DR. TRENT WALKER DIETSCHE DO
NPI 1164910501
Family Medicine in Winston Salem, NC
About Dr. Trent Walker Dietsche Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TRENT WALKER DIETSCHE DO (NPI 1164910501) is an individual family medicine provider in Winston Salem, North Carolina, licensed in Missouri (2020036425) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Dr. Trent Walker Dietsche Do 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Trent Dietsche's NPI number?
The NPI number for Trent Dietsche is 1164910501. It was assigned to this individual provider in the NPPES registry on May 1, 2018.
Where is Trent Dietsche located?
Trent Dietsche practices at 4807 Country Club Rd, Winston Salem, NC 27104. The listed phone number is (336) 245-8159.
What is Trent Dietsche's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Trent Dietsche enrolled in Medicare?
Yes. Trent Dietsche 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.
What insurance does Trent Dietsche accept?
Health plans from CareSource list Trent Dietsche 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 Trent Dietsche was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Dr. Trent Walker Dietsche, DO · NPI 1164910501
Family Medicine physician in Winston Salem, North Carolina. Individual provider, active in the CMS NPPES registry since May 1, 2018.
## Identity
- **NPI:** 1164910501 (Entity type: Individual)
- **Enumerated:** May 1, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 2020036425 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 4807 COUNTRY CLUB RD, Winston Salem, NC 27104-4503
- **Phone:** (336) 245-8159
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** March 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1164910501) · Data from the CMS NPPES public registry.