Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013911403 Individual Practitioner Male Practitioner

Dr. Thomas Nicholas Detesco , MD

Internal Medicine • Boardman, OH

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Detesco, MD is a registered healthcare professional specializing in Internal Medicine in Boardman, OH. Practice services are available at 7341 EISENHOWER DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, blood test, clotting time. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7341 Eisenhower Dr

Boardman, OH 445125900

Telephone 3307261138
Fax 3307266128
Associated Practice Facility / Clinic
🏢 First Medical Associates Inc Facility NPI 1609877687

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Boardman, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.5 Yrs
State Avg: 26.9 Yrs
Regional Practice Density
29 Specialists

Practicing in Boardman, OH (5516 Statewide)

Telehealth Adoption Rate
10.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
45.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
419 288 $159.00 $99.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
149 149 $182.00 $108.41
99213 Established patient office or other outpatient visit, typically 15 minutes
131 82 $109.00 $68.04
85610 Blood test, clotting time
63 13 $19.00 $4.75
G0008 Administration of influenza virus vaccine
38 38 $47.00 $19.30
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage
36 36 $36.00 $16.99
81003 Automated urinalysis test
33 32 $7.00 $2.71
G0009 Administration of pneumococcal vaccine
20 20 $47.00 $19.30
93000 Routine ekg using at least 12 leads including interpretation and report
19 15 $32.00 $15.77
90670 Pneumococcal vaccine for injection into muscle
17 17 $385.00 $201.01

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35100173D

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0359348 (OH)
Commercial Insurance / Payer ID License
35100173D (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Benjamin Brocker

Family Medicine

NPI 1164927307
Angela Klimko

Nurse Practitioner - Family

NPI 1396564985
Dr. Ashley Reimer , MD

Family Medicine

NPI 1427286368

Doctor of Medicine (M.D.)

Dr. Suzan Selim , MD

Internal Medicine

NPI 1447264825

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active August 25, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 25, 2017

Registered at 7341 EISENHOWER DR, BOARDMAN, OH 445125900 (Tel: 3307261138)

📍
Updated Business Mailing Address August 25, 2017

Registered at 7341 EISENHOWER DR, BOARDMAN, OH 445125900 (Tel: 3307261138)

👤
Provider Name / Credentials Updated August 25, 2017

Recorded as THOMAS DETESCO, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2017

Internal Medicine (License #35100173D in OH)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 7341 EISENHOWER DR, BOARDMAN, OH 445125900 (Tel: 3307261138)

📍
Updated Business Mailing Address July 08, 2007

Registered at 7341 EISENHOWER DR, BOARDMAN, OH 445125900 (Tel: 3307261138)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as THOMAS DETESCO, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #35100173D in OH)

🟢
Initial NPI Registration & Enumeration June 13, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013911403
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2005
Last Update: March 07, 2023
Sole Proprietor: No

Mailing Address

7341 Eisenhower Dr

Boardman, OH 445125900

Phone: 3307261138

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.