DR. CRAIG ALLAN DIETZ (D.O.) – Internal Medicine Physician, NPI 1740247097
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. CRAIG ALLAN DIETZ (D.O.)
Kansas City Care Clinic, 3515, Broadway Boulevard, Hanover Place, Westport, Kansas City, Jackson County, Missouri, 64111, United States
KANSAS CITY, MO 641112501
Phone: (816) 777-2759
Fax: (816) 753-0804
Type: Mailing
3515, Broadway Street, Plaza-Westport, Country Club Plaza, Kansas City, Jackson County, Missouri, 64111, United States
KANSAS CITY, MO 641112537
Phone: (816) 777-2759
Fax: (816) 753-0804
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 99 Open Payments records for all available years, with a total value of $78,582.
Total Amount is formed as General ($77,114) + Research ($1,468) + Ownership ($0) = $78,582.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ViiV Healthcare Company ($37,290).
Total Amount
$78,582
General + Research + Ownership
Payments
99
Total payment records
General Amount
$77,114
General payments
Research Amount
$1,468
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ViiV Healthcare Company | $37,290 |
| Gilead Sciences, Inc. | $34,329 |
| Merck Sharp & Dohme LLC | $5,274 |
| ABBVIE INC. | $1,468 |
| Organon LLC | $204 |
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: 2013-05-14
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 |
|---|---|---|---|---|
| I20130514000703 | I | Internal Medicine | MO | 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 64111)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KS | |
| Family Practice | KS | |
| Physician Assistant | MO | |
| Physician Assistant | MO | |
| Family Practice | MO | |
| Nurse Practitioner | MO | |
| Clinical Social Worker | MO | |
| - | MA | |
| - | KS |
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