DAVID J DIBENEDETTO M.D. NPI 1770599029

NPI Information

  • NPI: 1770599029
  • Provider Name: DAVID J DIBENEDETTO, M.D.
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 85 1ST AVE
    WALTHAM, MA
    ZIP 02451
  • Phone: (781) 894-5522

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NPI Details

David J Dibenedetto, M.D. is an interventional pain medicine pain medicine in Waltham, MA with 33 years of experience. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. David J Dibenedetto, M.D. NPI is 1770599029. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduation Year:1992

The provider's business location address is:

85 1ST AVE
WALTHAM, MA
ZIP 02451-105
Phone: (781) 894-5522

The NPI 1770599029 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), Power Mobility Devices.

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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Testing for presence of drug, by chemistry analyzers (HCPCS:80307)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Injection of lower or sacral spine facet joint using imaging guidance, second level (HCPCS:64494)
  • Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional (HCPCS:99484)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint (HCPCS:64636)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)

The enumeration date for this NPI number is 7/31/2006 and was last updated on 2/23/2017.

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
1207L00000XAnesthesiology150895MASSACHUSETTSNo
2208VP0014XPain MedicineInterventional Pain Medicine150895MASSACHUSETTSYes

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: 3/30/2025

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