Individual provider Active NPI

Paul James Dietze, MD

  • Ophthalmology Physician
  • Hastings, NE
National Provider Identifier
1073525838
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
17684 Issued in NE
Practice address
715 N Kansas Ave Ste 300
Hastings, NE 68901-4452
Phone
(402) 462-9009
Fax
(402) 462-8090
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 17684 NE Primary

Addresses

Primary practice location

715 N Kansas Ave Ste 300
Hastings, NE 68901-4452

Mailing address

715 N Kansas
Suite 300
Hastings, NE 68901-4452
Phone (402) 462-9009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100928000820 NE Practitioner - Ophthalmology 8628012432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Nebraska College of Medicine, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

715 N Kansas Ave
Suite 300
Hastings, NE 68901-4452
Phone (402) 462-9009

Hospital & facility affiliations

  • Brodstone Healthcare Hospital, Superior, NE, CCN 281315

Merit-based Incentive Payment System (MIPS)

Final score
83.78 of 100Reported as group
Quality
76.83
Improvement activities
40
Cost
76.83

Merit-based Incentive Payment System (MIPS)

Final score
92.6 of 100Reported as apm
Quality
82.13
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Geiger & Dietze Ophthalmology Ophthalmology CurrentSince Mar 13, 1995 Accepting new patients
Optical Options Ophthalmology PastSince Nov 26, 2001 Accepting new patients

Locations

715 N Kansas Ave
Ste 300
Hastings, NE 68901
Phone (402) 462-9009

306 W 7th St
McCook, NE 69001
Phone (308) 345-5005

358 N Central Ave
Superior, NE 68978
Phone (402) 879-3223

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1073525838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 N KANSAS",
            "address_2": "SUITE 300",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689014452",
            "telephone_number": "402-462-9009",
            "fax_number": "402-462-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 N KANSAS AVE STE 300",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689014452",
            "telephone_number": "402-462-9009",
            "fax_number": "402-462-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETZE",
        "first_name": "PAUL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NE",
            "license": "17684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

Verify at the official NPI Registry.