DR. DOMINIC THEODORE DICIRO MD
NPI 1376596981
Emergency Medicine in Everett, WA
About Dr. Dominic Theodore Diciro Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DOMINIC THEODORE DICIRO MD (NPI 1376596981) is an individual emergency medicine provider in Everett, Washington, licensed in Missouri (2012003239) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Missouri Delta Medical Center, and maintains a secondary practice location in Sikeston.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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 and accepts Medicare assignment
Dr. Dominic Theodore Diciro 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.
Medicare Billing Reassignments
6Medicare enrollment records show Dominic Diciro reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Ramon, CA 94583
- Reassigned Medicare billing, California enrollment
- 168 clinicians in this Medicare group
Delano, CA 93215
- Reassigned Medicare billing, California enrollment
- 301 clinicians in this Medicare group
Rosebud, SD 57570
- Reassigned Medicare billing, Texas enrollment
- 386 clinicians in this Medicare group
Osage Beach, MO 65065
- Reassigned Medicare billing, Missouri enrollment
- 77 clinicians in this Medicare group
Alton, IL 62002
- Reassigned Medicare billing, Missouri enrollment
- 343 clinicians in this Medicare group
Sikeston, MO 63801
- Reassigned Medicare billing, Missouri enrollment
- 46 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Missouri Delta Medical Center
Acute Care Hospitals · Sikeston, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Dominic Diciro's NPI number?
The NPI number for Dominic Diciro is 1376596981. It was assigned to this individual provider in the NPPES registry on May 18, 2006.
Where is Dominic Diciro located?
Dominic Diciro practices at 1321 Colby Ave, Everett, WA 98201. The listed phone number is (425) 261-2000.
What is Dominic Diciro's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Dominic Diciro enrolled in Medicare?
Yes. Dominic Diciro 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 Dominic Diciro's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dominic Diciro reassigns Medicare benefits to 6 organizations: San Francisco Physicians International Medical Group, Inc (San Ramon, CA), Team Physicians Of California Medical Group Inc (Delano, CA), Rosebud Indian Health Service (Rosebud, SD), Camden Emergency Group LLC (Osage Beach, MO), Southeastern Emergency Physicians Of Memphis LLC (Alton, IL) and 1 more organization, listed in the Medicare section above. 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 Dominic Diciro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Dominic Diciro affiliated with any hospitals?
According to CMS data, Dominic Diciro is affiliated with Missouri Delta Medical Center.
When was this NPI record last updated?
The NPPES record for Dominic Diciro was last updated on April 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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. Dominic Theodore Diciro, MD · NPI 1376596981
Emergency Medicine physician in Everett, Washington. Individual provider, active in the CMS NPPES registry since May 18, 2006.
## Identity
- **NPI:** 1376596981 (Entity type: Individual)
- **Enumerated:** May 18, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 2012003239 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1321 COLBY AVE, Everett, WA 98201-1665
- **Phone:** (425) 261-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): San Francisco Physicians International Medical Group, Inc (NPI 1841220720, San Ramon, CA); Team Physicians Of California Medical Group Inc (NPI 1447288345, Delano, CA); Rosebud Indian Health Service (NPI 1194757369, Rosebud, SD); Camden Emergency Group LLC (NPI 1003181637, Osage Beach, MO); Southeastern Emergency Physicians Of Memphis LLC (NPI 1437105277, Alton, IL); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1992
## Record status
- **NPPES last updated:** April 19, 2022
- **Other identifiers:** Medicaid 8436651 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1376596981) · Data from the CMS NPPES public registry.