MS. CHRISTINE M DIBENEDETTO (PA-C) – Physician Assistant, NPI 1629345145

MS. CHRISTINE M DIBENEDETTO (PA-C) is a healthcare provider. based in Boston, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA4287 (MA). The NPI Number for MS. CHRISTINE M DIBENEDETTO (PA-C) is 1629345145

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MS. CHRISTINE M DIBENEDETTO (PA-C)
NPI
1629345145
Phone
(617) 636-5866
Address
800 WASHINGTON ST
Enumeration Date
29 November 2011
Last Update Date
3 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9785578900
Graduation Year
2011 (15 years ago)
PAC ID
5294999678
Group Practice PAC ID
1759273436
Professional Enrollment ID
I20120614000730
Address ID
MA018431981LA500XXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:14State licenses:1Digital endpointsOther names

5,093 PHYSICIAN ASSISTANT in MA

Provider Addresses for MS. CHRISTINE M DIBENEDETTO (PA-C)

  • 800 WASHINGTON ST

    #391

    BOSTON, MA 021111552

    Phone: (617) 636-5866

    Type: Mailing

  • 2 CORPORATION WAY STE 180

    PEABODY, MA 019607996

    Phone: (789) 660-0525

    Type: Location

  • 800 Washington St

    #391

    Boston, MA 021111552

    Phone: (617) 636-5866

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-11-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20120614000730IPhysician AssistantMATBD
I20221122000919IPhysician AssistantNHTBD

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 minutes7070$0
99203New patient office or other outpatient visit, 30-44 minutes5353$0
87804Detection test by immunoassay with direct visual observation for influenza virus3719$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus2828$0
99214Established patient office or other outpatient visit, 30-39 minutes2727$0
View full utilization report →

Insurance plans in this area (ZIP 02111)

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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: 1759273436View full group profile
NameSpecialtyState
P A T H O L O G YMA
Sports MedicineMA
Nurse PractitionerNY
Physician AssistantMA
Diagnostic RadiologyME
Physician AssistantMA
Physician AssistantMA
P A T H O L O G YMA
Family Practice, Osteopathic Manipulative MedicineMA
-MA

Reviews

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Frequently asked questions

What is MS. CHRISTINE M DIBENEDETTO (PA-C)'s NPI number?
MS. CHRISTINE M DIBENEDETTO (PA-C)'s NPI is 1629345145 — the number used across U.S. healthcare to identify this provider.
Is MS. CHRISTINE M DIBENEDETTO (PA-C) still an active registrant?
MS. CHRISTINE M DIBENEDETTO (PA-C) carries an active NPI according to the public dataset.
What kind of doctor is MS. CHRISTINE M DIBENEDETTO (PA-C)?
MS. CHRISTINE M DIBENEDETTO (PA-C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for MS. CHRISTINE M DIBENEDETTO (PA-C)?
Travel planning: use Boston, Massachusetts as the reference point for MS. CHRISTINE M DIBENEDETTO (PA-C), then confirm.
Does MS. CHRISTINE M DIBENEDETTO (PA-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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