CORY R. DEGIACOMO PA-C
NPI 1649712894
Physician Assistant - Medical in Manchester, CT

Q: What is Cory Degiacomo's NPI number?

The NPI number for Cory Degiacomo is 1649712894. It was assigned to this individual provider in the NPPES registry on November 4, 2016.

Q: What is Cory Degiacomo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Cory Degiacomo was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 04, 2016PECOS EnrolledAccepts Medicare Assignment

71 HAYNES ST, MANCHESTER, CT 06040(860) 646-1222 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 22, 2026, Jun 5, 2019, Nov 4, 2016 (3 updates tracked since 2016).

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About Cory R. Degiacomo Pa-c NPPES

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

CORY R. DEGIACOMO PA-C (NPI 1649712894) is an individual medical provider in Manchester, Connecticut, licensed in Connecticut (4461) and active in the NPI registry since November 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1649712894

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameCORY R. DEGIACOMOCredential: PA-C

Location Address71 HAYNES STManchester, CT 06040-4131

Mailing Address71 Haynes StManchester, CT 06040-4131 · (860) 646-1222 · Fax (860) 688-6403

Phone(860) 646-1222

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateNovember 4, 2016

Last NPPES UpdateApril 22, 20263 updates tracked since enumeration

NPPES CertifiedApril 22, 2026

✔ NPI 1649712894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CT · 4461

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License 001079 (CT)

71 HAYNES ST, Manchester, CT 06040

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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

Cory R. Degiacomo Pa-c 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 ID8729314778

PECOS Enrollment IDI20190729001650

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

24 services21 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

22 services19 patients

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. FRANKLIN GEORGE GILLIG M.D.

Emergency Medicine

71 HAYNES ST
MANCHESTER, CT 06040

Capitol Planning Region (860) 646-1222

MRS. CORY BERNARD LCSW

Social Worker (Clinical)

71 HAYNES ST, BEHAVIORAL HEALTH UNIT
MANCHESTER, CT 06040

Capitol Planning Region (860) 646-1222

DR. DINESH S. SHAH M.D.

Emergency Medicine

71 HAYNES ST
MANCHESTER, CT 06040

Capitol Planning Region (860) 646-1222

DANIELLE KIREI PA

Physician Assistant

71 HAYNES ST
MANCHESTER, CT 06040

Capitol Planning Region (860) 646-1222

RAJITHA REDDY

Student in an Organized Health Care Education/Training Program

71 HAYNES ST
MANCHESTER, CT 06040

Capitol Planning Region (860) 533-4679

DR. ALLANA R LEE D.O.

Psychiatry & Neurology (Child & Adolescent Psychiatry)

71 HAYNES ST
MANCHESTER, CT 06040

Capitol Planning Region (860) 646-1222

ANDREA LYNCH PA-C

Physician Assistant (Surgical)

71 HAYNES ST
MANCHESTER, CT 06040

Capitol Planning Region (860) 533-6595

JAMSHID A MARVASTI, M.D. P.C.

Psychiatry & Neurology (Psychiatry)

71 HAYNES ST, MMH
MANCHESTER, CT 06040

Capitol Planning Region (860) 643-1166

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 Cory Degiacomo's NPI number?

The NPI number for Cory Degiacomo is 1649712894. It was assigned to this individual provider in the NPPES registry on November 4, 2016.

Where is Cory Degiacomo located?

Cory Degiacomo practices at 71 Haynes St, Manchester, CT 06040. The listed phone number is (860) 646-1222.

What is Cory Degiacomo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Cory Degiacomo enrolled in Medicare?

Yes. Cory Degiacomo 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.

When was this NPI record last updated?

The NPPES record for Cory Degiacomo was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.