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DR. BAHRAM DIDEBAN M.D.
NPI 1992189948
Family Medicine in High Springs, FL

Active since July 18, 2015PECOS Enrolled
78.18/100
CMS Quality Rating
18741 HIGH SPRINGS MAIN ST, HIGH SPRINGS, FL 32643(786) 300-7808 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 20, 2023, Aug 21, 2018 (2 updates tracked since 2018).

About Dr. Bahram Dideban M.d. NPPES

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

DR. BAHRAM DIDEBAN M.D. (NPI 1992189948) is an individual family medicine provider in High Springs, Florida, licensed in Florida (ME136670) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Gainesville.

NPPES Registry Identity

NPI1992189948
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BAHRAM DIDEBANCredential: M.D.
Location Address18741 HIGH SPRINGS MAIN STHigh Springs, FL 32643-0074
Mailing Address1625 Nw 19th CirGainesville, FL 32605-4093 · (786) 300-7808 · Fax (786) 565-4941
Phone(786) 300-7808
Sole ProprietorNo
Enumeration DateJuly 18, 2015
Last NPPES UpdateJune 20, 20232 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
✔ NPI 1992189948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME136670
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
18741 HIGH SPRINGS MAIN ST, High Springs, FL 32643
Open in Google Maps ↗

Secondary Practice Location 1

Location 11549 Gale Lemerand Dr Fl 4Gainesville, FL 32610-3008 · Phone (352) 273-7943

Other Identifiers 1

Medicaid100007200FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bahram Dideban M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Bahram Dideban reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Clinical Practice Association Inc
20 mi
Surgery
1600 SW ARCHER RD
Gainesville, FL 32610
  • Reassigned Medicare billing, Florida enrollment
  • 3,324 clinicians in this Medicare group
NPI 1063463768 (352) 265-7922

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32643 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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.

78.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.54
Promoting Interoperability100
Improvement Activities40
Cost54.74

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 Bahram Dideban's NPI number?

The NPI number for Bahram Dideban is 1992189948. It was assigned to this individual provider in the NPPES registry on July 18, 2015.

Where is Bahram Dideban located?

Bahram Dideban practices at 18741 High Springs Main St, High Springs, FL 32643. The listed phone number is (786) 300-7808.

What is Bahram Dideban's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Bahram Dideban enrolled in Medicare?

Yes. Bahram Dideban is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bahram Dideban's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bahram Dideban reassigns Medicare benefits to Florida Clinical Practice Association Inc (Gainesville, FL). The 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 Bahram Dideban's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bahram Dideban was last updated on June 20, 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.