DR. LUIS A. DIBOS (M.D.) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1679577639

DR. LUIS A. DIBOS (M.D.) is a healthcare provider. based in Punta gorda, Florida. specializing in THORACIC SURGERY. They hold the professional credentials M.D.. They hold a License No. ME128360 (FL). The NPI Number for DR. LUIS A. DIBOS (M.D.) is 1679577639

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. LUIS A. DIBOS (M.D.)
NPI
1679577639
Phone
(410) 215-9666
Address
3321 SUNSET KEY CIR UNIT 609
Enumeration Date
8 June 2005
Last Update Date
15 July 2025

Doctor Profile

Medical School Name
PONCE SCHOOL OF MEDICINE
Secondary Phone
4062375770
Graduation Year
1988 (38 years ago)
PAC ID
7618032269
Group Practice PAC ID
9638491574
Professional Enrollment ID
I20240802003831
Address ID
MT591017514BI2900XNXXX402

Contacts

Secure Messaging
luis.dibos.1@4692.direct.athenahealth.com
Secure Messaging
him@marshfieldclinichealthsystem.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness95
Years active:20State licenses:1Other names

406 THORACIC SURGERY in FL

Provider Addresses for DR. LUIS A. DIBOS (M.D.)

  • 3321 SUNSET KEY CIR UNIT 609

    PUNTA GORDA, FL 339553906

    Phone: (410) 215-9666

    Type: Mailing

  • 4205 BELFORT RD STE 4015

    JACKSONVILLE, FL 322163623

    Phone:

    Type: Mailing

  • 5147 N 9TH AVE STE 318

    PENSACOLA, FL 325048710

    Phone: (850) 416-2965

    Fax: (850) 416-1833

    Type: Location

  • Harbor Boulevard, Port Charlotte, Charlotte County, Florida, 33954, United States

    PORT CHARLOTTE, FL 339525024

    Phone: (941) 206-0325

    Fax: (941) 766-0423

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $1,096.

Total Amount is formed as General ($1,096) + Research ($0) + Ownership ($0) = $1,096.

Last reported payment date: 2024-05-13 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($856).

Total Amount

$1,096

General + Research + Ownership

Payments

14

Total payment records

General Amount

$1,096

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-11-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 8 Medicare enrollment records; no due dates published yet.

Enrollment records

8

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
I20090213000178ICardiac SurgeryMDTBD
I20100603000069IThoracic SurgeryDCTBD
I20160428001832IThoracic SurgeryCOTBD
I20231205000357IThoracic SurgerySCTBD
I20240201002572ICardiac SurgeryTNTBD
I20240221002614IThoracic SurgeryWITBD
I20240802003831IThoracic SurgeryMTTBD
I20241108003525IThoracic SurgeryVATBD

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
99204New patient office or other outpatient visit, 45-59 minutes4646$0
33533Coronary artery bypass using artery graft, 1 graft2121$0
33508Harvest of vein using an endoscope1818$0
33361Replacement of aortic valve through the skin and femoral artery1616$0
33405Replacement of aortic valve on heart-lung machine1111$0
View full utilization report →

Insurance plans in this area (ZIP 33955)

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Provider's Procedures

DR. LUIS A. DIBOS (M.D.) performs procedures in THORACIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIAC SURGERYMD33533Heart artery bypass to repair one artery2828

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: 9638491574View full group profile

Reviews

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Frequently asked questions

Is DR. LUIS A. DIBOS (M.D.) listed with a National Provider Identifier?
Yes — DR. LUIS A. DIBOS (M.D.) has NPI 1679577639 on file in the registry.
Would DR. LUIS A. DIBOS (M.D.) appear as active to a payer?
You can treat DR. LUIS A. DIBOS (M.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. LUIS A. DIBOS (M.D.)?
DR. LUIS A. DIBOS (M.D.)'s specialty line reads Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. Clinical services aligned with this taxonomy classification.
Is DR. LUIS A. DIBOS (M.D.) located near Punta Gorda?
DR. LUIS A. DIBOS (M.D.) currently maps to Punta Gorda, Florida in this extract.
Can I trust this NPI listing for DR. LUIS A. DIBOS (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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