DR. CHARLES SYLVESTER III DIETRICH (MD) – Gynecologic Oncology Physician, NPI 1619995131
Gynecologic Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
631 OBSTETRICS/GYNECOLOGY in KY
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Provider Addresses for DR. CHARLES SYLVESTER III DIETRICH (MD)
800, Rose Street, Academic Core, Lexington, Fayette County, Kentucky, 40506, United States
LEXINGTON, KY 405367001
Phone: (859) 323-3975
Fax: (859) 323-1602
Mailing address matches the actual address.
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.
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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: 2018-07-19
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 |
|---|---|---|---|---|
| I20180719002907 | I | Obstetrics/Gynecology | KY | 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 | 99 | 50 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 69 | 21 | $0 |
| 76830 | Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina | 34 | 26 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 29 | 11 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 22 | 19 | $0 |
Insurance plans in this area (ZIP 40536)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | OH | |
| Internal Medicine | WI | |
| H O S P I T A L I S T | MD | |
| Nurse Practitioner | KY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | KY | |
| Certified Registered Nurse Anesthetist (Crna) | KY | |
| Internal Medicine | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Internal Medicine | IN |
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