RAYMOND DIETER JR. MD
NPI 1285609776
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Glen Ellyn, IL

Q: What is Raymond Dieter's NPI number?

The NPI number for Raymond Dieter is 1285609776. It was assigned to this individual provider in the NPPES registry on February 20, 2006.

Q: What is Raymond Dieter's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Raymond Dieter was last updated on January 20, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 20, 2006PECOS Enrolled

430 PENNSYLVANIA AVE, GLEN ELLYN, IL 60137(630) 469-9200 Get Directions Write a Review

NPPES record last updated: January 20, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Raymond Dieter Jr. Md NPPES

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

RAYMOND DIETER JR. MD (NPI 1285609776) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Glen Ellyn, Illinois, licensed in Illinois (036037486) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285609776

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameRAYMOND DIETER JR.Credential: MD

Location Address430 PENNSYLVANIA AVEGlen Ellyn, IL 60137-4464

Mailing Address1860 Paysphere CirChicago, IL 60674-0018 · (630) 469-9200

Phone(630) 469-9200

Sole ProprietorNo

Enumeration DateFebruary 20, 2006

Last NPPES UpdateJanuary 20, 2011

✔ NPI 1285609776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in IL · 036037486

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

430 PENNSYLVANIA AVE, Glen Ellyn, IL 60137

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Other Identifiers 1

Medicaid036037486IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raymond Dieter Jr. 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 60137 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

$181.38 typical visit price

range $59.81 – $181.38

Typical copayment $45.34 (range $14.95 – $45.34)

Most-billed visit code 99205

Established Patient

$74.38 typical visit price

range $19.15 – $147.12

Typical copayment $18.59 (range $4.78 – $36.78)

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.