Doctor profile · Federal record

Dr. Michael Dibenedetto, M.D.

Orthopaedic Surgery Physician (CMS: Orthopedic Surgery) · Ponderay, ID

  • NPI 1679644397
  • Accepts Medicare
  • MIPS 0.0 / 100 · 2023
  • 41 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
30544 Highway 200, Ste 102
Ponderay, ID 838525005
(208) 265-9817
fax (208) 265-4533

Credentials & registration

NPPES · NUCC
NPI registered
November 2006 — 20 yrs on file
Profile last updated
April 3, 2013
Year of graduation
1985 — 41 yrs since
Specialty taxonomy
207X00000X — NUCC code
State license (1)
Idaho #M8578
Medicaid
ID #806452000

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1679644397. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
1,033
Distinct HCPCS
10
Medicare allowed
$95,371
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 236 177 $118
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 105 83 $7
99204 New patient office or other outpatient visit, 45-59 minutes 92 92 $153
99213 Established patient office or other outpatient visit, 20-29 minutes 87 71 $83
99203 New patient office or other outpatient visit, 30-44 minutes 77 77 $103
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance 61 53 $94
73564 X-ray of knee, 4 or more views 55 51 $42
73030 X-ray of shoulder, minimum of 2 views 42 40 $31
73502 X-ray of hip, 2-3 views 40 37 $43
73110 X-ray of wrist, minimum of 3 views 32 26 $37

In context: peer comparison

Among 1 peers in Ponderay Orthopaedic Surgery Physician, average services per provider: 49. This provider delivers 21× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
175
Patients
140
Total drug cost
$1,236
Drug Type Claims Patients Total cost
Oxycodone Hcl Generic 56 51 $403
Tramadol Hcl Generic 43 19 $256
Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) Brand 35 33 $230
Gabapentin Generic 16 13 $72
Tranexamic Acid Generic 13 13 $218
Meloxicam Generic 12 11 $57

Frequently asked questions

Auto-generated from federal data
What is Dr. Michael Dibenedetto's medical specialty?
Dr. Michael Dibenedetto practices Orthopaedic Surgery Physician in Ponderay, ID.
Where does Dr. Michael Dibenedetto practice?
Dr. Michael Dibenedetto practices at 30544 Highway 200, Ponderay, ID 838525005. Office phone: 2082659817.
What is Dr. Michael Dibenedetto's NPI?
Dr. Michael Dibenedetto's National Provider Identifier (NPI) is 1679644397, issued by NPPES.
Does Dr. Michael Dibenedetto accept Medicare assignment?
Yes. Dr. Michael Dibenedetto accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Michael Dibenedetto commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS J0702); New patient office or other outpatient visit (HCPCS 99204). Source: CMS Medicare Physician & Other Practitioners file.