MARK E DIBBET (MD) – Family Medicine Physician, NPI 1215953948

MARK E DIBBET (MD) is a healthcare provider. based in Roscommon, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 4301070153 (MI). The NPI Number for MARK E DIBBET (MD) is 1215953948

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
MARK E DIBBET (MD)
NPI
1215953948
Phone
(989) 275-1200
Address
234 LAKE ST
Enumeration Date
14 July 2006
Last Update Date
23 November 2020

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
9892751200
Graduation Year
1997 (29 years ago)
PAC ID
4284609876
Group Practice PAC ID
2062736655
Professional Enrollment ID
I20040827000414
Address ID
MI486539203RO234XXSTXX300

Contacts

Secure Messaging
mdibbet@direct.mhc.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

4,418 FAMILY PRACTICE in MI

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Provider Addresses for MARK E DIBBET (MD)

  • Mercy Community Health Center Roscommon, 234, Lake Street, Roscommon, Higgins Township, Roscommon County, Michigan, 48653, United States

    ROSCOMMON, MI 486539203

    Phone: (989) 275-1200

    Fax: (989) 275-1210

    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 23 Open Payments records for all available years, with a total value of $537.

Total Amount is formed as General ($537) + Research ($0) + Ownership ($0) = $537.

Last reported payment date: 2024-10-21 • Largest payer in this snapshot: ABBVIE INC. ($351).

Total Amount

$537

General + Research + Ownership

Payments

23

Total payment records

General Amount

$537

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-21

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: 2004-08-27

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040827000414IFamily PracticeMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48653)

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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: 2062736655View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm MARK E DIBBET (MD)'s NPI?
Yes. MARK E DIBBET (MD) is listed with NPI 1215953948 in the public NPI dataset.
Can I rely on MARK E DIBBET (MD) being an active provider?
As of the registry snapshot, MARK E DIBBET (MD) is marked active.
What is MARK E DIBBET (MD) best known for clinically?
Directory data describes MARK E DIBBET (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does MARK E DIBBET (MD) list a practice location?
Patients near Roscommon, Michigan may find MARK E DIBBET (MD) in results; validate coverage separately.
Why does MARK E DIBBET (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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