Doctor profile · Federal record
Dr. Jaclyn Dietzold, M.D.
Psychiatry Physician (CMS: Psychiatry) · Psychiatry Physician · Philadelphia, PA
- NPI 1194138826
- Accepts Medicare
- MIPS 72.5 / 100 · 2023
- 12 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
100 E Lehigh Ave
Philadelphia, PA 191251012
(215) 707-8496
fax (215) 707-4086 - Mailing address
-
2450 W Hunting Park Ave
Philadelphia, PA 191291302
Credentials & registration
- NPI registered
- June 2014 — 12 yrs on file
- Profile last updated
- July 15, 2020
- Year of graduation
- 2014 — 12 yrs since
- Specialty taxonomy
- 2084P0800X — NUCC code
- State licenses (2)
- Pennsylvania #MD470050 · Pennsylvania #MT207389
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1194138826. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
116
Distinct HCPCS
1
Medicare allowed
$9,586
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 116 | 48 | $83 |
In context: peer comparison
Among 90 peers in Philadelphia Psychiatry Physician, average services per provider: 143. This provider delivers 0.8× the peer median.Frequently asked questions
What is Dr. Jaclyn Dietzold's medical specialty?
Dr. Jaclyn Dietzold practices Psychiatry Physician in Philadelphia, PA.
Where does Dr. Jaclyn Dietzold practice?
Dr. Jaclyn Dietzold practices at 100 E Lehigh Ave, Philadelphia, PA 191251012. Office phone: 2157078496.
What is Dr. Jaclyn Dietzold's NPI?
Dr. Jaclyn Dietzold's National Provider Identifier (NPI) is 1194138826, issued by NPPES.
Does Dr. Jaclyn Dietzold accept Medicare assignment?
Yes. Dr. Jaclyn Dietzold accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jaclyn Dietzold commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232). Source: CMS Medicare Physician & Other Practitioners file.