KEITH DIBENEDETTO CRNP
NPI 1699259580
Nurse Practitioner - Primary Care in Hunt Valley, MD

Q: What is Keith Dibenedetto's NPI number?

The NPI number for Keith Dibenedetto is 1699259580. It was assigned to this individual provider in the NPPES registry on September 18, 2018.

Q: What is Keith Dibenedetto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Keith Dibenedetto was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since September 18, 2018PECOS EnrolledAccepts Medicare Assignment

11121 YORK RD, HUNT VALLEY, MD 21030(410) 628-2026(410) 667-6834 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 14, 2024, Sep 18, 2018 (2 updates tracked since 2018).

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About Keith Dibenedetto Crnp NPPES

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

KEITH DIBENEDETTO CRNP (NPI 1699259580) is an individual primary care provider in Hunt Valley, Maryland, licensed in Maryland (R210044) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1699259580

Entity TypeIndividualMale

Primary Taxonomy363LP2300X

Provider Legal NameKEITH DIBENEDETTOCredential: CRNP

Location Address11121 YORK RDHunt Valley, MD 21030-2006

Mailing Address11121 York RdHunt Valley, MD 21030-2006 · (410) 628-2026 · Fax (410) 667-6834

Phone(410) 628-2026

Fax(410) 667-6834

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateSeptember 18, 2018

Last NPPES UpdateNovember 14, 20242 updates tracked since enumeration

NPPES CertifiedNovember 14, 2024

✔ NPI 1699259580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in MD · R210044

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License R210044 (MD)

11121 YORK RD, Hunt Valley, MD 21030

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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

Keith Dibenedetto Crnp 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 ID4385981935

PECOS Enrollment IDI20190122000148

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 12

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.

163 services116 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.

63 services63 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.

62 services52 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

50 services48 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

27 services27 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

23 services23 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

13 services12 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

12 services11 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

12 services12 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

12 services12 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

11 services11 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21030 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

$94.08 typical visit price

range $60.73 – $183.44

Typical copayment $23.52 (range $15.18 – $45.86)

Most-billed visit code 99203

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

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.

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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.

MS. JENEPHER PIPER C.R.N.P.

Nurse Practitioner (Family)

11121 YORK RD
HUNT VALLEY, MD 21030

Baltimore County (410) 628-2026

MEGAN ANN KATHERINE SHEPTER CRNP

Nurse Practitioner (Family)

11121 YORK RD
COCKEYSVILLE, MD 21030

Baltimore County (410) 628-2026

JON E SIMON M.D.

Internal Medicine

11121 YORK RD
HUNT VALLEY, MD 21030

Baltimore County (106) 282-0264

KATHLEEN CULLUM

Nurse Practitioner (Family)

11121 YORK RD
HUNT VALLEY, MD 21030

Baltimore County (410) 628-2026

HALEY FREILINO GUTOWSKI DNP

Nurse Practitioner (Family)

11121 YORK RD
COCKEYSVILLE, MD 21030

Baltimore County (410) 628-2026

ROBIN C OHARA C.R.N.P

Nurse Practitioner

11121 YORK RD
HUNT VALLEY, MD 21030

Baltimore County (410) 628-2026

MARYLAND FAMILY CARE, INC.

Internal Medicine

11121 YORK RD
HUNT VALLEY, MD 21030

Baltimore County (410) 628-2026

ST PAUL PLACE SPECIALISTS, INC.

Internal Medicine (Cardiovascular Disease)

11121 YORK RD
HUNT VALLEY, MD 21030

Baltimore County (410) 332-9000

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 Keith Dibenedetto's NPI number?

The NPI number for Keith Dibenedetto is 1699259580. It was assigned to this individual provider in the NPPES registry on September 18, 2018.

Where is Keith Dibenedetto located?

Keith Dibenedetto practices at 11121 York Rd, Hunt Valley, MD 21030. The listed phone number is (410) 628-2026.

What is Keith Dibenedetto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Keith Dibenedetto enrolled in Medicare?

Yes. Keith Dibenedetto 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 Keith Dibenedetto was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.