GINA L. DIETRICH D.O.
NPI 1184648974
Obstetrics & Gynecology in Quincy, IL

Q: What is Gina Dietrich's NPI number?

The NPI number for Gina Dietrich is 1184648974. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Q: What is Gina Dietrich's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Gina Dietrich was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 July 26, 2006PECOS EnrolledAccepts Medicare Assignment

927 BROADWAY ST, SUITE 220, QUINCY, IL 62301(217) 224-6423(217) 223-9172 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 15, 2024, Oct 9, 2020 (2 updates tracked since 2020).

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About Gina L. Dietrich D.o. NPPES

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

GINA L. DIETRICH D.O. (NPI 1184648974) is an individual obstetrics & gynecology provider in Quincy, Illinois, licensed in Illinois (036106243) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Blessing Hospital, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (1997).

NPPES Registry Identity

NPI1184648974

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameGINA L. DIETRICHCredential: D.O.

Location Address927 BROADWAY ST, SUITE 220Quincy, IL 62301-2719

Mailing Address927 Broadway St, Suite 220Quincy, IL 62301-2719 · (217) 224-6423 · Fax (217) 223-9172

Phone(217) 224-6423

Fax(217) 223-9172

Sole ProprietorNo

Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 1997

Enumeration DateJuly 26, 2006

Last NPPES UpdateMay 15, 20242 updates tracked since enumeration

NPPES CertifiedMay 15, 2024

✔ NPI 1184648974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in IL · 036106243✔ Licensed in MO · 2017011099

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

927 BROADWAY ST, Quincy, IL 62301

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Other Identifiers 2

Medicaid036106243IL

Other077595IL · Health Alliance

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Gina L. Dietrich D.o. 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.

PECOS PAC ID2860448347

PECOS Enrollment IDI20050328000968, I20240603003742

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Blessing Hospital

Acute Care Hospitals · Quincy, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140015

Location1005 Broadway StQuincy, IL 62301 · Adams County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62301 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

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.

JONATHAN WILFORD DO

Family Medicine

927 BROADWAY ST, SUITE 121
QUINCY, IL 62301

Adams County (217) 224-6423

ERIC E. SCHULTZ LCSW

Social Worker (Clinical)