DR. ANTON N DIETZEN (M.D., D.C.) – Pediatric Rehabilitation Medicine Physician, NPI 1063659076
Pediatric Rehabilitation Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
375 PHYSICAL MEDICINE AND REHABILITATION in MD
Provider Addresses for DR. ANTON N DIETZEN (M.D., D.C.)
26W171 ROOSEVELT RD
WHEATON, IL 601876002
Phone: (630) 909-7000
Fax: (630) 909-7002
Type: Mailing
601 N Caroline St # 1163
Baltimore, MD 212870006
Phone: (410) 502-5357
Fax: (410) 614-4033
Type: Location
707 N Broadway
Baltimore, MD 212051832
Phone: (443) 923-7588
Fax: (443) 923-7588
Type: Location
26W171 Roosevelt Rd
Wheaton, IL 601876002
Phone: (630) 909-7000
Fax: (630) 909-7002
Type: Location
Jelke Building, 1724-1750, West Harrison Street, Near West Side, Illinois Medical District, Chicago, Illinois Medical District, Illinois, 60612, United States
CHICAGO, IL 606123825
Phone: (312) 942-6510
Fax: (312) 942-2867
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: 2022-12-21
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 |
|---|---|---|---|---|
| I20090211000776 | I | Physical Medicine And Rehabilitation | IL | TBD |
| I20221221001621 | I | Physical Medicine And Rehabilitation | MD | 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 |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 80 | 80 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 74 | 74 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 68 | 44 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 24 | 17 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 60187)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Medicine And Rehabilitation | IL | |
| Physical Medicine And Rehabilitation, Orofacial Pain | PA | |
| Family Practice, Hospice/Palliative Care | WI | |
| Physical Medicine And Rehabilitation | IN | |
| Physical Medicine And Rehabilitation | IL | |
| Physical Medicine And Rehabilitation | IL | |
| Physical Medicine And Rehabilitation, Osteopathic Manipulative Medicine, Pain Management | CO | |
| Internal Medicine | IL | |
| - | MA | |
| Physical Medicine And Rehabilitation | IL |
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