Michael R Dibenedetto MD PLLC
NPI 1083809727ActiveOrganization· Orthopaedic Surgery· Ponderay, ID
Orthopaedic Surgery in Ponderay, Idaho, registered in NPPES in September 2007. The authorized official on file is Kirsten Eveland, Practice Manager. Medicare paid $193,489 for services to 36 patients in 2024.
Overview
| NPI | 1083809727 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 6, 2007 |
| Last updated in NPPES | Jun 30, 2026 |
| Certified by provider | Jun 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | — | — |
| Clinic/Center, Rehabilitation, Cardiac Facilities | 261QR0404X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - General Practice (ID); Part B Supplier - Clinic/Group Practice (ID); Part B Supplier - Intensive Cardiac Rehabilitation (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 36 |
|---|---|
| Services billed | 2,087 across 3 procedure codes |
| Paid by Medicare | $193,489 |
Other orthopedic surgeons in Ponderay
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