KURT M. DIBBERN MD
NPI 1477637445
Radiology - Diagnostic Radiology in San Rafael, CA

Active since October 25, 2006PECOS EnrolledAccepts Medicare Assignment
99 MONTECILLO RD, SAN RAFAEL, CA 94903(415) 444-2000 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kurt M. Dibbern Md NPPES

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

KURT M. DIBBERN MD (NPI 1477637445) is an individual diagnostic radiology provider in San Rafael, California, licensed in California (G81584) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (1993).

NPPES Registry Identity

NPI1477637445
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameKURT M. DIBBERNCredential: MD
Location Address99 MONTECILLO RDSan Rafael, CA 94903-3308
Mailing Address1800 Harrison St Fl 7Oakland, CA 94612-3466 · (510) 625-6262
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 1993
Enumeration DateOctober 25, 2006
Last NPPES UpdateJanuary 14, 2022
NPI 1477637445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in CA · G81584
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
99 MONTECILLO RD, San Rafael, CA 94903

Other Identifiers 1

Medicaid00G815840CA

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

Kurt M. Dibbern 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 ID749463495
PECOS Enrollment IDI20110318000018
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

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
15 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94903 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
$104.67 typical visit price
range $69.07 – $202.63
Typical copayment $26.16 (range $17.26 – $50.65)
Most-billed visit code 99203
Established Patient
$85.00 typical visit price
range $23.44 – $166.64
Typical copayment $21.25 (range $5.86 – $41.66)
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.

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Dermatology
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Anesthesiology
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Radiology (Diagnostic Radiology)
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Hospitalist
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Speech-Language Pathologist
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Internal Medicine
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Nurse Anesthetist, Certified Registered
99 MONTECILLO RD
SAN RAFAEL, CA 94903

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 Kurt Dibbern's NPI number?

The NPI number for Kurt Dibbern is 1477637445. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Kurt Dibbern located?

Kurt Dibbern practices at 99 Montecillo Rd, San Rafael, CA 94903. The listed phone number is (415) 444-2000.

What is Kurt Dibbern's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Kurt Dibbern enrolled in Medicare?

Yes. Kurt Dibbern 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.

When was this NPI record last updated?

The NPPES record for Kurt Dibbern was last updated on January 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.