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

Michael Raymond Dibenedetto, MD

Individual provider Orthopaedic Surgery Physician · NPI 1679644397

Michael Raymond Dibenedetto, MD is an Orthopedic Surgery in Ponderay, Idaho. Graduated from Ohio State University College of Medicine in 1985, 41 years ago. Practices with Michael R Dibenedetto MD PLLC, an 8-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
41
Trained at
Ohio State University College of Medicine
Licensed in
ID
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

30544 Highway 200 Ste 102
Ponderay, ID 83852-5005
Phone: (208) 265-9817
Fax: (208) 265-4533
Show map & directions

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

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence M8578 (ID)

Record details

NPI number1679644397
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 13, 2006
Last updated in NPPESApril 3, 2013

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 1985 (41 years in practice)
Group practice Michael R Dibenedetto Md Pllc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Ponderay