DR. PETER DIETZE JR. MD
NPI 1336259290
Obstetrics & Gynecology in San Diego, CA

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
73.62/100
CMS Quality Rating
10243 GENETIC CENTER DR, SAN DIEGO, CA 92121(858) 499-2702(858) 526-6113 Get Directions Write a Review

NPPES record last updated: June 18, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Peter Dietze Jr. Md NPPES

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

DR. PETER DIETZE JR. MD (NPI 1336259290) is an individual obstetrics & gynecology provider in San Diego, California, licensed in California (G 79877) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (1993).

NPPES Registry Identity

NPI1336259290
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. PETER DIETZE JR.Credential: MD
Location Address10243 GENETIC CENTER DRSan Diego, CA 92121-6310
Mailing Address10243 Genetic Center DrSan Diego, CA 92121-6310 · (858) 499-2702 · Fax (858) 526-6113
Fax(858) 526-6113
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 1993
Enumeration DateAugust 30, 2006
Last NPPES UpdateJune 18, 2013
NPI 1336259290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in CA · G 79877
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

10243 GENETIC CENTER DR, San Diego, CA 92121

Other Identifiers 3

Medicare UPING 55194
Medicare ID-Type UnspecifiedWG 79877BCA
Medicaid00G 798770CA

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. Peter Dietze Jr. 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 ID5092809335
PECOS Enrollment IDI20070918000488
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 92121 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

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.

73.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.56
Improvement Activities40
Cost58.69

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.

Physician Assistant (Medical)
10243 GENETIC CENTER DR
SAN DIEGO, CA 92121
Family Medicine
10243 GENETIC CENTER DR
SAN DIEGO, CA 92121
Otolaryngology (Pediatric Otolaryngology)
10243 GENETIC CENTER DR
SAN DIEGO, CA 92121
Ophthalmology
10243 GENETIC CENTER DR
SAN DIEGO, CA 92121
Emergency Medicine
10243 GENETIC CENTER DR
SAN DIEGO, CA 92121
Emergency Medicine
10243 GENETIC CENTER DR
SAN DIEGO, CA 92121
Emergency Medicine
10243 GENETIC CENTER DR
SAN DIEGO, CA 92121
Internal Medicine (Rheumatology)
10243 GENETIC CENTER DR
SAN DIEGO, CA 92121

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336259290, enumerated as an "individual" on August 30, 2006.

The provider is located at 10243 GENETIC CENTER DR SAN DIEGO, CA 92121 and the phone number is (858) 499-2702.

Obstetrics & Gynecology with taxonomy code 207V00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.