DR. RICHARD D. DIBACCO DPM NPI 1609849934

NPI Information

  • NPI: 1609849934
  • Provider Name: DR. RICHARD D. DIBACCO, DPM
  • Classification: Podiatrist - 213ES0131X
  • Specialization: Foot Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4402 PEACH ST
    ERIE, PA
    ZIP 16509
  • Phone: (814) 864-4874

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NPI Details

DR. Richard D. Dibacco, DPM is a foot surgery podiatrist in Erie, PA with 59 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.

  • Application of electrical stimulation with therapist present, each 15 minutes (HCPCS:97032)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes (HCPCS:97112)
  • Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Biopsy of fingernail or toenail (HCPCS:11755)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • Test of electrical activity of 1-12 muscles during functional activities (HCPCS:96002)
  • Simple or single drainage of skin abscess (HCPCS:10060)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of foot, 2 views (HCPCS:73620)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

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