MR. JOHN BRETT DIETZE (MD) – Neurological Surgery Physician, NPI 1588665319
Neurological Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
588 NEUROSURGERY in TX
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Provider Addresses for MR. JOHN BRETT DIETZE (MD)
P O BOX 9600
DEPT 09-019
TEXARKANA, TX 755059600
Phone: (903) 794-4196
Fax: (903) 792-7408
Type: Mailing
302, Saint Michael Drive, Texarkana, Bowie County, Texas, 75503, United States
TEXARKANA, TX 755035228
Phone: (903) 794-4196
Fax: (903) 614-5169
Type: Location
1002 Texas Blvd
Suite 406
Texarkana, TX 755015113
Phone: (903) 794-4196
Fax: (903) 792-7408
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $319.
Total Amount is formed as General ($319) + Research ($0) + Ownership ($0) = $319.
Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Globus Medical, Inc. ($306).
Total Amount
$319
General + Research + Ownership
Payments
6
Total payment records
General Amount
$319
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Globus Medical, Inc. | $306 |
| Spinal Simplicity, LLC | $13 |
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: 2005-12-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051215000733 | I | Neurosurgery | TX | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 81 | 59 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 59 | 59 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 38 | 38 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 26 | 25 | $0 |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 25 | 25 | $0 |
Insurance plans in this area (ZIP 75505)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEUROSURGERY | TX | 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 15 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | TX | |
| U R O L O G Y | TX | |
| Physician Assistant | AZ | |
| Nurse Practitioner | TX | |
| - | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| Family Practice | TX | |
| General Surgery | TX | |
| Internal Medicine | TX |
Reviews
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