MATTHEW M DIESSELHORST (MD) – Orthopaedic Surgery Physician, NPI 1104022417
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
328 ORTHOPEDIC SURGERY in OK
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Provider Addresses for MATTHEW M DIESSELHORST (MD)
Hefner Pointe Drive, Oklahoma City, Oklahoma County, Oklahoma, 73120, United States
OKLAHOMA CITY, OK 731205069
Phone: (405) 463-3337
Fax: (405) 463-3338
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 18 Open Payments records for all available years, with a total value of $425.
Total Amount is formed as General ($425) + Research ($0) + Ownership ($0) = $425.
Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Stryker Corporation ($234).
Total Amount
$425
General + Research + Ownership
Payments
18
Total payment records
General Amount
$425
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-22
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: 2013-08-30
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 |
|---|---|---|---|---|
| I20130830000543 | I | Orthopedic Surgery | OK | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,601 | 190 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 313 | 191 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 228 | 159 | $0 |
| 73562 | X-ray of knee, 3 views | 142 | 93 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 119 | 119 | $0 |
Insurance plans in this area (ZIP 73120)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OK |
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