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Deactivated NPI 1093738064 Deactivated / Inactive NPI Male Practitioner

Dr. David G Dibbell , MD

Plastic Surgery • Bismarck, ND

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Dibbell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 25, 2006
NPI Deactivation Date June 05, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. David Dibbell, MD was a registered Plastic Surgery practicing in Bismarck, ND. Throughout an active medical career spanning 19 years, Dr. Dibbell provided care at the practice location at 222 N 7TH ST until profile deactivation on 2025-06-05.

Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit, removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

222 N 7th St

Bismarck, ND 585014436

Telephone 7013236000
Fax 7013235886
Associated Practice Facility / Clinic
🏢 Sanford Bismarck Facility NPI 1154485944

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Bismarck, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.5 Yrs
State Avg: 23.5 Yrs
Regional Practice Density
5 Specialists

Practicing in Bismarck, ND (15 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
24.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
61 49 $35.02 $25.27
99201 New patient office or other outpatient visit, typically 10 minutes
43 43 $35.00 $26.54
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm
16 15 $211.00 $161.05

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License ND 9884

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Steven Sonnamaker , MD

Emergency Medicine

NPI 1003345323

Doctor of Medicine (M.D.)

Madison Schatz , FNP

Nurse Practitioner - Family

NPI 1003665860

Family Nurse Practitioner

Dr. James Bossort , MD

Family Medicine

NPI 1003879545

Doctor of Medicine (M.D.)

Rodney Kraft , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003907841

Certified Registered Nurse Anesthetist

NPI 1013015783

Doctor of Medicine (M.D.)

Christina Gisvold , FNP-C

Nurse Practitioner

NPI 1013270503

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
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NPI Profile Deactivated June 05, 2025

Record deactivated on June 05, 2025

NPI Profile Active January 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 10, 2017

Registered at 222 N 7TH ST, BISMARCK, ND 585014436 (Tel: 7013236000)

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Updated Business Mailing Address January 10, 2017

Registered at PO BOX 5501, BISMARCK, ND 585065501 (Tel: 7013236000)

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Provider Name / Credentials Updated January 10, 2017

Recorded as DAVID DIBBELL, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2017

Plastic Surgery (License #9884 in ND)

NPI Profile Active January 11, 2011

NPI status registered as active in NPPES database

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Updated Practice Location January 11, 2011

Registered at 222 N 7TH ST, BISMARCK, ND 585014436 (Tel: 7013236000)

📍
Updated Business Mailing Address January 11, 2011

Registered at PO BOX 5501, BISMARCK, ND 585065501 (Tel: 7013236000)

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Provider Name / Credentials Updated January 11, 2011

Recorded as DAVID DIBBELL, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2011

Plastic Surgery (License #9884 in ND)

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Initial NPI Registration & Enumeration July 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093738064
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2006
Last Update: January 11, 2011
Deactivation Date: June 05, 2025

Mailing Address

Po Box 5501

Bismarck, ND 585065501

Phone: 7013236000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.