Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Michael Anthony Disimone , MPH, MPAS, PA-C

Physician Assistant • Fredericksburg, VA

Active NPI 1104801497 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

3501 Lafayette Blvd
Fredericksburg, VA 224084130

Call 5403717118 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

3501 Lafayette Blvd

Fredericksburg, VA 224084130

Telephone 5403717118
Fax 5403713248
Organization at the Same NPPES Address or Phone
Dermatology Center Pc Facility NPI 1073688768

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

CMS Doctors and Clinicians lists 1 group name: Pinnacle Dermatology Sc. 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

2008

Medicare patients

990 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 – by Provider, 2024.

Medicare-allowed amount

About $226,024 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 – by Provider and Service, 2024.

Paid by Medicare

About $152,119 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 – by Provider and Service, 2024.

30-day fills

717 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$24,513 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $2,128.62 across 105 records.

By nature of payment

  • Food and Beverage: $2,128.62 across 105 records.

Reporting-company totals (3 largest of 18)

  • ABBVIE INC.: $483.18 across 22 records.
  • Janssen Pharmaceuticals, Inc: $297.73 across 14 records.
  • Sanofi and Genzyme US Companies: $168.85 across 6 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

18 years (graduated 2008)

CMS Doctors and Clinicians data list 2008 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

2005

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, “Does your provider accept Medicare as full payment?”

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)

Michael Disimone 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

Can order Medicare-covered services

CMS lists Michael Disimone as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

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

Guide: What ordering and referring status means

Compared with the same specialty in Fredericksburg and Virginia

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 90% of clinicians listed under Physician Assistant in Fredericksburg, VA (2024, 77 clinicians with data). Median for this group: 350. Middle half: 159 to 1,006.

More Medicare Part B services than 95% of clinicians listed under Physician Assistant in Virginia (2024, 2,247 clinicians with data). Median for this group: 288. Middle half: 107 to 693.

Medicare-allowed amount

A higher Medicare-allowed amount than 95% of clinicians listed under Physician Assistant in Fredericksburg, VA (2024, 77 clinicians with data). Median for this group: $24,378. Middle half: $15,455 to $47,722.

A higher Medicare-allowed amount than 95% of clinicians listed under Physician Assistant in Virginia (2024, 2,247 clinicians with data). Median for this group: $23,153. Middle half: $9,003 to $44,800.

Paid by Medicare

A higher Medicare payment amount than 95% of clinicians listed under Physician Assistant in Fredericksburg, VA (2024, 77 clinicians with data). Median for this group: $18,439. Middle half: $11,678 to $35,733.

A higher Medicare payment amount than 95% of clinicians listed under Physician Assistant in Virginia (2024, 2,247 clinicians with data). Median for this group: $17,218. Middle half: $6,803 to $32,639.

Medicare Part D prescriptions

More Part D prescriptions than 75% of clinicians listed under Physician Assistant in Fredericksburg, VA (2024, 75 clinicians with data). Median for this group: 209. Middle half: 72 to 597.

More Part D prescriptions than 70% of clinicians listed under Physician Assistant in Virginia (2024, 2,256 clinicians with data). Median for this group: 247. Middle half: 75 to 708.

Part D drug cost

A higher Part D drug cost than 70% of clinicians listed under Physician Assistant in Fredericksburg, VA (2024, 75 clinicians with data). Median for this group: $2,767. Middle half: $524 to $62,908.

A higher Part D drug cost than 65% of clinicians listed under Physician Assistant in Virginia (2024, 2,256 clinicians with data). Median for this group: $3,441. Middle half: $640 to $57,211.

113 active clinicians are listed under Physician Assistant with a practice address in Fredericksburg, VA (4,411 in Virginia).

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

Telehealth indicator in Fredericksburg

11.5% of these 113 clinicians have the CMS telehealth indicator.

69.9% of these 113 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): 105 records totaling $2,128.62.

Manufacturer Payment Nature Product Type Amount ($)
ABBVIE INC.
Food and Beverage
In-kind items and services
SKYRIZI General $124.99
Galderma Laboratories, L.P.
Food and Beverage
In-kind items and services
NEMLUVIO General $72.62
Organogenesis Inc.
Food and Beverage
In-kind items and services
PURAPLY WOUND MATRIX General $34.61
SUN PHARMACEUTICAL INDUSTRIES INC.
Food and Beverage
In-kind items and services
Leqselvi General $33.08
Kerecis Limited
Food and Beverage
Cash or cash equivalent
Kerecis SurgiClose General $31.48
Sanofi and Genzyme US Companies
Food and Beverage
In-kind items and services
DUPIXENT General $31.14
Sanofi and Genzyme US Companies
Food and Beverage
In-kind items and services
DUPIXENT General $31.11
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
Rhapsido General $30.94
Sanofi and Genzyme US Companies
Food and Beverage
In-kind items and services
DUPIXENT General $30.51
ABBVIE INC.
Food and Beverage
In-kind items and services
SKYRIZI General $28.90
LEO Pharma Inc.
Food and Beverage
In-kind items and services
ADBRY General $28.85
Amgen Inc.
Food and Beverage
In-kind items and services
OTEZLA General $28.74
UCB, Inc.
Food and Beverage
In-kind items and services
Bimzelx General $28.72
LEO Pharma Inc.
Food and Beverage
In-kind items and services
ADBRY General $28.64
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
COSENTYX General $28.37
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
— General $28.14
Regeneron Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
DUPIXENT General $28.10
Sanofi and Genzyme US Companies
Food and Beverage
In-kind items and services
DUPIXENT General $27.87
Sanofi and Genzyme US Companies
Food and Beverage
In-kind items and services
DUPIXENT General $27.19
ABBVIE INC.
Food and Beverage
In-kind items and services
RINVOQ General $27.17
LEO Pharma Inc.
Food and Beverage
In-kind items and services
ADBRY General $27.10
Regeneron Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
DUPIXENT General $27.00
SUN PHARMACEUTICAL INDUSTRIES INC.
Food and Beverage
In-kind items and services
Winlevi General $26.60
ABBVIE INC.
Food and Beverage
In-kind items and services
SKYRIZI General $26.01
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
Rhapsido General $25.98

(top 25 shown)

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 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 – by Provider and Service data, 2017–2024; 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
17003 Destruction of precancer skin growth, 2-14 growths
1,996 293 $19.64 $5.46
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
995 739 $267.32 $74.62
17110 Destruction of skin growth, 1-14 growths
519 425 $335.64 $92.89
17000 Destruction of precancer skin growth, 1 growth
481 370 $199.46 $42.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
239 239 $327.08 $90.97
11102 Biopsy of related skin growth, first growth
183 163 $295.21 $74.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
97 86 $166.25 $46.48
17004 Destruction of precancer skin growth, 15 or more growths
76 58 $492.58 $137.67
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm
41 37 $719.99 $100.41
11200 Removal of skin tag, 1-15 skin tags
26 26 $273.05 $54.75
11103 Biopsy of related skin growth, each additional growth
21 16 $147.80 $41.25
13121 Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm
20 19 $1243.16 $346.91
69100 Biopsy of ear
18 17 $280.66 $60.94
11900 Injection into skin growth, 1-7 growths
14 12 $168.38 $42.23
17111 Destruction of skin growth, 15 or more growths
14 11 $392.59 $109.67
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
14 12 $2.94 $0.97
13101 Complicated repair of wound of trunk, 2.6-7.5 cm
13 13 $1167.03 $312.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
11 11 $375.76 $105.53

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.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Clobetasol Propionate Clobetasol Propionate 163 4,952 $9,534.26 60
Triamcinolone Acetonide Triamcinolone Acetonide 81 2,967 $1,385.51 48
Ketoconazole Ketoconazole 54 1,790 $1,078.00 34
Betamethasone Dipropionate Betamethasone Dipropionate 51 1,312 $2,541.82 35
Mupirocin Mupirocin 49 1,151 $366.46 37
Clindamycin Phosphate Clindamycin Phosphate 40 1,200 $1,586.52 11
Ammonium Lactate Ammonium Lactate 35 1,100 $773.73 20
Metronidazole Metronidazole 22 825 $1,228.37 16
Nystatin Nystatin 22 690 $668.29 —
Fluorouracil Fluorouracil 21 567 $1,456.11 16
Doxycycline Hyclate Doxycycline Hyclate 20 556 $346.92 13
Ciclopirox Ciclopirox Olamine 20 575 $413.57 16
Ciclopirox Ciclopirox 19 570 $528.30 —
Tretinoin Tretinoin 15 440 $1,041.31 —
Econazole Nitrate Econazole Nitrate 15 405 $551.03 —
Cephalexin Cephalexin 12 136 $136.41 11
Halobetasol Propionate Halobetasol Propionate 12 360 $672.47 —
Minocycline Hcl Minocycline Hcl 11 394 $204.01 —

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES None 1070430

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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: Virginia Department of Health Professions.
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 - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20190225003134

Enrollment State Jurisdiction

DC

PECOS Control ID

2163594326

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

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

Pinnacle Dermatology Sc

1982 Opitz Blvd, Woodbridge, VA 221913304

Phone: 8157448554

Clinicians Sharing This Practice Address or Phone

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

3 listed
Andrea Grant

Physician Assistant

NPI 1568951606
NPI 1194812776

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Emma Ubbelohde , NP-C

Nurse Practitioner

NPI 1245873306

Nurse Practitioner (Certified)

Career & Practice History

NPI enumerated December 09, 2005.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1104801497
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 09, 2005
Last Update: March 09, 2015
Sole Proprietor: No

Other Physician Assistants in Fredericksburg

All Physician Assistants in Fredericksburg

Mailing Address

10805 Cedar Creek Dr

Spotsylvania, VA 225514689

Phone: 5404129558

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.