JOHN M DIPIETRA MD
NPI 1295770469
Internal Medicine in Columbus, OH

Active since June 19, 2006PECOS EnrolledAccepts Medicare Assignment
5969 EAST BROAD STREET, 2ND FLOOR, COLUMBUS, OH 43213(614) 864-6010(614) 864-0306 Get Directions Write a Review

NPPES record last updated: September 14, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John M Dipietra Md NPPES

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

JOHN M DIPIETRA MD (NPI 1295770469) is an individual internal medicine provider in Columbus, Ohio, licensed in Ohio (35066297D) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1295770469
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOHN M DIPIETRACredential: MD
Location Address5969 EAST BROAD STREET, 2ND FLOORColumbus, OH 43213
Mailing Address5969 East Broad Street, 2nd FloorColumbus, OH 43213 · (614) 864-6010 · Fax (614) 864-0306
Fax(614) 864-0306
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateJune 19, 2006
Last NPPES UpdateSeptember 14, 2012
NPI 1295770469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OH · 35066297D
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5969 EAST BROAD STREET, Columbus, OH 43213

Other Identifiers 3

Medicaid0454119OH
Medicare UPINF47293
Medicare ID-Type UnspecifiedCA9180583

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

John M Dipietra Md 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 ID3173652633
PECOS Enrollment IDI20100521000893
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.

Areas of Expertise CMS Part B claims 26

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
298 services158 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
259 services142 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
230 services139 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
197 services129 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
164 services164 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
145 services95 patients

Hospital Affiliations CMS Care Compare 5

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · Franklin County
Emergency services Birthing friendly

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Licking Memorial Hospital

Acute Care Hospitals · Newark, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360218
Location1320 West Main StreetNewark, OH 43055 · Licking County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43213 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%1,614 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
26%153 patients2/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
26%155 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
45%655 patients2/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
60%655 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers29 claims52 services$5.84 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers11 claims12 services$1.03 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier13 claims24 services$9.43 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers28 claims28 services$14.13 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
3 suppliers36 claims36 services$64.15 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
5 suppliers35 claims36 services$16.94 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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
5969 EAST BROAD STREET, 2ND FLOOR
COLUMBUS, OH 43213
Internal Medicine
5969 EAST BROAD STREET, 2ND FLOOR
COLUMBUS, OH 43213
Internal Medicine
5969 EAST BROAD STREET, 2ND FLOOR
COLUMBUS, OH 43213
Internal Medicine
5969 EAST BROAD STREET, 2ND FLOOR
COLUMBUS, OH 43213
Internal Medicine
5969 EAST BROAD STREET, 2ND FLOOR
COLUMBUS, OH 43213

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 John Dipietra's NPI number?

The NPI number for John Dipietra is 1295770469. It was assigned to this individual provider in the NPPES registry on June 19, 2006.

Where is John Dipietra located?

John Dipietra practices at 5969 East Broad Street 2nd Floor, Columbus, OH 43213. The listed phone number is (614) 864-6010.

What is John Dipietra's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Dipietra enrolled in Medicare?

Yes. John Dipietra 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 John Dipietra accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 4 other insurers list John Dipietra 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 John Dipietra affiliated with any hospitals?

According to CMS data, John Dipietra is affiliated with Riverside Methodist Hospital, Grant Medical Center, Mount Carmel East & West, Ohio State University State Health System and Licking Memorial Hospital.

When was this NPI record last updated?

The NPPES record for John Dipietra was last updated on September 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.