THOMAS RUSSELL DIETZE (M.D.) – Ophthalmology Physician, NPI 1417938713

THOMAS RUSSELL DIETZE (M.D.) is a healthcare provider. based in Corpus christi, Texas. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. H1574 (TX). The NPI Number for THOMAS RUSSELL DIETZE (M.D.) is 1417938713

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS RUSSELL DIETZE (M.D.)
NPI
1417938713
Phone
(361) 992-9400
Address
5402 S STAPLES ST
Enumeration Date
14 November 2005
Last Update Date
28 February 2019

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
3619929400
Graduation Year
1982 (44 years ago)
PAC ID
3173585601
Group Practice PAC ID
9335203611
Professional Enrollment ID
I20100803000039
Address ID
TX784114656CO5402XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,544 OPHTHALMOLOGY in TX

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Provider Addresses for THOMAS RUSSELL DIETZE (M.D.)

  • Certainty Home Loans, 5402, South Staples Street, South Side, Corpus Christi, Nueces County, Texas, 78411, United States

    SUITE 100

    CORPUS CHRISTI, TX 784114656

    Phone: (361) 992-9400

    Fax: (361) 992-8295

    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 20 Open Payments records for all available years, with a total value of $385.

Total Amount is formed as General ($385) + Research ($0) + Ownership ($0) = $385.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: ABBVIE INC. ($277).

Total Amount

$385

General + Research + Ownership

Payments

20

Total payment records

General Amount

$385

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

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: 2010-08-03

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
I20100803000039IOphthalmologyTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes632434$0
92014Established patient complete exam of visual system381360$0
99214Established patient office or other outpatient visit, 30-39 minutes244189$0
92136Measurement of corneal curvature and depth of eye16172$0
92133Imaging of optic nerve156151$0
View full utilization report →

Insurance plans in this area (ZIP 78411)

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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: 9335203611View full group profile
NameSpecialtyState
O P T O M E T R YTX

Reviews

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Frequently asked questions

Is there an official ID for THOMAS RUSSELL DIETZE (M.D.) in U.S. healthcare records?
The official identifier for THOMAS RUSSELL DIETZE (M.D.) is NPI 1417938713.
Is there an active status for THOMAS RUSSELL DIETZE (M.D.)?
For scheduling context, THOMAS RUSSELL DIETZE (M.D.) is shown as active in the registry.
What clinical focus is listed for THOMAS RUSSELL DIETZE (M.D.)?
At a glance, THOMAS RUSSELL DIETZE (M.D.) is tied to Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Where in Texas is THOMAS RUSSELL DIETZE (M.D.) registered?
Use Corpus Christi, Texas as the headline location for THOMAS RUSSELL DIETZE (M.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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