DR. KRISTEN ROSE DIMARCO DO
NPI 1487725743
Family Medicine in Warwick, RI

Q: What is Kristen Dimarco's NPI number?

The NPI number for Kristen Dimarco is 1487725743. It was assigned to this individual provider in the NPPES registry on November 10, 2006.

Q: What is Kristen Dimarco's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kristen Dimarco was last updated on March 7, 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.

Active since November 10, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 41D0980005 · Waiver

215 TOLL GATE ROAD, SUITE 306, WARWICK, RI 02886(401) 738-6565(401) 738-6599 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kristen Rose Dimarco Do NPPES

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

DR. KRISTEN ROSE DIMARCO DO (NPI 1487725743) is an individual family medicine provider in Warwick, Rhode Island, licensed in Rhode Island (DO0503) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through November 8, 2026, and is affiliated with Rhode Island Hospital.

NPPES Registry Identity

NPI1487725743

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. KRISTEN ROSE DIMARCOCredential: DO

Location Address215 TOLL GATE ROAD, SUITE 306Warwick, RI 02886

Mailing Address215 Toll Gate Road, Suite 306Warwick, RI 02886 · (401) 738-6565 · Fax (401) 738-6599

Phone(401) 738-6565

Fax(401) 738-6599

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateNovember 10, 2006

Last NPPES UpdateMarch 7, 2023

✔ NPI 1487725743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in RI · DO0503

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.

215 TOLL GATE ROAD, Warwick, RI 02886

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Other Identifiers 9

Other2900Nhp

Other9002776Eds

Other5343699003Cigna P A L

OtherRI503Lifespan

Other005030Tufts

Other0101365Uhc

OtherDOOO503License Number

Other222482Blue Cross

Other405535Blue Chip

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. Kristen Rose Dimarco Do 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 ID3072637040

PECOS Enrollment IDI20100826001162

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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 41D0980005

Kristen Dimarco Do Ltd · Warwick, RI

Active · expires Nov 8, 2026

CLIA Number41D0980005

Laboratory TypePhysician Office

Certificate Effective DateNovember 9, 2024

Certificate Expiration DateNovember 8, 2026

Laboratory DirectorKristen Dimarco Do

Laboratory Phone(401) 738-6565

Laboratory LocationKristen Dimarco Do Ltd215 Tollgate Rd Suite 306, Warwick, RI 02886

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 9

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.

127 services86 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.

113 services73 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.

94 services94 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

20 services19 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

20 services19 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

16 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Rhode Island Hospital

Acute Care Hospitals · Providence, RI

3/5 CMS rating

OwnershipTribal

CMS Certification Number410007

Location593 Eddy StreetProvidence, RI 02903 · Providence County

Emergency services

South County Hospital Inc

Acute Care Hospitals · Wakefield, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410008

Location100 Kenyon AveWakefield, RI 02879 · Washington County

Emergency services Birthing friendly

Kent County Memorial Hospital

Acute Care Hospitals · Warwick, RI

3/5 CMS rating

OwnershipProprietary

CMS Certification Number410009

Location455 Toll Gate RdWarwick, RI 02886 · Kent County

Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02886 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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.

Referred Medical Equipment & Supplies CMS DME claims

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 suppliers14 claims28 services$5.84 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GERALD EXIL MD

Pediatrics (Neurodevelopmental Disabilities)

215 TOLL GATE ROAD, SUITE 108
WARWICK, RI 02886

Kent County (401) 737-7701

ELIZABETH FLYNN

Physical Therapy Assistant

215 TOLL GATE ROAD, SUITE 205
WARWICK, RI 02886

Kent County (774) 266-0032

RALPH A DIGIACOMO MD PC

Internal Medicine (Rheumatology)

215 TOLL GATE ROAD, SUITE 303
WARWICK, RI 02886

Kent County (401) 738-1576

SARAH ANNE FREIMAN FNP-C

Nurse Practitioner (Family)

215 TOLL GATE ROAD, SUITE 104
WARWICK, RI 02886

Kent County (401) 944-0044

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 Kristen Dimarco's NPI number?

The NPI number for Kristen Dimarco is 1487725743. It was assigned to this individual provider in the NPPES registry on November 10, 2006.

Where is Kristen Dimarco located?

Kristen Dimarco practices at 215 Toll Gate Road Suite 306, Warwick, RI 02886. The listed phone number is (401) 738-6565.

What is Kristen Dimarco's specialty?

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

Is Kristen Dimarco enrolled in Medicare?

Yes. Kristen Dimarco 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.

Does Kristen Dimarco hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 41D0980005) is associated with this NPI, valid through November 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Kristen Dimarco affiliated with any hospitals?

According to CMS data, Kristen Dimarco is affiliated with Rhode Island Hospital, South County Hospital Inc, Kent County Memorial Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Kristen Dimarco was last updated on March 7, 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.