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DR. RICHARD D. DIBACCO DPM NPI 1609849934


NPI Information

NPI: 1609849934
Provider Name: DR. RICHARD D. DIBACCO, DPM
Classification: Podiatrist - 213ES0131X
Entity Type: Individual

Specialization: Foot Surgery

PECOS Registration: Yes

Address:
4402 PEACH ST
ERIE, PA
ZIP 16509
Phone: (814) 864-4874
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DR. Richard D. Dibacco, DPM is a foot surgery podiatrist in Erie, PA with 57 years of experience. DR. Richard D. Dibacco, DPM NPI is 1609849934. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduation Year:1967

The provider's business location address is:

4402 PEACH ST
ERIE, PA
ZIP 16509-358
Phone: (814) 864-4874
Fax: (814) 864-4877

The NPI 1609849934 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes (HCPCS:97112)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)

The enumeration date for this NPI number is 2/8/2006 and was last updated on 6/30/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213EP1101XPodiatristPrimary Podiatric MedicineSC001282LPENNSYLVANIANo
2213ER0200XPodiatristRadiologySC001282LPENNSYLVANIANo
3213ES0103XPodiatristFoot & Ankle SurgerySC001282LPENNSYLVANIANo
4213ES0131XPodiatristFoot SurgerySC001282LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000501005-0001MEDICAIDPENNSYLVANIA
2U06735MEDICARE UPINPENNSYLVANIA
3048583MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIAMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.