JAMES D DIETHELM (MD) – Family Medicine Physician, NPI 1093710410
Preparing for Medicare enrollment?
Use our CMS-855 prep checklist: which form applies (855I, 855O, or 855A), readiness score, NPPES field map, and Section 12 documents. Reassignment uses CMS-855I Section 4F—not the discontinued CMS-855R form.
Open Medicare 855 Prep tool →Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for JAMES D DIETHELM (MD)
Secor Road, Old Orchard, Toledo, Lucas County, Ohio, 43606:43615, United States
TOLEDO, OH 43623
Phone: (419) 473-3561
Fax: (419) 473-0474
Type: Mailing
Sylvania Avenue, Sylvania, Lucas County, Ohio, 43560, United States
#100
SYLVANIA, OH 43560
Phone: (419) 473-2273
Fax: (419) 473-0474
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $498.
Total Amount is formed as General ($498) + Research ($0) + Ownership ($0) = $498.
Last reported payment date: 2023-07-20 • Largest payer in this snapshot: Novo Nordisk Inc ($92).
Total Amount
$498
General + Research + Ownership
Payments
30
Total payment records
General Amount
$498
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $92 |
| PFIZER INC. | $55 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $39 |
| ABBVIE INC. | $33 |
| Corium, LLC | $32 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 509 | 309 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 276 | 55 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 259 | 200 | $0 |
| 99497 | Advance care planning, first 30 minutes | 168 | 168 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 149 | 149 | $0 |
Insurance plans in this area (ZIP 43623)
Loading plans...
Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | OH | |
| U R O L O G Y | OH | |
| Pulmonary Disease, Critical Care (Intensivists) | OH | |
| H E M A T O L O G Y/ O N C O L O G Y | OH | |
| G A S T R O E N T E R O L O G Y | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Nurse Practitioner | OH | |
| Family Practice | MI | |
| Physician Assistant | OH | |
| Cardiovascular Disease (Cardiology) | OH |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.