JANA B. DIETERICH (PA-C) – Medical Physician Assistant, NPI 1265425623

JANA B. DIETERICH (PA-C) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. MA051165 (PA). The NPI Number for JANA B. DIETERICH (PA-C) is 1265425623

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
JANA B. DIETERICH (PA-C)
NPI
1265425623
Phone
(484) 884-0183
Address
PO BOX 783311
Enumeration Date
31 August 2005
Last Update Date
29 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2002 (24 years ago)
PAC ID
7810931516
Group Practice PAC ID
3072425123
Professional Enrollment ID
I20050614000558
Address ID
PA180452355EA3794XRDXX300
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

9,738 PHYSICIAN ASSISTANT in PA

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Provider Addresses for JANA B. DIETERICH (PA-C)

  • American Box and Recycling, Philadelphia, Philadelphia County, Pennsylvania, United States

    PHILADELPHIA, PA 191783311

    Phone: (484) 884-0183

    Fax: (484) 884-0628

    Type: Mailing

  • South Cedar Crest Boulevard, Bungalow Park, Cetronia, South Whitehall Township, Lehigh County, Pennsylvania, 18104, United States

    SUITE 1200

    ALLENTOWN, PA 181036256

    Phone: (610) 437-6222

    Fax: (610) 437-5910

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $118.

Total Amount is formed as General ($118) + Research ($0) + Ownership ($0) = $118.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Abbott Laboratories ($103).

Total Amount

$118

General + Research + Ownership

Payments

2

Total payment records

General Amount

$118

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

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: 2005-06-14

PECOS data refreshed: 2026-06-15

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
I20050614000558IPhysician 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 minutes191127$0
99213Established patient office or other outpatient visit, 20-29 minutes157145$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report6565$0
99214Established patient office or other outpatient visit, 30-39 minutes5249$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4139$0
View full utilization report →

Insurance plans in this area (ZIP 19178)

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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: 3072425123View full group profile

Reviews

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Frequently asked questions

How do I look up JANA B. DIETERICH (PA-C) by NPI?
Use NPI 1265425623 when you need to reference JANA B. DIETERICH (PA-C) in forms, claims, or directories.
Is JANA B. DIETERICH (PA-C) active in the national directory?
JANA B. DIETERICH (PA-C)'s public NPI profile is in an active state.
Does JANA B. DIETERICH (PA-C) list a primary specialty?
If you are matching referrals, note Medical Physician Assistant for JANA B. DIETERICH (PA-C). Clinical services aligned with this taxonomy classification.
What location metadata exists for JANA B. DIETERICH (PA-C)?
The page summarizes Philadelphia, Pennsylvania for JANA B. DIETERICH (PA-C); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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