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SAMANTHA DIETERICH M.D.
NPI 1043437940
Pediatrics in Round Rock, TX

Active since April 20, 2007PECOS Enrolled
300 UNIVERSITY BLVD, ROUND ROCK, TX 78664(512) 509-0203 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samantha Dieterich M.d. NPPES

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

SAMANTHA DIETERICH M.D. (NPI 1043437940) is an individual pediatrics provider in Round Rock, Texas, licensed in Texas (M6588) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043437940
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSAMANTHA DIETERICHCredential: M.D.
Location Address300 UNIVERSITY BLVDRound Rock, TX 78664-1032
Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (254) 724-8800
Phone(512) 509-0203
Sole ProprietorYes
Enumeration DateApril 20, 2007
Last NPPES UpdateJanuary 11, 2021
NPPES CertifiedJanuary 11, 2021
✔ NPI 1043437940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · M6588
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
300 UNIVERSITY BLVD, Round Rock, TX 78664
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Dieterich M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78664 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DENISE DEJEAN SCIONEAUX LOT
Occupational Therapist
300 UNIVERSITY BLVD
ROUND ROCK, TX 78664
Williamson County (512) 509-0200
PAUL B HOOVER P.T.
Physical Therapist (Sports)
300 UNIVERSITY BLVD
ROUND ROCK, TX 78664
Williamson County (512) 509-0200
AMBER DOHERTY WHITTENBURG M.D.
Anesthesiology (Pain Medicine)
300 UNIVERSITY BLVD
ROUND ROCK, TX 78664
Williamson County (512) 509-0200
DR. JOHN F ECKFORD MD
Surgery
300 UNIVERSITY BLVD
ROUND ROCK, TX 78664
Williamson County (512) 509-8500

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 Samantha Dieterich's NPI number?

The NPI number for Samantha Dieterich is 1043437940. It was assigned to this individual provider in the NPPES registry on April 20, 2007.

Where is Samantha Dieterich located?

Samantha Dieterich practices at 300 University Blvd, Round Rock, TX 78664. The listed phone number is (512) 509-0203.

What is Samantha Dieterich's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Samantha Dieterich enrolled in Medicare?

Yes. Samantha Dieterich is registered in the Medicare PECOS enrollment system.

What insurance does Samantha Dieterich accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Samantha Dieterich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samantha Dieterich was last updated on January 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.