DAVID P DIPAOLO MD
NPI 1376532820
Radiology - Diagnostic Radiology in Tyler, TX
NPI Status: Active since October 18, 2005
Contact Information
11937 US HIGHWAY 271
TYLER, TX
ZIP 75708
Phone: (903) 877-3451
- Individual
- Male
- Radiology
- Diagnostic Radiology
- Accepts Insurance
- PECOS Enrolled
- Medicare Quality Reporting
About DAVID DIPAOLO
This page provides the complete NPI Profile along with additional information for David Dipaolo, a provider established in Tyler, Texas with a medical specialization in Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1376532820 assigned on October 2005. The practitioner's primary taxonomy code is 2085R0202X with license number J8993 (TX). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1376532820
- Provider Name
- DAVID P DIPAOLO MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 11937 US HIGHWAY 271 TYLER, TX 75708
- Location Phone
- (903) 877-3451
- Mailing Address
- PO BOX 731912 DALLAS, TX 75373
- Mailing Phone
- (903) 877-7777
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-18-2005
- Last Update Date
- 10-28-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- J8993
- License State
- TX
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 12 - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Silver 9 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 84W866 | MEDICARE ID-TYPE UNSPECIFIED (04) | TX | |
| G15351 | MEDICARE UPIN (02) | ||
| 118154702 | MEDICAID (05) | TX |
Medicare Participation & PECOS Enrollment Status
David Dipaolo is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 75708 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.92
- Minimum New Patient Price $54.84
- Maximum New Patient Price $166.88
- Average New Patient Copayment $21.23
- Minimum New Patient Copayment $13.71
- Maximum New Patient Copayment $41.72
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.55
- Minimum Established Patient Price $17.52
- Maximum Established Patient Price $136.11
- Average Established Patient Copayment $17.13
- Minimum Established Patient Copayment $4.38
- Maximum Established Patient Copayment $34.02
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|
Reviews for DAVID P DIPAOLO MD
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 7 | 6 | 5 | 3 | 2 | 8 | 2 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 14 | 6 | 10 | 3 | 4 | 8 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 4 + 6 + 1 + 0 + 3 + 4 + 8 + 4 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1376532820 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1033110432 | DR. BILLY JOE SARTOR PHARM.D. Individual | Pharmacist (Pharmacotherapy) | 11937 US HIGHWAY 271 UNIVERSITY OF TEXAS HEALTH CENTER AT TYLER TYLER, TX 75708 (903) 877-7096 |
| 1922096312 | KAREN C APPLEBERRY FNP Individual | Nurse Practitioner (Family) | 11937 US HIGHWAY 271 TYLER, TX 75708 (903) 877-3451 |
| 1649268954 | URSZULA BEDKOWSKA MD Individual | Family Medicine | 11937 US HIGHWAY 271 TYLER, TX 75708 (903) 877-3451 |
| 1750370441 | STANISLAW BEDKOWSKI MD Individual | Emergency Medicine | 11937 US HIGHWAY 271 TYLER, TX 75708 (903) 877-3451 |
| 1194714352 | BARBARA W HUGGINS MD Individual | Pediatrics | 11937 US HIGHWAY 271 TYLER, TX 75708 (903) 877-3451 |
| 1386633451 | DAVID LEROY LAKEY MD Individual | Internal Medicine (Infectious Disease) | 11937 US HIGHWAY 271 TYLER, TX 75708 (903) 877-3451 |
| 1407845522 | INGEBORG ANNA LOEWENSTEIN MD Individual | Internal Medicine (Nephrology) | 11937 US HIGHWAY 271 TYLER, TX 75708 (903) 877-3451 |
| 1205825239 | KIRK A CALHOUN MD Individual | Internal Medicine | 11937 US HIGHWAY 271 TYLER, TX 75708 (903) 877-3451 |
| 1811987639 | ROBERT M PAYNE MD Individual | Internal Medicine (Cardiovascular Disease) | 11937 US HIGHWAY 271 TYLER, TX 75708 (903) 877-3451 |
| 1881684603 | ROGER WILLIAM PORTER MD Individual | Internal Medicine (Rheumatology) | 11937 US HIGHWAY 271 TYLER, TX 75708 (903) 877-3451 |
| 1659353787 | LARRY WAYNE RIGGINS PA Individual | Physician Assistant | 11937 US HIGHWAY 271 TYLER, TX 75708 (903) 877-3451 |
| 1326023896 | JOHN HOLBROOK CHALMERS JR. MD Individual | Radiology (Diagnostic Radiology) | 11937 US HIGHWAY 271 TYLER, TX 75708 (903) 877-3451 |
| 1902878671 | MR. VINCENT ALIBRANDO R.PH. Individual | Pharmacist | 11937 US HIGHWAY 271 TYLER, TX 75708 (903) 877-7088 |
| 1669446027 | DR. PAMELLA OCHOA PHARM.D. Individual | Pharmacist | 11937 US HIGHWAY 271 TYLER, TX 75708 (903) 877-3451 |
| 1437174380 | RCOA IMAGING SERVICES Organization | Clinic/Center (Radiology, Mobile) | 11937 US HIGHWAY 271 TYLER, TX 75708 (866) 293-3500 |
| 1669498689 | DR. NIRMALA P BANGALORE MD Individual | Family Medicine | 11937 US HIGHWAY 271 TYLER, TX 75708 (903) 877-2827 |
| 1285746586 | MS. ERIN DAWN LANGEWISCH RD/LD, CDE Individual | Dietitian, Registered | 11937 US HIGHWAY 271 TYLER, TX 75708 (903) 877-7569 |
| 1609920545 | MS. SALLY J BROWN FNP Individual | Nurse Practitioner | 11937 US HIGHWAY 271 TYLER, TX 75708 (903) 877-2827 |
| 1417001124 | DR. ANDREW L SCHMITT PHD Individual | Psychologist | 11937 US HIGHWAY 271 TYLER, TX 75708 (903) 877-2827 |
| 1528281722 | DR. MONTE KEITH SMITH D.O. Individual | Internal Medicine | 11937 US HIGHWAY 271 UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER TYLER TYLER, TX 75708 (903) 877-7272 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376532820, enumerated in the NPI registry as an "individual" on October 18, 2005
The provider is located at 11937 Us Highway 271 Tyler, Tx 75708 and the phone number is (903) 877-3451
The provider's speciality is Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Molina. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $84.92 with an average copayment of $21.23 for new patient appointments. Established patients should expect a typical charge of $68.55 and an average copayment of 17.13. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on October 18, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.