DEAN M. CLERICO M.D. NPI 1700814456

NPI Information

  • NPI: 1700814456
  • Provider Name: DEAN M. CLERICO, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 190 WELLES ST
    FORTY FORT, PA
    ZIP 18704
  • Phone: (570) 283-0524

Map and Directions

Get Directions

NPI Details

Dean M. Clerico, M.D. is a specialist in Forty Fort, PA with 39 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Dean M. Clerico, M.D. NPI is 1700814456. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: RUTGERS NEW JERSEY MEDICAL SCHOOL
Graduation Year:1987

The provider's business location address is:

190 WELLES ST
FORTY FORT, PA
ZIP 18704-968
Phone: (570) 283-0524
Fax: (570) 283-0302

The NPI 1700814456 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Professional service for preparation and provision of 1 or more antigens (HCPCS:95165)
  • Professional service for multiple injections of allergen (HCPCS:95117)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Diagnostic exam of nasal passages using an endoscope (HCPCS:31231)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Removal of impacted ear wax (HCPCS:69210)
  • Diagnostic exam of voice box using a flexible endoscope (HCPCS:31575)
  • Exam to assess movement of vocal cord flaps using an endoscope (HCPCS:31579)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Removal or destruction of growth of nose through nose (HCPCS:30117)
  • Test to assess balance during warm or cool irrigation in both ears (HCPCS:92538)
  • Evaluation and testing for balance with recording (HCPCS:92540)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Biopsy or removal of nasal polyp or tissue using an endoscope (HCPCS:31237)
  • Destruction of soft tissue of nasal passages (HCPCS:30801)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Complex control of nose bleed (HCPCS:30903)

The enumeration date for this NPI number is 6/30/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistMD047846LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10013050350002MEDICAIDPENNSYLVANIA
2190221MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
3F42849MEDICARE UPINPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.