DR. JILL R DIETZ (MD) – Surgery Physician, NPI 1487672945
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,999 GENERAL SURGERY in PA
Provider Addresses for DR. JILL R DIETZ (MD)
12311 PERRY HWY
WEXFORD, PA 150908344
Phone: (878) 332-4387
Type: Location
1111 FRANKLIN AVE
GARDEN CITY, NY 115301617
Phone: (516) 663-1950
Fax: (516) 741-3562
Type: Mailing
24701, Euclid Avenue, Euclid, Cuyahoga County, Ohio, 44117, United States
3RD FLOOR
EUCLID, OH 441171714
Phone:
Type: Mailing
University Hospitals Cleveland Medical Center, 11100, Euclid Avenue, University Circle, Cleveland, Cuyahoga County, Ohio, 44106, United States
CLEVELAND, OH 441061716
Phone: (216) 844-7874
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 29 Open Payments records for all available years, with a total value of $43,350.
Total Amount is formed as General ($43,350) + Research ($0) + Ownership ($0) = $43,350.
Last reported payment date: 2024-07-17 • Largest payer in this snapshot: Endomagnetics Ltd ($40,919).
Total Amount
$43,350
General + Research + Ownership
Payments
29
Total payment records
General Amount
$43,350
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Endomagnetics Ltd | $40,919 |
| Merck Sharp & Dohme LLC | $2,135 |
| Molli Surgical (us) Inc | $274 |
| Merit Medical Systems Inc | $22 |
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: 2024-10-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20211004000842 | I | General Surgery | PA | TBD |
| I20241015001167 | I | General Surgery | NY | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 15090)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NY | |
| Internal Medicine | NY | |
| - | NY | |
| A N E S T H E S I O L O G Y | TX | |
| Physical Therapist In Private Practice | NY | |
| A N E S T H E S I O L O G Y | NY | |
| - | NY | |
| - | NY | |
| - | NY |
Reviews
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