NPIMap

Individual provider Active NPI

Ronald Enrico Disimone, M.D.

  • Orthopaedic Surgery Physician
  • Williamsport, PA
National Provider Identifier
1063405264
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD029691-E Issued in PA
Practice address
1705 Warren Ave
Suite 101-103
Williamsport, PA 17701-2647
Phone
(570) 321-2020
Fax
(570) 320-7576
NPI assigned
Aug 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD029691-E PA Primary

Addresses

Primary practice location

1705 Warren Ave
Suite 101-103
Williamsport, PA 17701-2647

Mailing address

1201 Grampian Blvd
Williamsport, PA 17701-1900

Other identifiers 2

IdentifierTypeStateIssuer
0010866270001MedicaidPA
489816OtherPAHIGHMARK BLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rdisimone77052@upmc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090311000622 PA Practitioner - Orthopedic Surgery 7911063276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Hahnemann University College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Susquehanna Physician ServicesGroup PAC ID 2264336460, 611 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

1100 Grampian Blvd
Williamsport, PA 17701-1909

1201 Grampian Blvd
Williamsport, PA 17701-1965

1705 Warren
205 Suite U4 Susquehanna Health ENT
Williamsport, PA 17701-2647
Phone (570) 320-7474

1705 Warren Ave
Williamsport, PA 17701-2647
Phone (570) 321-2020

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

2330 Saint Mary St W
Lewisburg, PA 17837-8805

2330 Saint Mary St W FL
1 SH Urology
Lewisburg, PA 17837-8805
Phone (570) 522-8328

32 -36 Central Ave
Wellsboro, PA 16901-1840
Phone (570) 723-0119

416 S Main St
Mansfield, PA 16933-1510

700 High St
Williamsport, PA 17701-3100

700 High St
Williamsport, PA 17701-3198

Hospital & facility affiliations

  • Upmc Williamsport Hospital, Williamsport, PA, CCN 390045
  • Wellspan Evangelical Community Hospital Hospital, Lewisburg, PA, CCN 390013
  • Bucktail Medical Center Hospital, Renovo, PA, CCN 391304
  • Geisinger Medical Center Hospital, Danville, PA, CCN 390006
  • Upmc Muncy Hospital, Muncy, PA, CCN 391301

Merit-based Incentive Payment System (MIPS)

Final score
81.06 of 100Reported as group
Quality
62.07
Promoting interoperability
100
Improvement activities
40
Cost
74.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement21
Knee replacement20
Spinal fusion91
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Laminectomy or laminotomy (partial removal of spine bones)17
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD029691-EPAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Susquehanna Physician Services CurrentSince Jan 1, 2009 Accepting new patients
Susquehanna Physician Services Orthopaedic Surgery CurrentSince Jan 1, 2009 Accepting new patients
Susquehanna Physician Services Current Accepting new patients
Upmc Williamsport Past Accepting new patients
Susquehanna Physician Services Past Accepting new patients

Locations

1705 Warren Ave
Williamsport, PA 17701
Phone (570) 320-7470

1705 Warren Ave
Ste 101103
Williamsport, PA 17701

1201 Grampian Blvd
Ste 2F
Williamsport, PA 17701
Phone (570) 320-7598

700 High St
Williamsport, PA 17701
Phone (570) 321-1000

1705 Warren Ave
Ste 204205
Williamsport, PA 17701
Phone (570) 320-7474

1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723

Interoperability endpoints

  • Direct secure messaging: rdisimone77052@upmc.direct-ci.com
  • Direct secure messaging: ronald.e.disimone@upmcdirect.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Williamsport Regional Medical CenterWilliamsport, PA, CCN 390045 Hospital Corporate Director Sep 1, 2016
Williamsport Regional Medical CenterWilliamsport, PA, CCN 39T045 Hospital Corporate Director Sep 1, 2016

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 39

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 39

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1063405264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 GRAMPIAN BLVD",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 WARREN AVE",
            "address_2": "SUITE 101-103",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177012647",
            "telephone_number": "570-321-2020",
            "fax_number": "570-320-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISIMONE",
        "first_name": "RONALD",
        "middle_name": "ENRICO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD029691-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010866270001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "489816",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdisimone77052@upmc.direct-ci.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

Verify at the official NPI Registry.