Peter E Diedrichsen, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

14980 Issued in NE

Practice address

3772 43Rd Ave
Suite a
Columbus, NE 68601-1681

Phone

(402) 563-3686

Fax

(402) 564-1797

NPI assigned

Dec 27, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

99.25 of 100Reported as group

Quality

98.12

Improvement activities

40

Cost

100

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Columbus Surgery Center, LLC

  • Ophthalmologic Surgery Clinic/Center
  • Columbus, NE
  • NPI 1417050709
  NPD Authorized official

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1194702597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1275",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686021681",
            "telephone_number": "402-563-3686",
            "fax_number": "402-563-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3772 43RD AVE",
            "address_2": "SUITE A",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686011681",
            "telephone_number": "402-563-3686",
            "fax_number": "402-564-1797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 W Benjamin Ave",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "NE",
            "postal_code": "687013119",
            "country_code": "US",
            "telephone_number": "402-371-3158",
            "fax_number": "402-371-3466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "432 W Main St",
            "address_purpose": "LOCATION",
            "city": "Albion",
            "state": "NE",
            "postal_code": "686201231",
            "country_code": "US",
            "telephone_number": "402-395-2627",
            "fax_number": "402-395-6255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "304 N St",
            "address_purpose": "LOCATION",
            "city": "Neligh",
            "state": "NE",
            "postal_code": "687561428",
            "country_code": "US",
            "telephone_number": "402-887-4506",
            "fax_number": "402-887-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIEDRICHSEN",
        "first_name": "PETER",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NE",
            "license": "14980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47082635813",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01493",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Dewine
• James Dewispelare
• Rochelle Rose Dewispelare
• Dialysis Center of Lincoln, Inc
• Kayla M Dicke, P.A.-C.
• Kelli Dierman, PHARMD
• Susan Rogers Dierman, LCSW
• Matthew Wade Dinslage, O.D.
• Edward D Discoe, M.D.
• Discovery Counseling LLC

• Ophthalmology Physician in Columbus, NE
• Providers in Columbus, NE by specialty
• Ophthalmology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.