MICHAEL RAYMOND DIBENEDETTO (M.D.) – Orthopaedic Surgery Physician, NPI 1679644397
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
181 ORTHOPEDIC SURGERY in ID
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Provider Addresses for MICHAEL RAYMOND DIBENEDETTO (M.D.)
Sand Creek Byway, Ponderay, Bonner County, Idaho, 83852, United States
STE 102
PONDERAY, ID 838525005
Phone: (208) 265-9817
Fax: (208) 265-4533
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 1 Open Payments records for all available years, with a total value of $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2023-12-19 • Largest payer in this snapshot: Smith+Nephew, Inc. ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $14 |
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: 2004-03-29
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040329001019 | I | Orthopedic Surgery | ID | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 236 | 177 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 105 | 83 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 92 | 92 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 87 | 71 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 77 | 77 | $0 |
Insurance plans in this area (ZIP 83852)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | ID | |
| Nurse Practitioner | ID | |
| Orthopedic Surgery | MI | |
| Nurse Practitioner | ID | |
| Registered Dietitian Or Nutrition Professional | ID | |
| Registered Dietitian Or Nutrition Professional | ID | |
| Orthopedic Surgery | ID | |
| P O D I A T R Y | ID |
Reviews
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