ANTHONY THOMAS DIBENEDETTO M.D.
NPI 1477505964
Surgery in Lockport, NY

Q: What is Anthony Dibenedetto's NPI number?

The NPI number for Anthony Dibenedetto is 1477505964. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Q: What is Anthony Dibenedetto's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment

97.58/100

CMS Quality Rating

15 ELIZABETH DR, LOCKPORT, NY 14094(716) 434-9141(716) 434-0594 Get Directions Write a Review

NPPES record last updated: September 14, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Anthony Thomas Dibenedetto M.d. NPPES

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

ANTHONY THOMAS DIBENEDETTO M.D. (NPI 1477505964) is an individual surgery provider in Lockport, New York, licensed in New York (149223) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1477505964

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameANTHONY THOMAS DIBENEDETTOCredential: M.D.

Location Address15 ELIZABETH DRLockport, NY 14094-5226

Mailing Address15 Elizabeth DrLockport, NY 14094-5226 · (716) 434-9141 · Fax (716) 434-0594

Phone(716) 434-9141

Fax(716) 434-0594

Sole ProprietorNo

Medical School CMSOtherGraduated 1980

Enumeration DateMay 16, 2006

Last NPPES UpdateSeptember 14, 2022

NPPES CertifiedSeptember 14, 2022

✔ NPI 1477505964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in NY · 149223

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

15 ELIZABETH DR, Lockport, NY 14094

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Secondary Practice Locations 2

Location 11415 Portland Ave Ste 225Rochester, NY 14621-3039 · Phone (585) 922-2900 · Fax (585) 922-2117

Location 21561 Long Pond RdRochester, NY 14626-4117 · Phone (585) 723-7650 · Fax (585) 723-7651

Other Identifiers 1

Medicaid01081910NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anthony Thomas Dibenedetto M.d. 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 ID8921030081

PECOS Enrollment IDI20080619000347

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.

Areas of Expertise CMS Part B claims 4

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 straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

34 services27 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

30 services25 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

13 services13 patients

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.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14094 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

97.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 10

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

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