TIMOTHY DANIEL DIBBLE (MD) – Pain Medicine (Anesthesiology) Physician, NPI 1508936212
Pain Medicine (Anesthesiology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,514 ANESTHESIOLOGY in WA
Provider Addresses for TIMOTHY DANIEL DIBBLE (MD)
1117 N EVERGREEN RD STE 2
SPOKANE VALLEY, WA 992161138
Phone: (509) 363-3100
Fax: (509) 363-0300
Type: Location
1123 N EVERGREEN RD
SPOKANE VALLEY, WA 992161138
Phone: (509) 363-3100
Fax: (509) 363-0300
Type: Location
PO BOX 808
VERADALE, WA 990370808
Phone: (509) 363-3100
Fax: (509) 363-0300
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $540.
Total Amount is formed as General ($540) + Research ($0) + Ownership ($0) = $540.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: ABBVIE INC. ($154).
Total Amount
$540
General + Research + Ownership
Payments
25
Total payment records
General Amount
$540
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $154 |
| PFIZER INC. | $107 |
| Collegium Pharmaceutical, Inc. | $53 |
| SI-BONE, INC. | $42 |
| Nalu Medical, Inc. | $29 |
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: 2004-05-08
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 |
|---|---|---|---|---|
| I20040508000265 | I | Anesthesiology | WA | 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 |
|---|---|---|---|---|
| 80307 | Testing for presence of drug, by chemistry analyzers | 2,121 | 349 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 971 | 72 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 79 | 61 | $0 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 36 | 35 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 32 | 32 | $0 |
Insurance plans in this area (ZIP 99216)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | WA | 20610 | Aspiration and/or injection of large joint or joint capsule | 53 | 39 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WA | |
| Nurse Practitioner | ID | |
| N E U R O S U R G E R Y | WA | |
| Physician Assistant | WA | |
| Physician Assistant | WA | |
| Orthopedic Surgery | WA | |
| - | CO | |
| - | WA | |
| Nurse Practitioner | WA | |
| Anesthesiology, Pain Management | TX |
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