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PAMELA M DIETZ MD
NPI 1063515146
Pediatrics in Portland, ME

Active since September 06, 2006PECOS Enrolled
1577 CONGRESS ST, PORTLAND, ME 04102(207) 662-1622(207) 774-1814 Get Directions Write a Review

NPPES record last updated: November 22, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pamela M Dietz Md NPPES

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

PAMELA M DIETZ MD (NPI 1063515146) is an individual pediatrics provider in Portland, Maine, licensed in Maine (MD14921) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063515146
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NamePAMELA M DIETZCredential: MD
Location Address1577 CONGRESS STPortland, ME 04102
Mailing Address301 Us Route 1, Building CScarborough, ME 04074-7609 · (207) 396-8600 · Fax (207) 396-8632
Phone(207) 662-1622
Fax(207) 774-1814
Sole ProprietorNo
Enumeration DateSeptember 6, 2006
Last NPPES UpdateNovember 22, 2013
✔ NPI 1063515146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in ME · MD14921
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.
1577 CONGRESS ST, Portland, ME 04102
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Other Identifiers 3

Medicaid325040099ME
Medicare PIN000560701ME
Medicaid30207724NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pamela M Dietz Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Pamela Dietz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mainehealth
1.5 mi
Gynecology
100 BRICKHILL AVE
South Portland, ME 04106
  • Reassigned Medicare billing, Maine enrollment
  • 3,140 clinicians in this Medicare group
NPI 1679887400 (207) 775-1255
Maine Medical Partners
2.6 mi
Family Medicine
1 HARNOIS AVE
Westbrook, ME 04092
  • Reassigned Medicare billing, Maine enrollment
  • 206 clinicians in this Medicare group
NPI 1790896876 (207) 662-3400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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 20

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

KASSI MARIE SWALLOW RD, LDN
Dietitian, Registered
1577 CONGRESS ST
PORTLAND, ME 04102
Cumberland County (207) 662-1622
DR. SAMANTHA DUNN D.O.
Pediatrics (Developmental - Behavioral Pediatrics)
1577 CONGRESS ST
PORTLAND, ME 04102
Cumberland County (207) 662-5522
ELIZABETH BARKER PH.D.
Psychologist (School)
1577 CONGRESS ST
PORTLAND, ME 04102
Cumberland County (307) 663-5522
DR. JENNIFER M DUBAIL MD
Pediatrics
1577 CONGRESS ST, 2ND FLOOR
PORTLAND, ME 04102
Cumberland County (207) 662-1442
ROSEMARIE SMITH MD
Medical Genetics (Clinical Genetics (M.D.))
1577 CONGRESS ST, 2ND FLOOR
PORTLAND, ME 04102
Cumberland County (207) 662-1622
CAROL L HUBBARD M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
1577 CONGRESS ST, 1ST FLOOR
PORTLAND, ME 04102
Cumberland County (207) 662-1622
PHOEBE S SMITH LCSW
Social Worker (Clinical)
1577 CONGRESS ST
PORTLAND, ME 04102
Cumberland County (207) 662-1442
JAMES BOHNHOFF
Pediatrics
1577 CONGRESS ST
PORTLAND, ME 04102
Cumberland County (207) 661-1442

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 Pamela Dietz's NPI number?

The NPI number for Pamela Dietz is 1063515146. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is Pamela Dietz located?

Pamela Dietz practices at 1577 Congress St, Portland, ME 04102. The listed phone number is (207) 662-1622.

What is Pamela Dietz's specialty?

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

Is Pamela Dietz enrolled in Medicare?

Yes. Pamela Dietz is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Pamela Dietz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pamela Dietz reassigns Medicare benefits to 2 organizations: Mainehealth (South Portland, ME) and Maine Medical Partners (Westbrook, ME). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pamela Dietz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pamela Dietz accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Pamela Dietz 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 Pamela Dietz was last updated on November 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.