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, is affiliated with Musc Health Lancaster Medical Center, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
5Medicare enrollment records show Trent Dietsche reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Winston Salem, NC 27104
- Reassigned Medicare billing, North Carolina enrollment
- 2 clinicians in this Medicare group
Bamberg, SC 29003
- Reassigned Medicare billing, South Carolina enrollment
- 2,389 clinicians in this Medicare group
Mountain View, MO 65548
- Reassigned Medicare billing, Missouri enrollment
- 126 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Alabama and Missouri enrollments
- 456 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Florida, North Carolina and South Carolina enrollments
- 168 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Musc Health Lancaster Medical Center
Acute Care Hospitals · Lancaster, SCPhysician 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.
Which organizations bill Medicare for Trent Dietsche's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Trent Dietsche reassigns Medicare benefits to 5 organizations: Doctors Own Urgent Care (Winston Salem, NC), Musc Community Physicians (Bamberg, SC), Mercy St. Francis Hospital (Mountain View, MO), Signify Health, LLC (Dallas, TX) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Trent Dietsche's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Trent Dietsche accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, CareSource and CareSource (Common Ground Healthcare) and 1 other insurer 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.
Is Trent Dietsche affiliated with any hospitals?
According to CMS data, Trent Dietsche is affiliated with Musc Health Lancaster Medical Center.
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 7 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
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Doctors Own Urgent Care (NPI 1023734803, Winston Salem, NC); Musc Community Physicians (NPI 1841878006, Bamberg, SC); Mercy St. Francis Hospital (NPI 1023053477, Mountain View, MO); Signify Health, LLC (NPI 1689158487, Dallas, TX); Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **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.