LETISHA JOLENE DEIBERT MD
NPI 1104346113
Hospitalist in Winston Salem, NC

Q: What is Letisha Deibert's NPI number?

The NPI number for Letisha Deibert is 1104346113. It was assigned to this individual provider in the NPPES registry on June 21, 2017.

Q: What is Letisha Deibert's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Letisha Deibert was last updated on August 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 21, 2017PECOS Enrolled

MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157(336) 713-5215(336) 716-0030 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 25, 2021, Feb 25, 2021, Jul 2, 2020 and 1 more (4 updates tracked since 2017).

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About Letisha Jolene Deibert Md NPPES

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

LETISHA JOLENE DEIBERT MD (NPI 1104346113) is an individual hospitalist provider in Winston Salem, North Carolina, licensed in North Carolina (2021-02649) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lincoln.

NPPES Registry Identity

NPI1104346113

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameLETISHA JOLENE DEIBERTCredential: MD

Location AddressMEDICAL CENTER BLVDWinston Salem, NC 27157-9797

Mailing AddressMedical Center BlvdWinston Salem, NC 27157-0001 · (336) 713-5215 · Fax (336) 716-0030

Phone(336) 713-5215

Fax(336) 716-0030

Sole ProprietorNo

Enumeration DateJune 21, 2017

Last NPPES UpdateAugust 25, 20214 updates tracked since enumeration

NPPES CertifiedAugust 25, 2021

✔ NPI 1104346113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in NC · 2021-02649

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 31502 (NE)

MEDICAL CENTER BLVD, Winston Salem, NC 27157

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Secondary Practice Location 1

Location 17440 S 91st StLincoln, NE 68526-9797 · Phone (402) 328-2008 · Fax (402) 421-0946

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Letisha Jolene Deibert 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27157 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers17 claims17 services$15.75 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers23 claims23 services$80.39 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CRAIG MICHAEL COMBS MD

Anesthesiology