COLLEEN M DIBBLE MD
NPI 1548296221
Internal Medicine in Schenectady, NY

Q: What is Colleen Dibble's NPI number?

The NPI number for Colleen Dibble is 1548296221. It was assigned to this individual provider in the NPPES registry on June 24, 2006. The provider is also known as Colleen M Crumlish.

Q: What is Colleen Dibble's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Colleen Dibble was last updated on May 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 24, 2006PECOS EnrolledAccepts Medicare Assignment

624 MCCLELLAN ST, SUITE G02, SCHENECTADY, NY 12304(518) 382-2203(518) 382-2226 Get Directions Write a Review

NPPES record last updated: May 6, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Colleen M Dibble Md NPPES

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

COLLEEN M DIBBLE MD (NPI 1548296221) is an individual internal medicine provider in Schenectady, New York, licensed in New York (263695) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Ellis Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2000).

NPPES Registry Identity

NPI1548296221

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameCOLLEEN M DIBBLECredential: MD

Location Address624 MCCLELLAN ST, SUITE G02Schenectady, NY 12304-1020

Mailing Address624 Mcclellan St, Suite G02Schenectady, NY 12304-1020 · (518) 382-2203 · Fax (518) 382-2226

Phone(518) 382-2203

Fax(518) 382-2226

Sole ProprietorNo

Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2000

Enumeration DateJune 24, 2006

Last NPPES UpdateMay 6, 2016

✔ NPI 1548296221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 263695

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

624 MCCLELLAN ST, Schenectady, NY 12304

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Other Names 1

Former Name (1)Colleen M Crumlish

Other Identifiers 5

Medicaid03561199NY

Medicare PINJ400088511NY

Other130603000000NY · Fidelis

Other7367465NY · Aetna

Other755CJ1NY · Empire Bluecross/blueshield

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

Colleen M Dibble 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 ID1951408780

PECOS Enrollment IDI20130719000037

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 3

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 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.

103 services62 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

71 services71 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.

14 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Ellis Hospital

Acute Care Hospitals · Schenectady, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330153

Location1101 Nott StreetSchenectady, NY 12308 · Schenectady County

Emergency services Birthing friendly

Saratoga Hospital

Acute Care Hospitals · Saratoga Springs, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330222

Location211 Church StreetSaratoga Springs, NY 12866 · Saratoga County

Emergency services Birthing friendly

Sunnyview Hospital And Rehabilitation Center

Acute Care Hospitals · Schenectady, NY

OwnershipVoluntary non-profit - Private

CMS Certification Number330406

Location1270 Belmont AvenueSchenectady, NY 12308 · Schenectady County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12304 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

$126.40 typical visit price

range $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

Most-billed visit code 99214

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

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.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers24 claims24 services$205.19 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 20

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

DR. PATRICIA A FOX MD

Plastic Surgery

624 MCCLELLAN ST, SUITE 203
SCHENECTADY, NY 12304

Schenectady County (518) 346-2358

CLAIRE S. NADLER D.O.

Family Medicine

624 MCCLELLAN ST, SUITE 101
SCHENECTADY, NY 12304

Schenectady County (518) 382-2260

INNESA SARKISOVA M.D.

Family Medicine

624 MCCLELLAN ST, SUITE 101
SCHENECTADY, NY 12304

Schenectady County (518) 347-5293

DR. RAPHY R REBANAL MD

Surgery

624 MCCLELLAN ST, SUITE 202
SCHENECTADY, NY 12304

Schenectady County (518) 377-6429

NATALIA TODD M.D.

Student in an Organized Health Care Education/Training Program

624 MCCLELLAN ST, SUITE 101
SCHENECTADY, NY 12304

Schenectady County (518) 347-5293

LAUREN SEQUEIRA M.D.

Family Medicine

624 MCCLELLAN ST, SUITE 101
SCHENECTADY, NY 12304

Schenectady County (518) 347-5293

AZUKA S ITABOR M.D.

Family Medicine

624 MCCLELLAN ST, SUITE 101
SCHENECTADY, NY 12304

Schenectady County (518) 382-2260

JESSICA LONGSTRETH LMSW

Social Worker

624 MCCLELLAN ST, SUITE 101
SCHENECTADY, NY 12304

Schenectady County (518) 382-2260

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 Colleen Dibble's NPI number?

The NPI number for Colleen Dibble is 1548296221. It was assigned to this individual provider in the NPPES registry on June 24, 2006. The provider is also known as Colleen M Crumlish.

Where is Colleen Dibble located?

Colleen Dibble practices at 624 Mcclellan St Suite G02, Schenectady, NY 12304. The listed phone number is (518) 382-2203.

What is Colleen Dibble's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Colleen Dibble enrolled in Medicare?

Yes. Colleen Dibble 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.

Is Colleen Dibble affiliated with any hospitals?

According to CMS data, Colleen Dibble is affiliated with Ellis Hospital, Saratoga Hospital and Sunnyview Hospital And Rehabilitation Center.

When was this NPI record last updated?

The NPPES record for Colleen Dibble was last updated on May 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.