KELLY RENEE DIETZ MD
NPI 1295877702
Radiology - Diagnostic Radiology in Minneapolis, MN

Active since February 12, 2007PECOS EnrolledAccepts Medicare Assignment
86.51/100
CMS Quality Rating
516 DELAWARE STREET SE, UMPHYSICIANS IMAGING CENTER, MINNEAPOLIS, MN 55455(612) 624-1500 Get Directions Write a Review

NPPES record last updated: March 26, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Renee Dietz Md NPPES

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

KELLY RENEE DIETZ MD (NPI 1295877702) is an individual diagnostic radiology provider in Minneapolis, Minnesota, licensed in Minnesota (53312) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and is a graduate of University Of Minnesota Medical School (2006).

NPPES Registry Identity

NPI1295877702
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameKELLY RENEE DIETZCredential: MD
Location Address516 DELAWARE STREET SE, UMPHYSICIANS IMAGING CENTERMinneapolis, MN 55455-0341
Mailing Address720 Washington Ave Se, University Of Minnesota PhysiciansMinneapolis, MN 55414 · (612) 884-0649 · Fax (612) 676-8992
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2006
Enumeration DateFebruary 12, 2007
Last NPPES UpdateMarch 26, 2013
NPI 1295877702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in MN · 53312 Licensed in MN · 19422
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
516 DELAWARE STREET SE, Minneapolis, MN 55455

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

Kelly Renee Dietz 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 ID648434209
PECOS Enrollment IDI20120611000480
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

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.

Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
68 services68 patients

Hospital Affiliations CMS Care Compare

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

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55455 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

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.

86.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.59
Promoting Interoperability100
Improvement Activities40
Cost67.96

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.

Pediatrics (Pediatric Hematology-Oncology)
516 DELAWARE STREET SE, UNIVERSITY OF MN PHYSICIANS, PWB FIFTH FLOOR, CLINIC 5B
MINNEAPOLIS, MN 55455
Internal Medicine (Pulmonary Disease)
516 DELAWARE STREET SE, PWB SECOND FLOOR CLINIC 2A
MINNEAPOLIS, MN 55455
Urology
516 DELAWARE STREET SE, CLINIC 1E, FIRST FLOOR PWB
MINNEAPOLIS, MN 55455
Internal Medicine (Hematology & Oncology)
516 DELAWARE STREET SE, UNIV. OF MN PHYSICIANS, PWB FIFTH FLOOR, CLINIC 5B
MINNEAPOLIS, MN 55455
Internal Medicine (Infectious Disease)
516 DELAWARE STREET SE, DELAWARE STREET CLINIC
MINNEAPOLIS, MN 55455
Radiology (Diagnostic Radiology)
516 DELAWARE STREET SE, PWB 1ST FL CLINIC 1D UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS, MN 55455
Ophthalmology
516 DELAWARE STREET SE, EYE CLINIC
MINNEAPOLIS, MN 55455
Family Medicine
516 DELAWARE STREET SE, PWB THIRD FLOOR CLINIC 3A
MINNEAPOLIS, MN 55455

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 Kelly Dietz's NPI number?

The NPI number for Kelly Dietz is 1295877702. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is Kelly Dietz located?

Kelly Dietz practices at 516 Delaware Street SE Umphysicians Imaging Center, Minneapolis, MN 55455. The listed phone number is (612) 624-1500.

What is Kelly Dietz's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Kelly Dietz enrolled in Medicare?

Yes. Kelly Dietz 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 Kelly Dietz accept?

Health plans from Sanford Health Plan list Kelly Dietz 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 Kelly Dietz affiliated with any hospitals?

According to CMS data, Kelly Dietz is affiliated with M Health Fairview University Of Mn.

When was this NPI record last updated?

The NPPES record for Kelly Dietz was last updated on March 26, 2013. 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.