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DR. MICHAEL C DICELLO MD
NPI 1720083173
Allergy & Immunology in Bozeman, MT

Active since June 14, 2005PECOS EnrolledAccepts Medicare Assignment
1188 N 15TH AVE STE 3, BOZEMAN, MT 59715(406) 582-1111(406) 582-1112 Get Directions Write a Review

NPPES record last updated: July 28, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 28, 2023, Jul 21, 2022, Dec 8, 2017 (3 updates tracked since 2017).

About Dr. Michael C Dicello Md NPPES

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

DR. MICHAEL C DICELLO MD (NPI 1720083173) is an individual allergy & immunology provider in Bozeman, Montana, licensed in Montana (11976) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Bozeman Health Deaconess Hospital, and is a graduate of Ohio State University College Of Medicine (1994).

NPPES Registry Identity

NPI1720083173
Entity TypeIndividualMale
Primary Taxonomy207K00000X
Provider Legal NameDR. MICHAEL C DICELLOCredential: MD
Location Address1188 N 15TH AVE STE 3Bozeman, MT 59715-3290
Mailing Address1188 N 15th Ave Ste 3Bozeman, MT 59715-3290 · (406) 582-1111 · Fax (406) 582-1112
Phone(406) 582-1111
Fax(406) 582-1112
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1994
Enumeration DateJune 14, 2005
Last NPPES UpdateJuly 28, 20233 updates tracked since enumeration
NPPES CertifiedJuly 28, 2023
✔ NPI 1720083173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
Licenses✔ Licensed in MT · 11976✔ Licensed in VT · 42-000-9879
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
1188 N 15TH AVE STE 3, Bozeman, MT 59715
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Other Identifiers 6

Medicaid01961568NY
Other96G431NY · Bcbs Northeast New York
Medicaid0VN1993VT
Other7525992-001VT · Cigna
Other03V100VT · Mvp
Other48079VT · Blue Cross Blue Shield Vt

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael C Dicello 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 ID8729130943
PECOS Enrollment IDI20090720000473
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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Dicello reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Equanimity Health Care, P.C.
Same address
Medical Specialty
1188 N 15TH AVE STE 3
Bozeman, MT 59715
  • Reassigned Medicare billing, Montana enrollment
  • Medicare enrollment name: Equanimity Health Care PC
  • 2 clinicians in this Medicare group
NPI 1356637656 (406) 582-1111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

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.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
590 services20 patients
Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
523 services14 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
374 services22 patients
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.
108 services87 patients
Test to measure the level of nitric oxide gas 95012
A test to measure the level of nitric oxide gas helps assess inflammation in the lungs, often linked with asthma. You'll breathe into a device, and it'll provide a reading of nitric oxide levels. This helps monitor and manage respiratory conditions.
90 services67 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
87 services71 patients

Hospital Affiliations CMS Care Compare

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

Bozeman Health Deaconess Hospital

Acute Care Hospitals · Bozeman, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270057
Location915 Highland Blvd Suite 3310Bozeman, MT 59715 · Gallatin County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 9

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
3 suppliers17 claims61 services$19.23 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
1 supplier12 claims12 services$21.30 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
1 supplier24 claims24 services$113.55 avg. paid by Medicare
Injection, immune globulin (hizentra), 100 mg J1559
Treatment-Injections and Infusions (nononcologic) · category RI008N
2 suppliers19 claims12,000 services$9.49 avg. paid by Medicare
Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605
DME-Drugs Administered Through DME · category DG006N
3 suppliers16 claims960 services$4.37 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
5 suppliers36 claims2,222 services$0.79 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 2

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

EQUANIMITY HEALTH CARE, P.C.
Clinic/Center (Medical Specialty)
1188 N 15TH AVE STE 3
BOZEMAN, MT 59715
Gallatin County (406) 582-1111
CINDY K FEDDES FNP
Nurse Practitioner
1188 N 15TH AVE STE 3
BOZEMAN, MT 59715
Gallatin County (406) 582-1111

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 Michael Dicello's NPI number?

The NPI number for Michael Dicello is 1720083173. It was assigned to this individual provider in the NPPES registry on June 14, 2005.

Where is Michael Dicello located?

Michael Dicello practices at 1188 N 15th Ave Ste 3, Bozeman, MT 59715. The listed phone number is (406) 582-1111.

What is Michael Dicello's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Michael Dicello enrolled in Medicare?

Yes. Michael Dicello 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.

Which organization bills Medicare for Michael Dicello's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Dicello reassigns Medicare benefits to Equanimity Health Care, P.C. (Bozeman, MT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Dicello's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Dicello accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Michael Dicello as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Dicello affiliated with any hospitals?

According to CMS data, Michael Dicello is affiliated with Bozeman Health Deaconess Hospital.

When was this NPI record last updated?

The NPPES record for Michael Dicello was last updated on July 28, 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.