DR. THOMAS DIEHL (MD) – Surgery Physician, NPI 1134617608

DR. THOMAS DIEHL (MD) is a healthcare provider. based in Fort atkinson, Wisconsin. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 73097-20 (WI). The NPI Number for DR. THOMAS DIEHL (MD) is 1134617608

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. THOMAS DIEHL (MD)
NPI
1134617608
Phone
(920) 563-7900
Address
212 Milwaukee Ave W
Enumeration Date
30 April 2018
Last Update Date
26 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9205637900
Graduation Year
2018 (8 years ago)
PAC ID
5294082137
Group Practice PAC ID
0840189718
Professional Enrollment ID
I20240712001748
Address ID
WI535382022FO212XXWXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

848 GENERAL SURGERY in WI

Provider Addresses for DR. THOMAS DIEHL (MD)

  • 212 Milwaukee Ave W

    Fort Atkinson, WI 535382022

    Phone: (920) 563-7900

    Type: Location

  • 611 Sherman Ave E

    Fort Atkinson, WI 535381960

    Phone: (920) 563-7900

    Type: Location

  • PO BOX 249

    FORT ATKINSON, WI 535380249

    Phone: (920) 568-6580

    Type: Mailing

  • UW HOSPITALS AND CLINICS 600 HIGHLAND AVE

    MADISON, WI 537920001

    Phone: (608) 263-6400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $61.

Total Amount is formed as General ($61) + Research ($0) + Ownership ($0) = $61.

Last reported payment date: 2024-04-22 • Largest payer in this snapshot: Baxter Healthcare ($61).

Total Amount

$61

General + Research + Ownership

Payments

1

Total payment records

General Amount

$61

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Baxter Healthcare$61
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: 2024-07-12

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
I20240712001748IGeneral SurgeryWITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53538)

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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: 0840189718View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineMI
General SurgeryIL
-WI
General SurgeryWI
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)WI
Nurse PractitionerWI
-WI
-WI
-WI

Reviews

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Frequently asked questions

Can I verify DR. THOMAS DIEHL (MD) with an NPI only?
You can start verification with NPI 1134617608 for DR. THOMAS DIEHL (MD), then check state licensing separately.
Can I rely on DR. THOMAS DIEHL (MD) being an active provider?
As of the registry snapshot, DR. THOMAS DIEHL (MD) is marked active.
What is DR. THOMAS DIEHL (MD) best known for clinically?
Directory data describes DR. THOMAS DIEHL (MD) with Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is DR. THOMAS DIEHL (MD) based?
DR. THOMAS DIEHL (MD) is tied to Fort Atkinson, Wisconsin in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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SURGICAL ASSOCIATES

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SURGICAL ASSOCIATES

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212 MILWAUKEE AVE W
NPI: 1710283775