MEGAN DIETZE-FIEDLER (M.D.) – Plastic Surgery Physician, NPI 1699126052
Plastic Surgery Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
248 PLASTIC AND RECONSTRUCTIVE SURGERY in MI
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Provider Addresses for MEGAN DIETZE-FIEDLER (M.D.)
221, Michigan Street Northeast, Grand Rapids, Kent County, Michigan, 49503, United States
SUITE 300
GRAND RAPIDS, MI 495032543
Phone: (616) 391-1909
Type: Location
1500 E MEDICAL CENTER DRIVE
5344 CVC
ANN ARBOR, MI 481095864
Phone:
Type: Mailing
PO BOX 19070
GREEN BAY, WI 543079070
Phone: (920) 496-4700
Type: Mailing
2461 HOLMGREN WAY
GREEN BAY, WI 543045224
Phone: (920) 496-4700
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $1,949.
Total Amount is formed as General ($1,949) + Research ($0) + Ownership ($0) = $1,949.
Last reported payment date: 2024-09-27 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($1,707).
Total Amount
$1,949
General + Research + Ownership
Payments
17
Total payment records
General Amount
$1,949
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-27
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2023-08-21
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20230821001679 | I | Plastic And Reconstructive Surgery | WI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49503)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | WI | |
| Hospitalist, Internal Medicine | MI | |
| - | WI | |
| - | WI | |
| Family Practice, Sports Medicine | WI | |
| - | OH | |
| Physical Therapist In Private Practice | WI | |
| - | WI | |
| - | WI | |
| Internal Medicine, Hospitalist | WI |
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