KATIE LEE DIETERLE RPA-C, AAHIVS
NPI 1003092370
Physician Assistant in Elmira, NY

Active since January 16, 2008PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
600 ROE AVE STE 1F, ELMIRA, NY 14905(607) 795-8161(607) 795-8115 Get Directions Write a Review

NPPES record last updated: November 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 10, 2023, Nov 24, 2020 (2 updates tracked since 2020).

About Katie Lee Dieterle Rpa-c, Aahivs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATIE LEE DIETERLE RPA-C, AAHIVS (NPI 1003092370) is an individual physician assistant in Elmira, New York, licensed in New York (012166) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS, is affiliated with Arnot Ogden Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1003092370
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATIE LEE DIETERLECredential: RPA-C, AAHIVS
Location Address600 ROE AVE STE 1FElmira, NY 14905-1676
Mailing Address571 Saint Josephs Blvd Fl 2Elmira, NY 14901-3230 · (607) 271-2050 · Fax (607) 873-1244
Fax(607) 795-8115
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJanuary 16, 2008
Last NPPES UpdateNovember 10, 20232 updates tracked since enumeration
NPPES CertifiedNovember 10, 2023
NPI 1003092370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 012166
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

600 ROE AVE STE 1F, Elmira, NY 14905

Other Names 1

Former Name (1)Katie Lee Bachman

Other Identifiers 1

Medicaid02966498NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Katie Lee Dieterle Rpa-c, Aahivs is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698859122
PECOS Enrollment IDI20080222000281
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
32 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Arnot Ogden Medical Center

Acute Care Hospitals · Elmira, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330090
Location600 Roe AvenueElmira, NY 14905 · Chemung County
Emergency services Birthing friendly

Cayuga Medical Center At Ithaca

Acute Care Hospitals · Ithaca, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330307
Location101 Dates DriveIthaca, NY 14850 · Tompkins County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.8
Promoting Interoperability100
Improvement Activities40
Cost65.21

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katie Dieterle's NPI number?

The NPI number for Katie Dieterle is 1003092370. It was assigned to this individual provider in the NPPES registry on January 16, 2008. The provider is also known as Katie Lee Bachman.

Where is Katie Dieterle located?

Katie Dieterle practices at 600 Roe Ave Ste 1F, Elmira, NY 14905. The listed phone number is (607) 795-8161.

What is Katie Dieterle's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Katie Dieterle enrolled in Medicare?

Yes. Katie Dieterle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Katie Dieterle affiliated with any hospitals?

According to CMS data, Katie Dieterle is affiliated with Arnot Ogden Medical Center and Cayuga Medical Center At Ithaca.

When was this NPI record last updated?

The NPPES record for Katie Dieterle was last updated on November 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.