DR. M. LYNDON DIETER (MD) – Anesthesiology Physician, NPI 1508857103
Anesthesiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,514 ANESTHESIOLOGY in WA
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Provider Addresses for DR. M. LYNDON DIETER (MD)
Tri-State Memorial Hospital, 1221, Highland Avenue, Clarkston, Asotin County, Washington, 99403, United States
TRISTATE MEMORIAL HOSPITAL
CLARKSTON, WA 994032829
Phone: (602) 290-4411
Fax: (888) 946-5295
Type: Location
660 S COOLIDGE ST
MOSES LAKE, WA 988371872
Phone: (509) 793-9715
Fax: (509) 764-3244
Type: Mailing
2445, Linda Vista Street, Clarkston Heights, Asotin County, Washington, 99403, United States
CLARKSTON, WA 994031431
Phone: (602) 290-4411
Fax: (888) 649-5295
Type: Mailing
801 E WHEELER RD
MOSES LAKE, WA 988371899
Phone: (509) 765-5606
Fax: (509) 764-3244
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 $586.
Total Amount is formed as General ($586) + Research ($0) + Ownership ($0) = $586.
Last reported payment date: 2023-05-18 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($363).
Total Amount
$586
General + Research + Ownership
Payments
6
Total payment records
General Amount
$586
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $363 |
| Davol Inc. | $90 |
| Innovation Technologies Inc | $67 |
| CONMED Corporation | $45 |
| Merck Sharp & Dohme LLC | $20 |
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: 2012-01-05
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 |
|---|---|---|---|---|
| I20120105000734 | I | Anesthesiology | WA | 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 99403)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | WA | 01402 | Anesthesia for open or endoscopic total knee joint replacement | 25 | 24 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | KY | |
| Emergency Medicine | WA | |
| Family Practice | WA | |
| Physician Assistant | WA | |
| - | PA | |
| Emergency Medicine | NJ | |
| Internal Medicine | IN | |
| Physician Assistant | OH | |
| Mental Health Counselor | WA | |
| Emergency Medicine | MA |
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