MICHAEL R DIBENEDETTO MD PLLC
NPI 1083809727
Orthopaedic Surgery in Ponderay, ID
About Michael R Dibenedetto Md Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL R DIBENEDETTO MD PLLC (NPI 1083809727), doing business as North Idaho Cardiac Rehabilitation, is a healthcare organization registered as an orthopaedic surgery in Ponderay, Idaho and active in the NPI registry since September 2007. The organization lists Kirsten Eveland, Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 3
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Michael R Dibenedetto Md Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
15Medicare enrollment records show 15 clinicians reassign Medicare billing to Michael R Dibenedetto MD PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 8 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (15)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Michael R Dibenedetto MD PLLC's NPI number?
The NPI number for Michael R Dibenedetto MD PLLC is 1083809727. It was assigned to this organization in the NPPES registry on September 6, 2007. The provider is doing business as North Idaho Cardiac Rehabilitation, North Idaho Orthopedics & Sports Medicine and Woodlands Family Medicine.
Where is Michael R Dibenedetto MD PLLC located?
Michael R Dibenedetto MD PLLC is located at 30544 Hwy 200 Ste 102, Ponderay, ID 83852. The listed phone number is (208) 265-9836.
What is Michael R Dibenedetto MD PLLC's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Michael R Dibenedetto MD PLLC enrolled in Medicare?
Yes. Michael R Dibenedetto MD PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Michael R Dibenedetto MD PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 6 Medicare specialties reassign their Medicare billing to Michael R Dibenedetto MD PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (7), Orthopedic Surgery (3) and Registered Dietitian or Nutrition Professional (2). Of these, 3 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Michael R Dibenedetto MD PLLC accept?
Health plans from Molina Healthcare list Michael R Dibenedetto MD PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Michael R Dibenedetto MD PLLC was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Michael R Dibenedetto Md Pllc · NPI 1083809727
Orthopaedic Surgery organization in Ponderay, Idaho. Organization record, active in the CMS NPPES registry since September 6, 2007.
## Identity
- **NPI:** 1083809727 (Entity type: Organization)
- **Enumerated:** September 6, 2007
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **Also known as:** North Idaho Cardiac Rehabilitation (Doing Business As); North Idaho Orthopedics & Sports Medicine (Doing Business As); Woodlands Family Medicine (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Kirsten Eveland, PRACTICE MANAGER
## Practice location
- **Address:** 30544 HWY 200, STE 102, Ponderay, ID 83852
- **Phone:** (208) 265-9836 · **Fax:** (208) 263-7249
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 15 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Orthopedic Surgery (3), Registered Dietitian or Nutrition Professional (2); 3 practice at this address and 8 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 30, 2026
- **Other identifiers:** Other DG3627 (ID); Medicaid 806452000 (ID); Other 000010140056 (ID); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1083809727) · Data from the CMS NPPES public registry.