Doctor profile · Federal record
Dr. DANIELLE DIETZ, M.D.
Surgery Physician (CMS: GENERAL SURGERY) · Surgery Physician · GEORGETOWN, KY
- NPI 1558468462
- Accepts Medicare
- 26 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1138 LEXINGTON RD, SUITE 230
GEORGETOWN, KY 403249672
(502) 570-3778
fax (502) 570-3779
Credentials & registration
- NPI registered
- September 2006 — 20 yrs on file
- Profile last updated
- June 1, 2016
- Year of graduation
- 2000 — 26 yrs since
- Specialty taxonomy
- 208600000X — NUCC code
- State licenses (2)
- Kentucky #40300 · Kentucky #TP770
- Medicaid
- KY #7100003310
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1558468462. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
14
Distinct HCPCS
1
Medicare allowed
$1,452
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99203 |
New patient office or other outpatient visit, 30-44 minutes | 14 | 14 | $104 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 14. This provider delivers 1.0× the peer median.Open Payments
Industry payments received
All-time total
$176
Transactions
9
Manufacturers
7
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Innovation Technologies Inc | 2 | $43.57 | |
| Ethicon US, LLC | 2 | $35.01 | |
| GENZYME CORPORATION | 1 | $22.06 | |
| W. L. Gore & Associates, Inc. | 1 | $19.32 | |
| QOL Medical, LLC | 1 | $18.97 | |
| ABBVIE INC. | 1 | $18.84 | |
| Molnlycke Health Care US, LLC | 1 | $17.83 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
52
Patients
47
Total drug cost
$137
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Ibuprofen | Generic | 26 | 24 | $73 |
| Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) | Brand | 26 | 23 | $63 |