UMBERTO ANTHONY DERIENZO MD
NPI 1427021674
Family Medicine in Charleroi, PA

Active since February 08, 2006PECOS EnrolledAccepts Medicare Assignment
17 ARENTZEN BLVD, CHARLEROI, PA 15022(724) 483-3581(724) 483-3483 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2023, Feb 21, 2023, Jun 13, 2018 (3 updates tracked since 2018).

About Umberto Anthony Derienzo Md NPPES

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

UMBERTO ANTHONY DERIENZO MD (NPI 1427021674) is an individual family medicine provider in Charleroi, Pennsylvania, licensed in Pennsylvania (MD053835L) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Washington Hospital, The, and is a graduate of Temple University School Of Medicine (1992).

NPPES Registry Identity

NPI1427021674
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameUMBERTO ANTHONY DERIENZOCredential: MD
Location Address17 ARENTZEN BLVDCharleroi, PA 15022-1085
Mailing Address701 Technology Dr Ste 150Canonsburg, PA 15317-9531 · (412) 531-2902 · Fax (412) 531-2948
Fax(724) 483-3483
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1992
Enumeration DateFebruary 8, 2006
Last NPPES UpdateJuly 6, 20233 updates tracked since enumeration
NPPES CertifiedJuly 6, 2023
NPI 1427021674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · MD053835L
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
17 ARENTZEN BLVD, Charleroi, PA 15022

Other Identifiers 1

Medicaid0015317510003PA

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

Umberto Anthony Derienzo 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 ID7719875046
PECOS Enrollment IDI20040309000244
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 19

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
324 services177 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
152 services152 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
116 services61 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
113 services112 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
91 services58 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
90 services58 patients

Hospital Affiliations CMS Care Compare 3

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

Washington Hospital, The

Acute Care Hospitals · Washington, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390042
Location155 Wilson AvenueWashington, PA 15301 · Washington County
Emergency services Birthing friendly

Penn Highlands Mon Valley

Acute Care Hospitals · Monongahela, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390147
Location1163 Country Club RoadMonongahela, PA 15063 · Washington County
Emergency services

Jefferson Hospital

Acute Care Hospitals · Jefferson Hills, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390265
Location565 Coal Valley RoadJefferson Hills, PA 15025 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15022 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
79%39 patients3/55-star benchmark: 100%
Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
Patients 65+: 100% · 44 patients
100%51 patients
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
80%211 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
65%86 patients3/55-star benchmark: 98%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
96%129 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers17 claims49 services$6.19 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers12 claims56 services$1.75 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers17 claims17 services$16.84 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers82 claims82 services$66.78 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier31 claims31 services$32.20 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers22 claims22 services$189.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
17 ARENTZEN BLVD, STE. 105 VISTA 1 PROF.CTR. CKD SERVICES OF MON VALLEY
CHARLEROI, PA 15022
Dietitian, Registered
17 ARENTZEN BLVD, VISTA ONE PROFESSIONAL CENTER SUITE 105
CHARLEROI, PA 15022
Dentist (Oral and Maxillofacial Surgery)
17 ARENTZEN BLVD, SUITE #104
CHARLEROI, PA 15022
Family Medicine
17 ARENTZEN BLVD
CHARLEROI, PA 15022
Family Medicine
17 ARENTZEN BLVD, SUITE 101
CHARLEROI, PA 15022
Non-Pharmacy Dispensing Site
17 ARENTZEN BLVD, 101
CHARLEROI, PA 15022

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 Umberto Derienzo's NPI number?

The NPI number for Umberto Derienzo is 1427021674. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Umberto Derienzo located?

Umberto Derienzo practices at 17 Arentzen Blvd, Charleroi, PA 15022. The listed phone number is (724) 483-3581.

What is Umberto Derienzo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Umberto Derienzo enrolled in Medicare?

Yes. Umberto Derienzo 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.

Is Umberto Derienzo affiliated with any hospitals?

According to CMS data, Umberto Derienzo is affiliated with Washington Hospital, The, Penn Highlands Mon Valley and Jefferson Hospital.

When was this NPI record last updated?

The NPPES record for Umberto Derienzo was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.