✓ Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant (363A00000X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

MIAH DIGREGORIO, PA-C (NPI #1538576293)

Physician Assistant • WARE, MA • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1538576293
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363A00000X (CMS 97)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant
Box 32 Service Location & ZIP+4
85 SOUTH ST, WARE, MA, 01082-1625
✓ 9-Digit EDI 837 ZIP+4 (01082-1625)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1538576293 (MIAH DIGREGORIO, PA-C) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1538576293)

Medicare Beneficiaries
117
Total Billed Services
150
Distinct CPT/HCPCS Codes
17
Medicare Allowed Total
$11,397.09

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCSClinical Procedure DescriptionServices
99202 New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more14
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more55

Actual Top Prescribed Medications (CMS Part D)

Brand / Generic MedicationTotal ClaimsPatients
Nystatin
Nystatin
12<11

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1538576293 (NPI-1 Individual Practitioner)
Provider / Legal NameMIAH DIGREGORIO, PA-C
Plain-English SpecialtyLicensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant
NUCC Code: 363A00000X (Physician Assistant)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address85 SOUTH ST, WARE, MA, 01082-1625
Practice Telephone / FaxTel: (413) 967-6211
Administrative Mailing AddressPO BOX 415348 SECOND FLOOR, BOSTON, MA, 02241-5348
Enumeration & Last SyncEnumerated: 2014-07-15 | CMS Record Updated: 2021-03-25

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

85 SOUTH ST, WARE, MA, 01082-1625

🗺️ Open in Google Maps 🏥 More Providers in WARE

Plain-English Taxonomy & CMS Crosswalk (363A00000X)

What Does Taxonomy Code 363A00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363A00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 97 (Physician Assistant)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Physician Assistant for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MIAH DIGREGORIO, PA-C)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
363A00000X — Physician Assistant
Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant
State: MA | License: PA5092 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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