DIETRICH W.L. SCHULTZE (M.D.) – Diagnostic Radiology Physician, NPI 1922192459
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
178 INTERVENTIONAL RADIOLOGY in MN
Provider Addresses for DIETRICH W.L. SCHULTZE (M.D.)
960 MASSACHUSETTS AVE
FL 2
BOSTON, MA 021182690
Phone:
Type: Mailing
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 553445349
Phone: (952) 595-1301
Fax: (612) 294-4903
Type: Mailing
11995 Singletree Ln Ste 500
Eden Prairie, MN 553445349
Phone: (952) 595-1301
Fax: (612) 294-4903
Type: Location
235 North Pearl St
Brockton, MA 02301
Phone: (508) 427-2665
Type: Location
501 Kings Hwy E Ste 109
Fairfield, CT 068254871
Phone: (203) 330-0248
Fax: (203) 330-9730
Type: Location
3600 Minnesota Dr Ste 800
Edina, MN 554357915
Phone: (952) 595-1301
Fax: (612) 294-4903
Type: Location
736 CAMBRIDGE ST
BRIGHTON, MA 02135
Phone: (617) 789-2762
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $1,187.
Total Amount is formed as General ($1,187) + Research ($0) + Ownership ($0) = $1,187.
Last reported payment date: 2024-07-11 • Largest payer in this snapshot: Medtronic, Inc. ($1,090).
Total Amount
$1,187
General + Research + Ownership
Payments
12
Total payment records
General Amount
$1,187
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,090 |
| E.R. Squibb & Sons, L.L.C. | $58 |
| Boston Scientific Corporation | $39 |
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: 2018-02-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20170817000178 | I | Diagnostic Radiology | MA | TBD |
| I20170821000231 | I | Diagnostic Radiology | TX | TBD |
| I20170821000292 | I | Diagnostic Radiology | VT | TBD |
| I20180207000297 | I | Interventional Radiology | CT | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 8,186 | 127 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 173 | 133 | $0 |
| 36902 | Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist | 116 | 96 | $0 |
| 99153 | Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes | 90 | 50 | $0 |
| 71045 | X-ray of chest, 1 view | 84 | 70 | $0 |
Insurance plans in this area (ZIP 02118)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Radiology, Diagnostic Radiology | MA | |
| Diagnostic Radiology | MA | |
| Interventional Radiology, Diagnostic Radiology | MA | |
| Interventional Radiology, Diagnostic Radiology | MA | |
| Nuclear Medicine, Diagnostic Radiology | MA | |
| Diagnostic Radiology | MA | |
| Diagnostic Radiology | NH | |
| Diagnostic Radiology | MA | |
| Diagnostic Radiology | MA | |
| Diagnostic Radiology | MA |
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