHILADELPHIA, PA 19107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225069818, enumerated as an "individual" on July 05, 2006.

The provider is located at 909 WALNUT ST 3RD FLOOR, COB PHILADELPHIA, PA 19107 and the phone number is (215) 955-6215.

Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter. Please consult your insurance carrier or call the provider to verify.

Robert Diecidue is affiliated with: THOMAS JEFFERSON UNIVERSITY HOSPITAL.