JOSHUA P DIETZER (M.D.) – Emergency Medicine Physician, NPI 1306080759
Emergency Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,513 EMERGENCY MEDICINE in GA
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Provider Addresses for JOSHUA P DIETZER (M.D.)
6300, 90th Avenue North, Cross Bayou, Pinellas Park, Pinellas County, Florida, 33782, United States
PINELLAS PARK, FL 337824709
Phone: (850) 391-1752
Fax: (850) 273-6357
Type: Mailing
Colquitt Regional Medical Center, 3131, South Main Street, Ganor, Moultrie, Colquitt County, Georgia, 31768, United States
EMERGENCY DEPARTMENT
MOULTRIE, GA 317686925
Phone: (850) 391-1752
Fax: (850) 273-6357
Type: Location
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: 2012-06-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20111108000523 | I | Emergency Medicine | GA | TBD |
| I20120629000505 | I | Family Practice | FL | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 134 | 130 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 112 | 98 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 55 | 54 | $0 |
Insurance plans in this area (ZIP 33782)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | GA | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 80 | 79 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | NV | |
| Emergency Medicine | FL | |
| Emergency Medicine | RI | |
| Emergency Medicine | GA | |
| - | FL | |
| Internal Medicine, Emergency Medicine | FL | |
| Emergency Medicine | FL | |
| Nurse Practitioner | FL | |
| Emergency Medicine | FL | |
| Emergency Medicine | FL |
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