NPIMap

Jon F Dietlein, M.D., P.a.

A Medicare group practice based in Georgetown, TX: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 4486676491), with 4 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4486676491The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Optometrist, Part B Supplier - Clinic/Group Practice
Enrolled in
TX
Enrollments
2
Group size
3 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20051219000709 TX Part B Supplier - Clinic/Group Practice 1285797621
O20100930036646 TX DME Supplier - Physician - Optometrist 1295860930

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Merit-based Incentive Payment System (MIPS)

Medicare Care Compare
Final score
75 of 100Reported as group, on the record of 2 clinicians in this group

Clinicians 4

Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (3).

Sources for this page