DIANA DAWN DUTRA D.O.
NPI 1477793750
Pediatrics in Philipsburg, PA

Q: What is Diana Dutra's NPI number?

The NPI number for Diana Dutra is 1477793750. It was assigned to this individual provider in the NPPES registry on February 26, 2009.

Q: What is Diana Dutra's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Diana Dutra was last updated on August 5, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 26, 2009PECOS Enrolled

210 MEDICAL CENTER DR, PHILIPSBURG, PA 16866(814) 342-5402(814) 342-0598 Get Directions Write a Review

NPPES record last updated: August 5, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 5, 2020, Mar 17, 2018 (2 updates tracked since 2018).

On this page

About Diana Dawn Dutra D.o. NPPES

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

DIANA DAWN DUTRA D.O. (NPI 1477793750) is an individual pediatrics provider in Philipsburg, Pennsylvania, licensed in Pennsylvania (OS016007) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Du Bois.

NPPES Registry Identity

NPI1477793750

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDIANA DAWN DUTRACredential: D.O.

Location Address210 MEDICAL CENTER DRPhilipsburg, PA 16866-5500

Mailing Address100 North Academy AveDanville, PA 17822-4903 · (570) 214-5681 · Fax (570) 271-6578

Phone(814) 342-5402

Fax(814) 342-0598

Sole ProprietorNo

Enumeration DateFebruary 26, 2009

Last NPPES UpdateAugust 5, 20202 updates tracked since enumeration

NPPES CertifiedAugust 5, 2020

✔ NPI 1477793750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in PA · OS016007

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

210 MEDICAL CENTER DR, Philipsburg, PA 16866

Open in Google Maps ↗

Secondary Practice Location 1

Location 1529 Sunflower DrDu Bois, PA 15801-2378 · Phone (814) 371-1510 · Fax (814) 371-2922

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diana Dawn Dutra D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16866 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.

Leave this field empty

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.

DR. PHILIP A. PILGRAM M.D.

Family Medicine