Active NPI
Dean M. Clerico, M.D.
- Specialist
- Forty Fort, PA
National Provider Identifier
1700814456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD047846L
- Practice address
- 190 Welles St
Forty Fort, PA 18704-4968 - Phone
- (570) 283-0524
- Fax
- (570) 283-0302
- NPI assigned
- Jun 30, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD047846L | PA | Primary |
Addresses
Primary practice location
190 Welles St
Forty Fort, PA 18704-4968
Mailing address
190 Welles St
Forty Fort, PA 18704-4968
Phone (570) 283-0524
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0013050350002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Rutgers New Jersey Medical School, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Phoenix Rehabilitation and Health Services Inc
Practice addresses (Care Compare)
190 Welles St
Forty Fort, PA 18704-4968
Phone (570) 283-0524
2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238
Hospital & facility affiliations
- Wilkes-Barre General Hospital
- Geisinger Wyoming Valley Medical Center
- Geisinger-Community Medical Center
- John Heinz Institute of Rehabilitation Medicine
Merit-based Incentive Payment System (MIPS)
- Final score
- 41.16 of 100
- Quality
- 82.32
- Improvement activities
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD047846L | PA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley ENT, P.C. | Specialist | Current | Accepting new patients |
Locations
190 Welles St
Kingston, PA 18704
Phone (570) 283-0524
Interoperability endpoints
- dclerico@valleyent.medentdirect.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Forty Fort, PA
- NPI 1114082781
Hospital & facility affiliations 33
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Geisinger Cardiology Scranton, A service of GCMC
- Clinic/Center
- Scranton, PA
- NPI 1285032128
Hospital
-
dba Geisinger Community Medical Center
- Endocrinology, Diabetes & Metabolism Physician
- Scranton, PA
- NPI 1306439856
Hospital
-
dba Geisinger Community Medical Center
- General Acute Care Hospital
- Scranton, PA
- NPI 1366444507
-
- General Acute Care Hospital
- Scranton, PA
- NPI 1972652063
-
- Diagnostic Radiology Physician
- Scranton, PA
- NPI 1467850149
Hospital
-
- Radiology Clinic/Center
- Scranton, PA
- NPI 1548648272
Hospital
-
- Radiology Clinic/Center
- Scranton, PA
- NPI 1124405592
Hospital
-
- Physical Therapy Clinic/Center
- Scranton, PA
- NPI 1336526276
Hospital
-
- Sleep Disorder Diagnostic Clinic/Center
- Scranton, PA
- NPI 1417334350
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700814456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 WELLES ST",
"city": "FORTY FORT",
"state": "PA",
"postal_code": "187044968",
"telephone_number": "570-283-0524",
"fax_number": "570-283-0302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 WELLES ST",
"city": "FORTY FORT",
"state": "PA",
"postal_code": "187044968",
"telephone_number": "570-283-0524",
"fax_number": "570-283-0302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLERICO",
"first_name": "DEAN",
"middle_name": "M.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "MD047846L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0013050350002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Forty Fort, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.