Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael David Schicker, DO

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1861774291

Michael David Schicker, DO is an Orthopedic Surgery in Ponderay, Idaho. Graduated from Kansas City University of Physicians and Surgeons in 2010, 16 years ago. Practices with Michael R Dibenedetto MD PLLC, an 8-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Washington.

Years since qualifying
16
Trained at
Kansas City University of Physicians and Surgeons
Licensed in
ID, WA
In the registry since
2011
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

30544 Highway 200 Ste 102
Ponderay, ID 83852
Phone: (208) 265-9817
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 714 W Pine St Bldg C, Newport, WA 99156-9046 — (509) 447-3139

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence O0947 (ID)
Pediatric Orthopaedic Surgery Physician Taxonomy 207XP3100X · Licence O0947 (ID)
Pediatric Orthopaedic Surgery Physician Taxonomy 207XP3100X · Licence OP60637340 (WA)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence OP60637340 (WA)

Record details

NPI number1861774291
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedSeptember 12, 2011
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025
Mailing address30544 Highway 200 Ste 102, Ponderay, ID 83852-5005

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolKANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Graduated 2010 (16 years in practice)
Group practice Michael R Dibenedetto Md Pllc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare