DR. JOHN W JR. DIETZ (MD) – Orthopaedic Surgery Physician, NPI 1437101482
Orthopaedic Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
668 ORTHOPEDIC SURGERY in IN
Provider Addresses for DR. JOHN W JR. DIETZ (MD)
8450 Northwest Blvd
Indianapolis, IN 462781381
Phone: (317) 802-2000
Fax: (317) 802-2868
Type: Location
OrthoIndy Urgent Care Northwest, 8450, Northwest Boulevard, Indianapolis, Indiana, 46278, United States
INDIANAPOLIS, IN 462781381
Phone: (317) 802-2000
Fax: (317) 802-2170
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $9,400.
Total Amount is formed as General ($9,400) + Research ($0) + Ownership ($0) = $9,400.
Last reported payment date: 2024-09-11 • Largest payer in this snapshot: Alphatec Spine, Inc ($8,975).
Total Amount
$9,400
General + Research + Ownership
Payments
9
Total payment records
General Amount
$9,400
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alphatec Spine, Inc | $8,975 |
| Medtronic, Inc. | $155 |
| Globus Medical, Inc. | $129 |
| MML US, Inc. | $126 |
| Carlsmed, Inc. | $14 |
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: 2010-01-04
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 |
|---|---|---|---|---|
| I20100104000004 | I | Orthopedic Surgery | IN | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 207 | 151 | $0 |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 177 | 167 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 168 | 131 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 152 | 105 | $0 |
| 72040 | X-ray of upper spine, 2-3 views | 48 | 30 | $0 |
Insurance plans in this area (ZIP 46278)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| Physician Assistant | IN | |
| Orthopedic Surgery | IN | |
| - | IN | |
| P O D I A T R Y | IN | |
| Orthopedic Surgery, Sports Medicine | IN | |
| Orthopedic Surgery | IN | |
| Orthopedic Surgery | IN | |
| Nurse Practitioner | IN | |
| Orthopedic Surgery, Sports Medicine | IN |
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