DR. DOMINIC THEODORE DICIRO MD
NPI 1376596981
Emergency Medicine in Everett, WA

Q: 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.

Q: What is Dominic Diciro's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: 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.

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment

92.43/100

CMS Quality Rating

1321 COLBY AVE, EVERETT, WA 98201(425) 261-2000 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 19, 2022, Sep 17, 2019, Feb 11, 2016 (3 updates tracked since 2016).

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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

NPI1376596981

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. DOMINIC THEODORE DICIROCredential: MD

Location Address1321 COLBY AVEEverett, WA 98201-1665

Mailing Address7804 167th St SeSnohomish, WA 98296-6323

Phone(425) 261-2000

Sole ProprietorNo

Medical School CMSOtherGraduated 1992

Enumeration DateMay 18, 2006

Last NPPES UpdateApril 19, 20223 updates tracked since enumeration

NPPES CertifiedApril 19, 2022

✔ NPI 1376596981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in MO · 2012003239✔ Licensed in KY · 31881

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License MD000045375 (WA)

1321 COLBY AVE, Everett, WA 98201

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Secondary Practice Location 1

Location 11008 N Main StSikeston, MO 63801-5044 · Phone (573) 471-1600 · Fax (573) 472-7606

Other Identifiers 1

Medicaid8436651WA

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. 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.

PECOS PAC ID1759270028

PECOS Enrollment IDI20120706000431

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 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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

419 services364 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

23 services23 patients

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, MO

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260113

Location1008 North Main StSikeston, MO 63801 · Scott County

Emergency services Birthing friendly

Physician 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.

New Patient

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

92.43/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.47

Improvement Activities

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.

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