MARQUE R DIETZLER (P.A.) – Physician Assistant, NPI 1073968459
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
Provider Addresses for MARQUE R DIETZLER (P.A.)
4020 W Florida Ave
Hemet, CA 925455279
Phone: (951) 925-9565
Type: Location
Loma Linda University Medical Center, 11234, Anderson Street, Loma Linda, San Bernardino County, California, 92354, United States
LOMA LINDA, CA 923542804
Phone: (951) 746-6126
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 56 Open Payments records for all available years, with a total value of $1,291.
Total Amount is formed as General ($1,291) + Research ($0) + Ownership ($0) = $1,291.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: ABBVIE INC. ($345).
Total Amount
$1,291
General + Research + Ownership
Payments
56
Total payment records
General Amount
$1,291
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $345 |
| Incyte Corporation | $269 |
| GENZYME CORPORATION | $141 |
| UCB, Inc. | $82 |
| Amgen Inc. | $80 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-12-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161227001407 | I | Physician Assistant | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,382 | 148 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 289 | 161 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 283 | 158 | $0 |
| 11301 | Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm | 224 | 99 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 181 | 121 | $0 |
Insurance plans in this area (ZIP 92545)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | CA | |
| - | CA | |
| Physician Assistant | CA | |
| Physician Assistant | AZ | |
| Physician Assistant | UT | |
| Nurse Practitioner | AZ | |
| Physician Assistant | CA | |
| Physician Assistant | AZ | |
| D E R M A T O L O G Y | CA | |
| - | CA |
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