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Deactivated NPI 1669540365 Deactivated / Inactive NPI Male Practitioner

Dr. David G. Dibbell , MD

Surgery - Plastic and Reconstructive Surgery • Madison, WI

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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 December 01, 2006
NPI Deactivation Date January 20, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. David Dibbell, MD was a registered Surgery - Plastic and Reconstructive Surgery practicing in Madison, WI. Throughout an active medical career spanning 15 years, Dr. Dibbell provided care at the practice location at 600 HIGHLAND AVE. until profile deactivation on 2021-01-20.

Practice Location & Contact Primary Location

Practice Address

600 Highland Ave.

Madison, WI 53792

Telephone 6082637502
Fax 6082659695
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Madison, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.7 Yrs
State Avg: 25.5 Yrs
Regional Practice Density
12 Specialists

Practicing in Madison, WI (49 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License WI 19262

A surgeon who specializes in plastic and reconstructive surgery.

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003132697

Doctor of Medicine (M.D.)

NPI 1003871617

Doctor of Medicine (M.D.)

Kristine Beyer , PA-C

Physician Assistant - Surgical

NPI 1013560523

Physician Assistant (Certified)

Amy Baillies , SLP

Speech-Language Pathologist

NPI 1023072667

Speech-Language Pathologist

Shea Lues , NP

Nurse Practitioner

NPI 1023072683

Nurse Practitioner

NPI 1023720620

Advanced Practice Nurse Prescriber, AGPCNPBC

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 20, 2021

Record deactivated on January 20, 2021

NPI Profile Active April 28, 2009

NPI status registered as active in NPPES database

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Updated Practice Location April 28, 2009

Registered at 600 HIGHLAND AVE., MADISON, WI 53792 (Tel: 6082637502)

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Updated Business Mailing Address April 28, 2009

Registered at 7974 UW HEALTH CT, MIDDLETON, WI 535625531

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Provider Name / Credentials Updated April 28, 2009

Recorded as DAVID DIBBELL, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2009

Surgery (License #19262 in WI)

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Initial NPI Registration & Enumeration December 01, 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: 1669540365
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2006
Last Update: April 28, 2009
Deactivation Date: January 20, 2021

Mailing Address

7974 Uw Health Ct

Middleton, WI 535625531

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.