SPINE TEAM SPOKANE
NPI 1780754499
Pain Medicine - Interventional Pain Medicine in Spokane Valley, WA
About Spine Team Spokane NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SPINE TEAM SPOKANE (NPI 1780754499) is a healthcare organization registered as an interventional pain medicine in Spokane Valley, Washington and active in the NPI registry since November 2006. The organization holds a CLIA Certificate of Compliance certificate valid through April 4, 2028, maintains a secondary practice location in Spokane, and lists T Daniel Dibble, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Other Names 1
Secondary Practice Location 1
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Spine Team Spokane is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Spine Team Spokane, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (10)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 50D2175720
Spine Team Spokane · Spokane Valley, WAFrequently 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 T Daniel Dibble MD PC's NPI number?
The NPI number for T Daniel Dibble MD PC is 1780754499. It was assigned to this organization in the NPPES registry on November 9, 2006. The provider is doing business as Spine Team Spokane.
Where is T Daniel Dibble MD PC located?
T Daniel Dibble MD PC is located at 1123 N Evergreen Rd, Spokane Valley, WA 99216. The listed phone number is (509) 363-3100.
What is T Daniel Dibble MD PC's specialty?
The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.
Is T Daniel Dibble MD PC enrolled in Medicare?
Yes. T Daniel Dibble MD PC is registered in the Medicare PECOS enrollment system.
When is T Daniel Dibble MD PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Washington, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through T Daniel Dibble MD PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 6 Medicare specialties reassign their Medicare billing to T Daniel Dibble MD PC. A 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 the clinician's services. The largest specialties are Anesthesiology (3), Nurse Practitioner (3) and Interventional Pain Management (1). Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does T Daniel Dibble MD PC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 50D2175720) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does T Daniel Dibble MD PC accept?
Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list T Daniel Dibble MD PC 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.
When was this NPI record last updated?
The NPPES record for T Daniel Dibble MD PC was last updated on July 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Spine Team Spokane · NPI 1780754499
Interventional Pain Medicine organization in Spokane Valley, Washington. Organization record, active in the CMS NPPES registry since November 9, 2006.
## Identity
- **NPI:** 1780754499 (Entity type: Organization)
- **Enumerated:** November 9, 2006
- **Primary specialty:** Pain Medicine - Interventional Pain Medicine · taxonomy 208VP0014X
- **Legal business name:** T Daniel Dibble Md Pc
- **Organization subpart:** No
- **Authorized official:** T Dibble, PRESIDENT
## Practice location
- **Address:** 1123 N EVERGREEN RD, Spokane Valley, WA 99216-1138
- **Phone:** (509) 363-3100 · **Fax:** (509) 363-0300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Washington, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 10 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Anesthesiology (3), Nurse Practitioner (3), Interventional Pain Management (1); 5 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 17, 2023
- **Other identifiers:** Other 217798 (WA); Medicaid 805808900 (ID)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1780754499) · Data from the CMS NPPES public registry.