NPIMap

Individual provider Active NPI

Christopher Michael Diefenbach, MD

  • Orthopaedic Foot and Ankle Surgery Physician
  • Flagstaff, AZ
National Provider Identifier
1437440070
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
53879 Issued in AZ
Practice address
107 E Oak Ave
Flagstaff, AZ 86001
Phone
(928) 779-7880
Fax
(928) 913-8801
NPI assigned
May 1, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 53879 AZ Primary
Orthopaedic Surgery Physician 207X00000X 53879 AZ

Addresses

Primary practice location

107 E Oak Ave
Flagstaff, AZ 86001

Mailing address

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 213-6235

Other practice location 1

1485 N Turquoise Dr Ste 200
Flagstaff, AZ 86001-2000
Phone (928) 774-7757

Other identifiers 1

IdentifierTypeStateIssuer
13767358OtherCAQH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160920002051 NV Practitioner - Orthopedic Surgery 7416173216 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
New York University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Custom Physical Therapy Limited PartnershipGroup PAC ID 1355252842, shared by 2 NPIs, 76 clinicians
Reno Orthopaedic Clinic LTDGroup PAC ID 2567355316, 96 clinicians

Practice addresses (Care Compare)

440 E Golden Valley Rd
Reno, NV 89506-5722
Phone (775) 360-3000

555 N Arlington Ave
Reno, NV 89503-4723
Phone (775) 786-3040

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.71 of 100Reported as apm
Quality
81.42
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
66.85
Promoting interoperability
99
Improvement activities
40
Cost
74.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Humboldt General Hospital Current Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Flagstaff Medical Center Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

118 E Haskell St
Winnemucca, NV 89445
Phone (775) 623-5222

Interoperability endpoints

  • Direct secure messaging: cdiefenbach724510@direct.med.utah.edu
  • Direct secure messaging: cdiefenbach24583@renoorthopediccenter.gardenplotortho.direct-ci.com

Organizations & group practices 5

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1304208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1437440070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N BEAVER ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013118",
            "telephone_number": "928-213-6235",
            "fax_number": "928-213-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E OAK AVE",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "86001",
            "telephone_number": "928-779-7880",
            "fax_number": "928-913-8801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1485 N Turquoise Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860012000",
            "country_code": "US",
            "telephone_number": "928-774-7757",
            "fax_number": "928-774-7767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIEFENBACH",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "AZ",
            "license": "53879",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "53879",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13767358",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.