MS. ALICIA M DIETRICH (PA-C) – Physician Assistant, NPI 1043307903

MS. ALICIA M DIETRICH (PA-C) is a healthcare provider. based in Wyomissing, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. MA052761 (PA). The NPI Number for MS. ALICIA M DIETRICH (PA-C) is 1043307903

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MS. ALICIA M DIETRICH (PA-C)
NPI
1043307903
Phone
(610) 372-8995
Address
1320 BROADCASTING RD
Enumeration Date
10 October 2006
Last Update Date
26 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2006 (20 years ago)
PAC ID
8729085386
Group Practice PAC ID
9931001559
Professional Enrollment ID
I20061025000238
Address ID
PA196103222WY1320XRDXX304
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,691 PHYSICIAN ASSISTANT in PA

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Provider Addresses for MS. ALICIA M DIETRICH (PA-C)

  • Broadcasting Road, wyomissing hills, Whitfield, Spring Township, Berks County, Pennsylvania, 19609, United States

    STE 200

    WYOMISSING, PA 196103222

    Phone: (610) 372-8995

    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 16 Open Payments records for all available years, with a total value of $323.

Total Amount is formed as General ($323) + Research ($0) + Ownership ($0) = $323.

Last reported payment date: 2024-05-09 • Largest payer in this snapshot: UROGEN PHARMA, INC. ($114).

Total Amount

$323

General + Research + Ownership

Payments

16

Total payment records

General Amount

$323

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-09

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2006-10-25

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
I20061025000238IPhysician AssistantPATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes145103$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8987$0
View full utilization report →

Insurance plans in this area (ZIP 19610)

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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: 9931001559View full group profile

Reviews

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Frequently asked questions

How is MS. ALICIA M DIETRICH (PA-C) identified in CMS data?
CMS-hosted NPPES data lists MS. ALICIA M DIETRICH (PA-C) with NPI 1043307903.
Does CMS list MS. ALICIA M DIETRICH (PA-C) as active?
Yes — MS. ALICIA M DIETRICH (PA-C) is active in the NPI listing used on this page.
What is MS. ALICIA M DIETRICH (PA-C)'s primary classification?
Physician Assistant is the headline specialty for MS. ALICIA M DIETRICH (PA-C) here. Clinical services aligned with this taxonomy classification.
Does MS. ALICIA M DIETRICH (PA-C) list a practice location?
Patients near Wyomissing, Pennsylvania may find MS. ALICIA M DIETRICH (PA-C) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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