ANDREW DILLER (MD) – Family Medicine Physician, NPI 1376778654

ANDREW DILLER (MD) is a healthcare provider. based in Brookville, Ohio. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 35.097027 (OH). The NPI Number for ANDREW DILLER (MD) is 1376778654

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW DILLER (MD)
NPI
1376778654
Phone
(937) 833-4582
Address
950 SALEM ST
Enumeration Date
15 May 2009
Last Update Date
10 December 2013

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
9378332149
Graduation Year
2009 (17 years ago)
PAC ID
1355584400
Group Practice PAC ID
5092608372
Professional Enrollment ID
I20130821000698
Address ID
OH453098227BR950XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

4,431 FAMILY PRACTICE in OH

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Provider Addresses for ANDREW DILLER (MD)

  • Salem Street, Brookville, Clay Township, Montgomery County, Ohio, 45309, United States

    BROOKVILLE, OH 453098227

    Phone: (937) 833-4582

    Fax: (937) 833-5359

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $66.

Total Amount is formed as General ($66) + Research ($0) + Ownership ($0) = $66.

Last reported payment date: 2024-06-22 • Largest payer in this snapshot: Cleerly, Inc. ($66).

Total Amount

$66

General + Research + Ownership

Payments

1

Total payment records

General Amount

$66

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Cleerly, Inc.$66
View all Open Payments →|Open Payments Risk Radar →

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: 2013-08-21

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130821000698IFamily PracticeOHTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample364216$0
99214Established patient office or other outpatient visit, 30-39 minutes251178$0
99213Established patient office or other outpatient visit, 20-29 minutes236136$0
G0442Annual alcohol misuse screening, 5 to 15 minutes191191$0
83036Hemoglobin a1c level176107$0
View full utilization report →

Insurance plans in this area (ZIP 45309)

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Provider's Procedures

ANDREW DILLER (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEOH81002Urinalysis, manual test5540
FAMILY MEDICINEOH83036Hemoglobin A1C level5839

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092608372View full group profile
NameSpecialtyState
Family PracticeOH
-OH
Family PracticeOH
Family PracticeOH
-OH
Nurse PractitionerOH
Nurse PractitionerOH
Physician AssistantOH
Family PracticeOH
-OH

Reviews

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Frequently asked questions

Can I cross-check ANDREW DILLER (MD) using NPI 1376778654?
NPI 1376778654 belongs to ANDREW DILLER (MD); compare other details if you need extra assurance.
Is ANDREW DILLER (MD) still an active registrant?
ANDREW DILLER (MD) carries an active NPI according to the public dataset.
How would a patient describe ANDREW DILLER (MD)'s focus?
For ANDREW DILLER (MD), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ANDREW DILLER (MD)?
Travel planning: use Brookville, Ohio as the reference point for ANDREW DILLER (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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