DR. DIETER FELLNER DPM
NPI 1316280282
Podiatrist - Foot Surgery in Gorham, NH

Q: What is Dieter Fellner's NPI number?

The NPI number for Dieter Fellner is 1316280282. It was assigned to this individual provider in the NPPES registry on March 29, 2013.

Q: What is Dieter Fellner's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Q: When was this NPI record last updated?

The NPPES record for Dieter Fellner was last updated on November 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 March 29, 2013PECOS EnrolledAccepts Medicare Assignment

2 BROADWAY AVE, GORHAM, NH 03581(603) 466-2741 Get Directions Write a Review

NPPES record last updated: November 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 23, 2022, Feb 6, 2017, Jun 25, 2016 (3 updates tracked since 2016).

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About Dr. Dieter Fellner Dpm NPPES

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

DR. DIETER FELLNER DPM (NPI 1316280282) is an individual foot surgery provider in Gorham, New Hampshire, licensed in New Hampshire (0385) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Androscoggin Valley Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1316280282

Entity TypeIndividualMale

Primary Taxonomy213ES0131X

Provider Legal NameDR. DIETER FELLNERCredential: DPM

Location Address2 BROADWAY AVEGorham, NH 03581-1502

Mailing Address2 Broadway AveGorham, NH 03581-1502 · (603) 466-2741

Phone(603) 466-2741

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 29, 2013

Last NPPES UpdateNovember 23, 20223 updates tracked since enumeration

NPPES CertifiedNovember 23, 2022

✔ NPI 1316280282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0131X

Licenses✔ Licensed in NH · 0385✔ Licensed in NY · N006747

2 BROADWAY AVE, Gorham, NH 03581

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield 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

Dr. Dieter Fellner Dpm 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 ID8820360258

PECOS Enrollment IDI20170821001299, I20221221002614

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.

Androscoggin Valley Hospital

Critical Access Hospitals · Berlin, NH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number301310

Location59 Page Hill RoadBerlin, NH 03570 · Coos County

Emergency services Birthing friendly

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

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

16%75 patients1/55-star benchmark: 97%

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.

Other Providers at the Same Location NPPES 14

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

MS. AMY BETH PAGE APRN

Nurse Practitioner (Family)