ERIC J DIETRICH (PA) – Surgical Physician Assistant, NPI 1639137250
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,686 PHYSICIAN ASSISTANT in CA
Provider Addresses for ERIC J DIETRICH (PA)
22431 ANTONIO PKWY # B160-613
RANCHO SANTA MARGARITA, CA 926882804
Phone: (833) 477-2677
Fax: (833) 477-2677
Type: Mailing
22431 Antonio Pkwy # B160-613
Rancho Santa Margarita, CA 926882804
Phone: (833) 477-2677
Fax: (833) 477-2677
Type: Location
3801 S Harbor Blvd
Santa Ana, CA 927047901
Phone: (714) 751-5555
Type: Location
Mission Hospital, 27700, Medical Center Road, Mission Viejo, Orange County, California, 92691, United States
MISSION VIEJO, CA 926916426
Phone: (949) 364-1400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $1,044.
Total Amount is formed as General ($1,044) + Research ($0) + Ownership ($0) = $1,044.
Last reported payment date: 2024-02-12 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,044).
Total Amount
$1,044
General + Research + Ownership
Payments
8
Total payment records
General Amount
$1,044
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $1,044 |
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: 2011-12-27
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20111227000245 | 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 |
|---|---|---|---|---|
| 27447 | Replacement of knee joint, both sides of knee | 13 | 13 | $0 |
Insurance plans in this area (ZIP 92688)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | CA | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 592 | 89 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| - | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA |
Reviews
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