DR. MICHELLE RENEE DIBETTA (M.D.) – Family Medicine Physician, NPI 1649531047

DR. MICHELLE RENEE DIBETTA (M.D.) is a healthcare provider. based in Bradenton, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. ME118512 (FL). The NPI Number for DR. MICHELLE RENEE DIBETTA (M.D.) is 1649531047

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHELLE RENEE DIBETTA (M.D.)
NPI
1649531047
Phone
(941) 822-8777
Address
6150 STATE ROAD 70 E
Enumeration Date
1 June 2012
Last Update Date
5 April 2017

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
9418228777
Graduation Year
2012 (14 years ago)
PAC ID
7012227747
Group Practice PAC ID
5496065104
Professional Enrollment ID
I20151110001484
Address ID
FL342039712BR6150X70XX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

6,754 FAMILY PRACTICE in FL

Provider Addresses for DR. MICHELLE RENEE DIBETTA (M.D.)

  • 6150 STATE ROAD 70 E

    BRADENTON, FL 342039712

    Phone: (941) 822-8777

    Fax: (941) 822-8770

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $43.

Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.

Last reported payment date: 2024-09-18 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($43).

Total Amount

$43

General + Research + Ownership

Payments

2

Total payment records

General Amount

$43

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GlaxoSmithKline, LLC.$43
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-11-10

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151110001484IFamily PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes3225$0
G0444Annual depression screening, 5 to 15 minutes2222$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2020$0
99214Established patient office or other outpatient visit, 30-39 minutes1413$0
View full utilization report →

Insurance plans in this area (ZIP 34203)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496065104View full group profile
NameSpecialtyState
Family Practice, Osteopathic Manipulative MedicineFL
Family PracticePA

Reviews

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Frequently asked questions

Can I verify DR. MICHELLE RENEE DIBETTA (M.D.) with an NPI only?
You can start verification with NPI 1649531047 for DR. MICHELLE RENEE DIBETTA (M.D.), then check state licensing separately.
Does CMS list DR. MICHELLE RENEE DIBETTA (M.D.) as active?
Yes — DR. MICHELLE RENEE DIBETTA (M.D.) is active in the NPI listing used on this page.
What taxonomy line describes DR. MICHELLE RENEE DIBETTA (M.D.)?
For research purposes, treat DR. MICHELLE RENEE DIBETTA (M.D.) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. MICHELLE RENEE DIBETTA (M.D.) based?
DR. MICHELLE RENEE DIBETTA (M.D.) is tied to Bradenton, Florida in the data we show; additional addresses may exist on the full record.
Is the information about DR. MICHELLE RENEE DIBETTA (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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