DR. CORY LYNN DIETZ (MD) – Family Medicine Physician, NPI 1508825753

DR. CORY LYNN DIETZ (MD) is a healthcare provider. based in Woodland park, Colorado. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 28289 (IA). The NPI Number for DR. CORY LYNN DIETZ (MD) is 1508825753

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. CORY LYNN DIETZ (MD)
NPI
1508825753
Phone
(719) 522-1133
Address
700 W US HIGHWAY 24
Enumeration Date
17 March 2006
Last Update Date
19 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7197765000
Graduation Year
1990 (36 years ago)
PAC ID
1153491568
Group Practice PAC ID
4688583974
Professional Enrollment ID
I20160107000750
Address ID
CO809095533CO1400XBOUL300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

2,661 FAMILY PRACTICE in CO

Provider Addresses for DR. CORY LYNN DIETZ (MD)

  • 700 W US HIGHWAY 24

    WOODLAND PARK, CO 808638975

    Phone: (719) 522-1133

    Type: Location

  • Bamboo Garden, 11605, Meridian Market Vw, Falcon, Peyton, El Paso County, Colorado, 80831, United States

    SUITE 184

    PEYTON, CO 808318237

    Phone: (719) 364-9555

    Fax: (719) 364-9565

    Type: Mailing

  • 2 S CASCADE AVE STE 140

    COLORADO SPRINGS, CO 809031604

    Phone: (719) 538-2900

    Fax: (719) 538-2907

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-01-07

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160107000750IFamily PracticeCOTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes192128$0
99214Established patient office or other outpatient visit, 30-39 minutes144102$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4343$0
81002Urinalysis, manual test3125$0
99212Established patient office or other outpatient visit, 10-19 minutes2621$0
View full utilization report →

Insurance plans in this area (ZIP 80863)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688583974View full group profile

Reviews

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Frequently asked questions

Is DR. CORY LYNN DIETZ (MD) listed with a National Provider Identifier?
Yes — DR. CORY LYNN DIETZ (MD) has NPI 1508825753 on file in the registry.
Active or inactive — what applies to DR. CORY LYNN DIETZ (MD)?
You should see DR. CORY LYNN DIETZ (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. CORY LYNN DIETZ (MD)?
At a glance, DR. CORY LYNN DIETZ (MD) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. CORY LYNN DIETZ (MD)?
Directory geography for DR. CORY LYNN DIETZ (MD) centers on Woodland Park, Colorado.
Can I trust this NPI listing for DR. CORY LYNN DIETZ (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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