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DR. GREGORY F. DIEDERICH D.D.S
NPI 1306066105
Dentist - General Practice in Sheffield Village, OH

Active since April 26, 2007PECOS Enrolled
5064 WATERFORD DR, SHEFFIELD VILLAGE, OH 44035(440) 934-5966(440) 934-2408 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gregory F. Diederich D.d.s NPPES

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

DR. GREGORY F. DIEDERICH D.D.S (NPI 1306066105) is an individual general practice provider in Sheffield Village, Ohio, licensed in Ohio (018711) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306066105
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GREGORY F. DIEDERICHCredential: D.D.S
Location Address5064 WATERFORD DRSheffield Village, OH 44035-1497
Mailing Address5064 Waterford DrSheffield Village, OH 44035-1497 · (440) 934-5966 · Fax (440) 934-2408
Phone(440) 934-5966
Fax(440) 934-2408
Sole ProprietorYes
Enumeration DateApril 26, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1306066105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OH · 018711
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
5064 WATERFORD DR, Sheffield Village, OH 44035
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gregory F. Diederich D.d.s 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 44035 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 3

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

CHAN FAMILY DENTAL
Clinic/Center (Dental)
5064 WATERFORD DR
SHEFFIELD VILLAGE, OH 44035
Lorain County (440) 934-5966
DR. MARVIN CHAN
Dentist
5064 WATERFORD DR
SHEFFIELD VILLAGE, OH 44035
Lorain County (440) 934-5966
DR. ZAW Y L HEIN DMD
Dentist (General Practice)
5064 WATERFORD DR
SHEFFIELD VILLAGE, OH 44035
Lorain County (440) 538-1873

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 Gregory Diederich's NPI number?

The NPI number for Gregory Diederich is 1306066105. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Where is Gregory Diederich located?

Gregory Diederich practices at 5064 Waterford Dr, Sheffield Village, OH 44035. The listed phone number is (440) 934-5966.

What is Gregory Diederich's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Gregory Diederich enrolled in Medicare?

Yes. Gregory Diederich is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gregory Diederich was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.