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MR. PAUL ANTHONY DIBIASE JR. MD
NPI 1407935000
Otolaryngology - Plastic Surgery within the Head & Neck in Steubenville, OH

Active since November 03, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2315 SUNSET BLVD, STEUBENVILLE, OH 43952(740) 266-7006(740) 266-7049 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 23, 2025, May 5, 2020, May 17, 2019 (3 updates tracked since 2019).

About Mr. Paul Anthony Dibiase Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PAUL ANTHONY DIBIASE JR. MD (NPI 1407935000) is an individual plastic surgery within the head & neck provider in Steubenville, Ohio, licensed in Ohio (35.074657) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Trinity Medical Ctr East &trinity Medical Ctr West, and is a graduate of University Of Pittsburgh School Of Medicine (1993).

NPPES Registry Identity

NPI1407935000
Entity TypeIndividualMale
Primary Taxonomy207YX0007X
Provider Legal NameMR. PAUL ANTHONY DIBIASE JR.Credential: MD
Location Address2315 SUNSET BLVDSteubenville, OH 43952
Mailing Address2315 Sunset Blvd Ste ASteubenville, OH 43952-2496 · (740) 266-7006 · Fax (740) 266-7049
Phone(740) 266-7006
Fax(740) 266-7049
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1993
Enumeration DateNovember 3, 2006
Last NPPES UpdateDecember 23, 20253 updates tracked since enumeration
NPPES CertifiedDecember 23, 2025
✔ NPI 1407935000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
License✔ Licensed in OH · 35.074657
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
2315 SUNSET BLVD, Steubenville, OH 43952
Open in Google Maps ↗

Other Identifiers 3

Medicaid2073983OH
Medicaid1038259860001PA
Medicaid3810029289WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Paul Anthony Dibiase Jr. Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466444641
PECOS Enrollment IDI20100212000222
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Paul Dibiase reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Trinity West
1.4 mi
Family Medicine
380 SUMMIT AVE, MSO PHYSICIAN BILLING
Steubenville, OH 43952
  • Reassigned Medicare billing, Ohio enrollment
  • 158 clinicians in this Medicare group
NPI 1043234677 (740) 283-7597

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 9

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
316 services270 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
253 services204 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
129 services107 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
124 services124 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
100 services73 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
70 services70 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trinity Medical Ctr East &trinity Medical Ctr West

Acute Care Hospitals · Steubenville, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360211
Location380 Summit AvenueSteubenville, OH 43952 · Jefferson County
Emergency services Birthing friendly

Weirton Medical Center, Inc

Acute Care Hospitals · Weirton, WV
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number510023
Location601 Colliers WayWeirton, WV 26062 · Hancock County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$25.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JLBF INC
Chiropractor
2315 SUNSET BLVD, SUITE E
STEUBENVILLE, OH 43952
Jefferson County (740) 314-5812
MR. CHRISTOPHER C LONG O.D.
Optometrist
2315 SUNSET BLVD, STE B
STEUBENVILLE, OH 43952
Jefferson County (740) 264-7148
SPIRAL CT AND IMAGING OF STEUBENVILLE
Specialist
2315 SUNSET BLVD, SUITE E
STEUBENVILLE, OH 43952
Jefferson County (740) 346-7226
MR. TONY P. SELLITTI MD
Ophthalmology
2315 SUNSET BLVD, STE B
STEUBENVILLE, OH 43952
Jefferson County (740) 264-7148
MRS. ERICA DONN CARLYN CALL PT
Physical Therapist
2315 SUNSET BLVD, SUITE F
STEUBENVILLE, OH 43952
Jefferson County (740) 266-4908
FORT STEUBEN OPHTHALMOLOGISTS, INC.
Ophthalmology
2315 SUNSET BLVD, SUITE B
STEUBENVILLE, OH 43952
Jefferson County (740) 264-7148
NICHOLAS P MASTROS MD INC
Otolaryngology (Plastic Surgery within the Head & Neck)
2315 SUNSET BLVD
STEUBENVILLE, OH 43952
Jefferson County (740) 266-7006
MR. RONALD C. AGRESTA M.D.
Ophthalmology
2315 SUNSET BLVD, SUITE B
STEUBENVILLE, OH 43952
Jefferson County (740) 264-7148

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 Paul Dibiase's NPI number?

The NPI number for Paul Dibiase is 1407935000. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Paul Dibiase located?

Paul Dibiase practices at 2315 Sunset Blvd, Steubenville, OH 43952. The listed phone number is (740) 266-7006.

What is Paul Dibiase's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Is Paul Dibiase enrolled in Medicare?

Yes. Paul Dibiase is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Paul Dibiase's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Dibiase reassigns Medicare benefits to Trinity West (Steubenville, OH). The 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 Paul Dibiase's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Dibiase accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Paul Dibiase 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.

Is Paul Dibiase affiliated with any hospitals?

According to CMS data, Paul Dibiase is affiliated with Trinity Medical Ctr East &trinity Medical Ctr West and Weirton Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Paul Dibiase was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.