DR. JONATHAN F. DILLER (M.D.) – Family Medicine Physician, NPI 1639130164

Family Medicine Physician

DR. JONATHAN F. DILLER (M.D.) is a healthcare provider. based in Fremont, Ohio. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 35-045285 (OH). The NPI Number for DR. JONATHAN F. DILLER (M.D.) is 1639130164

Main info

Male

Sole Proprietor

47 Years Of Experience

Accepts Medicare Assignment

Name

DR. JONATHAN F. DILLER (M.D.)

NPI

1639130164

Phone

(419) 332-9978

Address

2575 Hayes Ave

Enumeration Date

1 April 2006

Last Update Date

6 June 2018

Doctor Profile

Medical School Name

UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE

Secondary Phone

41960911123061

Graduation Year

1979 (47 years ago)

PAC ID

6305926577

Group Practice PAC ID

2769386192

Professional Enrollment ID

I20080418000002

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DR. JONATHAN F. DILLER (M.D.)

2575 Hayes Ave
Suite 4
Fremont, OH 434205201
Phone: (419) 332-9978
Fax: (419) 332-7989
Type: Location
PO BOX 378
SANDUSKY, OH 448710378
Phone: (419) 609-1112
Fax: (419) 609-1123
Type: Mailing
North River Road, Fremont County, Idaho, United States
FREMONT, OH 43420
Phone: (419) 332-9978
Fax: (419) 332-7989
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43420)

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Provider's Procedures

DR. JONATHAN F. DILLER (M.D.) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
FAMILY MEDICINE	OH	82270	Stool analysis for blood to screen for colon tumors	13	13
FAMILY MEDICINE	OH	90670	Pneumococcal vaccine for injection into muscle	59	59

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: 2769386192View full group profile

Name	Specialty	State
SABA SHEIK (M.D.)	Internal Medicine	OH
KAREN E KOPLIN (CNP)	-	OH
ELIZABETH MUSOLF (CPNP)	-	OH
ELIZABETH A. GABEL (NP-C)	Nurse Practitioner	OH
MR. MICHAEL A DERUBERTIS (P.T.)	Physical Therapist In Private Practice	OH
KELLY NICOLE KOENIG (MD)	D E R M A T O L O G Y	OH
EUGENE D PODOLSKY (DPM)	-	OH
CHRISTOPHER J BOHACH (DPM)	P O D I A T R Y	OH
KATHLEEN M ZIELINSKI (M.D.)	-	OH
GEORGE J FRIEDHOFF (D.O.)	Sports Medicine	OH