THOMAS D DIBENEDETTO (M.D.) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1104822485

THOMAS D DIBENEDETTO (M.D.) is a healthcare provider. based in Allentown, Pennsylvania. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. MD040163E (PA). The NPI Number for THOMAS D DIBENEDETTO (M.D.) is 1104822485

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS D DIBENEDETTO (M.D.)
NPI
1104822485
Phone
(610) 435-1003
Address
1250 S CEDAR CREST BLVD
Enumeration Date
22 June 2005
Last Update Date
20 August 2024

Doctor Profile

Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Secondary Phone
6104028900
Graduation Year
1983 (43 years ago)
PAC ID
5597889162
Group Practice PAC ID
3072425123
Professional Enrollment ID
I20100903000034
Address ID
PA181036224AL1250XBLVD527
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,621 ORTHOPEDIC SURGERY in PA

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Provider Addresses for THOMAS D DIBENEDETTO (M.D.)

  • South Cedar Crest Boulevard, Bungalow Park, Cetronia, South Whitehall Township, Lehigh County, Pennsylvania, 18104, United States

    SUITE 110

    ALLENTOWN, PA 181036224

    Phone: (610) 435-1003

    Fax: (610) 435-3184

    Type: Location

  • PO BOX 1754

    ALLENTOWN, PA 181051754

    Phone: (484) 884-4500

    Fax: (484) 884-0699

    Type: Mailing

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 $54.

Total Amount is formed as General ($54) + Research ($0) + Ownership ($0) = $54.

Last reported payment date: 2024-04-30 • Largest payer in this snapshot: Novus Surgical Consultants ($38).

Total Amount

$54

General + Research + Ownership

Payments

2

Total payment records

General Amount

$54

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-30

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: 2010-09-03

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
I20100903000034IOrthopedic SurgeryPATBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg5,259409$0
20610Aspiration and/or injection of fluid from large joint840376$0
99213Established patient office or other outpatient visit, 20-29 minutes637414$0
J7323Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose473105$0
99203New patient office or other outpatient visit, 30-44 minutes153153$0
View full utilization report →

Insurance plans in this area (ZIP 18103)

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Provider's Procedures

THOMAS D DIBENEDETTO (M.D.) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYPA20610Aspiration and/or injection of large joint or joint capsule973449
ORTHOPEDIC SURGERYPA73110X-ray of wrist, minimum of 3 views4129
ORTHOPEDIC SURGERYPA73562X-ray of knee, 3 views248189

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: 3072425123View full group profile

Reviews

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Frequently asked questions

What federal number belongs to THOMAS D DIBENEDETTO (M.D.)?
The federal identifier for THOMAS D DIBENEDETTO (M.D.) is NPI 1104822485.
Does this profile mean THOMAS D DIBENEDETTO (M.D.) is currently active?
Yes — THOMAS D DIBENEDETTO (M.D.) appears active in the national provider directory.
What field does THOMAS D DIBENEDETTO (M.D.) work in?
You can think of THOMAS D DIBENEDETTO (M.D.) as practicing within Sports Medicine (Orthopaedic Surgery) Physician. Clinical services aligned with this taxonomy classification.
Does THOMAS D DIBENEDETTO (M.D.) practice in Pennsylvania?
You will see Allentown, Pennsylvania on file for THOMAS D DIBENEDETTO (M.D.) alongside any extra practice locations.
Is THOMAS D DIBENEDETTO (M.D.) a real provider?
This page reflects official NPPES data for NPI 1104822485. Always confirm identity and privileges with the practice and licensing boards.

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