RAYMOND A III DIETER (MD) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1063405603

RAYMOND A III DIETER (MD) is a healthcare provider. based in Knoxville, Tennessee. specializing in CARDIAC SURGERY, THORACIC SURGERY. They hold the professional credentials MD. They hold a License No. 021978 (TN). The NPI Number for RAYMOND A III DIETER (MD) is 1063405603

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
RAYMOND A III DIETER (MD)
NPI
1063405603
Phone
(865) 305-6955
Address
1940 ALCOA HWY
Enumeration Date
30 August 2005
Last Update Date
5 March 2010

Doctor Profile

Medical School Name
R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Secondary Phone
8655247471
Graduation Year
1990 (36 years ago)
PAC ID
2769532902
Group Practice PAC ID
5294646378
Professional Enrollment ID
I20090610000438
Address ID
TN379202263KN1940X260X500
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

65 CARDIAC SURGERY in TN

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Provider Addresses for RAYMOND A III DIETER (MD)

  • Alcoa Highway, Topside, Knoxville, Knox County, Tennessee, 37920, United States

    SUITE E310

    KNOXVILLE, TN 379202244

    Phone: (865) 305-6955

    Fax: (865) 637-5216

    Type: Location

  • PO BOX 440547

    NASHVILLE, TN 372440547

    Phone: (865) 670-6199

    Fax: (865) 670-6188

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 82 Open Payments records for all available years, with a total value of $3,161.

Total Amount is formed as General ($3,161) + Research ($0) + Ownership ($0) = $3,161.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($1,172).

Total Amount

$3,161

General + Research + Ownership

Payments

82

Total payment records

General Amount

$3,161

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

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: 2009-06-10

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
I20090610000438ICardiac SurgeryTNTBD

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
99205New patient office or other outpatient visit, 60-74 minutes6060$0
99213Established patient office or other outpatient visit, 20-29 minutes5047$0
33361Replacement of aortic valve through the skin and femoral artery3333$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3128$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2411$0
View full utilization report →

Insurance plans in this area (ZIP 37920)

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Provider's Procedures

RAYMOND A III DIETER (MD) performs procedures in CARDIAC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIAC SURGERYTN33533Heart artery bypass to repair one artery3232

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: 5294646378View full group profile

Reviews

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Frequently asked questions

Is there an official ID for RAYMOND A III DIETER (MD) in U.S. healthcare records?
The official identifier for RAYMOND A III DIETER (MD) is NPI 1063405603.
Is there an active status for RAYMOND A III DIETER (MD)?
For scheduling context, RAYMOND A III DIETER (MD) is shown as active in the registry.
What clinical focus is listed for RAYMOND A III DIETER (MD)?
At a glance, RAYMOND A III DIETER (MD) is tied to Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. Clinical services aligned with this taxonomy classification.
Where in Tennessee is RAYMOND A III DIETER (MD) registered?
Use Knoxville, Tennessee as the headline location for RAYMOND A III DIETER (MD) here.
Does RAYMOND A III DIETER (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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