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Dr. Devlin Alexander Dizacomo , DPT

Physical Therapist โ€ข Indio, CA

Active NPI 1023593902 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

81557 Dr Carreon Blvd Ste C4
Indio, CA 922015562

Call 7603476195 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

81557 Dr Carreon Blvd Ste C4

Indio, CA 922015562

Telephone 7603476195
Fax 7603472849
Organization at the Same NPPES Address or Phone
Cv Physical Therapy, Inc. Facility NPI 1013167527

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Beaufort, SC. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 2 distinct group names: Colorado Luna Care Physical Therapy Llc; Intermountain Medical Group Denver Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2018

Medicare patients

46 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $24,017 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $19,113 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Years since graduation

8 years (graduated 2018)

CMS Doctors and Clinicians data list 2018 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Dizacomo has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Indio and California

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 75% of clinicians listed under Physical Therapist in Indio, CA (2024, 14 clinicians with data). Median for this group: 1,708. Middle half: 1,097 to 2,796.

Fewer Medicare Part B services than 65% of clinicians listed under Physical Therapist in California (2024, 5,942 clinicians with data). Median for this group: 1,829. Middle half: 814 to 3,550.

Medicare-allowed amount

A lower Medicare-allowed amount than 75% of clinicians listed under Physical Therapist in Indio, CA (2024, 14 clinicians with data). Median for this group: $45,656. Middle half: $26,485 to $67,885.

A lower Medicare-allowed amount than 75% of clinicians listed under Physical Therapist in California (2024, 5,942 clinicians with data). Median for this group: $53,387. Middle half: $24,056 to $100,118.

Paid by Medicare

A lower Medicare payment amount than 75% of clinicians listed under Physical Therapist in Indio, CA (2024, 14 clinicians with data). Median for this group: $34,635. Middle half: $20,861 to $52,699.

A lower Medicare payment amount than 70% of clinicians listed under Physical Therapist in California (2024, 5,942 clinicians with data). Median for this group: $40,786. Middle half: $18,226 to $76,753.

30 active clinicians are listed under Physical Therapist with a practice address in Indio, CA (22,546 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Indio

0% of these 30 clinicians have the CMS telehealth indicator.

43.3% of these 30 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2022โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
310 35 $28.43 $22.89
97530 Therapy procedure using functional activities
207 44 $35.47 $31.33
97140 Therapy procedure using manual technique, each 15 minutes
194 39 $26.21 $19.96
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
144 26 $32.59 $26.32
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
67 16 $11.59 $8.45
97150 Therapy procedure in a group setting
47 26 $17.16 $13.00
97161 Evaluation for physical therapy, typically 20 minutes
17 17 $96.90 $93.92

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-02-09
Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

License # reported to NPPES CA PT304810

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Physical Therapist

NUCC Taxonomy Code: 225100000X

License # reported to NPPES NY 043117

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Physical Therapist

NUCC Taxonomy Code: 225100000X

License # reported to NPPES CO PTL.0018134

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE

Medicare Enrollment ID

I20240221000122

Enrollment State Jurisdiction

SC

PECOS Control ID

5597183947

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Intermountain Medical Group Denver Llc

None, Broomfield, CO 80021

Phone: 7208074461

Colorado Luna Care Physical Therapy Llc

None, Denver, CO 80246

Phone: 8665253175

Secondary Practice Locations

1076 Ribaut Rd Ste 102

Beaufort, SC 299025490

Phone: 8435250045

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

15 listed
Dr. Andrew Bowser , DPT

Physical Therapist

NPI 1316617442

Doctor of Physical Therapy

Dr. Jasmine Gongora , DPT

Physical Therapist

NPI 1093590093

Doctor of Physical Therapy

Ian Halderman , PT

Physical Therapist

NPI 1134661192

Physical Therapist

Dr. Alan Hivale , DPT

Physical Therapist

NPI 1811271232

Doctor of Physical Therapy

Darcy Hlavin , PT

Physical Therapist

NPI 1649604257

Physical Therapist

Dr. Vincent Kambe , DPT

Physical Therapist

NPI 1356526099

Doctor of Physical Therapy

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2024

Physical Therapist (license number reported to NPPES: NY 043117)

๐Ÿ“
Updated Practice Location September 25, 2023

Registered at 81557 DR CARREON BLVD STE C4, INDIO, CA 922015562 (Tel: 7603476195)

๐Ÿ“
Updated Business Mailing Address September 25, 2023

Registered at 408 HIGUERA ST STE 200, SAN LUIS OBISPO, CA 934016135 (Tel: 8057880805)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2023

Physical Therapist (license number reported to NPPES: CO PTL.0018134)

๐Ÿ“
Updated Practice Location July 01, 2022

Registered at 13659 E 104TH AVE UNIT 300, COMMERCE CITY, CO 800229402 (Tel: 7205065340)

๐Ÿ“
Updated Business Mailing Address July 01, 2022

Registered at 13659 E 104TH AVE UNIT 300, COMMERCE CITY, CO 800229402 (Tel: 5189358896)

๐Ÿ“
Updated Practice Location August 03, 2020

Registered at 121 EVERETT RD STE 200, ALBANY, NY 122051447 (Tel: 5184892524)

โœ…
NPI Profile Active September 26, 2018

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) September 26, 2018

Registered at 1100 N KENTUCKY AVE, WEST PLAINS, MO 657752029 (Tel: 4172565959)

๐Ÿ“
Business Mailing Address (Initial Record) September 26, 2018

Registered at 11 HOUSEMAN AVE, CHATHAM, NY 120371409 (Tel: 5189358896)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) September 26, 2018

Recorded as DEVLIN DIZACOMO, DPT

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2018

Physical Therapist (license number reported to NPPES: NY 043117)

๐ŸŸข
Initial NPI Registration & Enumeration September 26, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1023593902
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2018
Last Update: February 09, 2024
Sole Proprietor: No

Other Physical Therapists in Indio

All Physical Therapists in Indio

More public profiles in California

Directory navigation, in NPI number order.

Mailing Address

408 Higuera St Ste 200

San Luis Obispo, CA 934016135

Phone: 8057880805

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.