Doctor profile · Federal record

Dr. Timothy Dietrich, D.O

Internal Medicine Physician (CMS: Internal Medicine) · Student in an Organized Health Care Education/Training Program · Maumelle, AR

  • NPI 1053654608
  • Accepts Medicare
  • 13 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1705 Club Manor Drive,, Suite 2
Maumelle, AR 721137401
(501) 851-7402
fax (501) 851-4753
Mailing address
1701 Club Manor Drive, , Suite 2
Maumelle, AR 721137401

Credentials & registration

NPPES · NUCC
NPI registered
April 2013 — 13 yrs on file
Profile last updated
September 2, 2016
Year of graduation
2013 — 13 yrs since
Specialty taxonomy
207R00000X — NUCC code
State license (1)
Arkansas #E-3259

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1053654608. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
1,143
Distinct HCPCS
5
Medicare allowed
$98,680
HCPCS Description Services Patients Avg allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 800 221 $72
99238 Hospital discharge day management, 30 minutes or less 164 155 $73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 142 136 $159
99291 Critical care, first 30-74 minutes 22 22 $196
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 15 14 $120

In context: peer comparison

Among 4 peers in this city , average services per provider: 210. This provider delivers 5.4× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$120
Transactions
5
Manufacturers
2
Payer (manufacturer) Industry Txns Amount
Boehringer Ingelheim Pharmaceuticals, Inc. 4 $93.13
PFIZER INC. 1 $27.07

By nature of payment

Food and Beverage
$120

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
72
Patients
48
Total drug cost
$654
Drug Type Claims Patients Total cost
Pantoprazole Sodium Generic 22 19 $171
Amlodipine Besylate Generic 20 18 $138
Atorvastatin Calcium Generic 19 0 $233
Prednisone Generic 11 11 $112

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Timothy Dietrich's medical specialty?
Dr. Timothy Dietrich practices Internal Medicine Physician in Maumelle, AR.
Where does Dr. Timothy Dietrich practice?
Dr. Timothy Dietrich practices at 1705 Club Manor Drive,, Maumelle, AR 721137401. Office phone: 5018517402.
What is Dr. Timothy Dietrich's NPI?
Dr. Timothy Dietrich's National Provider Identifier (NPI) is 1053654608, issued by NPPES.
Does Dr. Timothy Dietrich accept Medicare assignment?
Yes. Dr. Timothy Dietrich accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Timothy Dietrich commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Hospital discharge day management (HCPCS 99238); Initial hospital care with moderate level of medical decision making (HCPCS 99223). Source: CMS Medicare Physician & Other Practitioners file.