Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Gillian Dibich , PA

Physician Assistant β€’ Syracuse, NY

Active NPI 1215512876 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

90 Presidential Plaza
Syracuse, NY 13202

Call 3154643833 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

90 Presidential Plaza

Syracuse, NY 13202

Telephone 3154643833
Fax 3154643791
Organization at the Same NPPES Address or Phone
Suny Upstate Facility NPI 1053789610

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 2 distinct group names: Columbia Lutheran Charities; Suny Health Science Center At Syracuse. See the list

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Graduation Year

2021

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

5 years (graduated 2021)

CMS Doctors and Clinicians data list 2021 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Gillian Dibich has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Gillian Dibich as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Syracuse and New York

353 active clinicians are listed under Physician Assistant with a practice address in Syracuse, NY (15,881 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Syracuse

7.9% of these 353 clinicians have the CMS telehealth indicator.

58.1% of these 353 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-03-03
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES NY 034823

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20260219000325

Enrollment State Jurisdiction

NY

PECOS Control ID

0244741395

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Columbia Lutheran Charities

1639 Se Ensign Ln, Warrenton, OR 971467308

Phone: 5033384500

Columbia Lutheran Charities

1639 Se Ensign Ln, Warrenton, OR 971467308

Phone: 5033384500

Suny Health Science Center At Syracuse

90 Presidential Plz, Syracuse, NY 132022240

Phone: 3154645540

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Elizabeth Hall , NP

Nurse Practitioner - Family

NPI 1053414250

Nurse Practitioner

Dana Ruth , NP

Nurse Practitioner - Family

NPI 1205036449

Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location March 03, 2026

Registered at 90 PRESIDENTIAL PLAZA, SYRACUSE, NY 13202 (Tel: 3154643833)

πŸ“
Updated Business Mailing Address March 03, 2026

Registered at 251 SALINA MEADOWS PARKWAY, SUITE 100, SYRACUSE, NY 13212 (Tel: 3154642000)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2026

Physician Assistant (license number reported to NPPES: NY 034823)

πŸ“
Updated Practice Location January 05, 2022

Registered at 401 W KENNEDY BLVD, TAMPA, FL 336061450 (Tel: 8132533333)

πŸ“
Updated Business Mailing Address January 05, 2022

Registered at 401 W KENNEDY BLVD, TAMPA, FL 336061450

βœ…
NPI Profile Active March 16, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 16, 2021

Registered at 18311 HIGHWOODS PRESERVE PKWY UNIT 1201, TAMPA, FL 336471794 (Tel: 8049385832)

πŸ“
Business Mailing Address (Initial Record) March 16, 2021

Registered at 18311 HIGHWOODS PRESERVE PKWY UNIT 1201, TAMPA, FL 336471794 (Tel: 8049385832)

πŸ‘€
Provider Name / Credentials (Initial Record) March 16, 2021

Recorded as GILLIAN DIBICH, PA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2021

Physician Assistant

🟒
Initial NPI Registration & Enumeration March 16, 2021

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1215512876
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 16, 2021
Last Update: March 03, 2026
Sole Proprietor: No

Other Physician Assistants in Syracuse

All Physician Assistants in Syracuse

Mailing Address

251 Salina Meadows Parkway, Suite 100

Syracuse, NY 13212

Phone: 3154642000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.