JASON PAUL DIETERLE DO
NPI 1376730069
Orthopaedic Surgery - Sports Medicine in Oak Park Heights, MN

Q: What is Jason Dieterle's NPI number?

The NPI number for Jason Dieterle is 1376730069. It was assigned to this individual provider in the NPPES registry on September 26, 2007.

Q: What is Jason Dieterle's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Jason Dieterle was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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 September 26, 2007PECOS EnrolledAccepts Medicare Assignment

83.53/100

CMS Quality Rating

5715 MEMORIAL AVE N, OAK PARK HEIGHTS, MN 55082(651) 439-8807(651) 439-0232 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jason Paul Dieterle Do NPPES

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

JASON PAUL DIETERLE DO (NPI 1376730069) is an individual sports medicine provider in Oak Park Heights, Minnesota, licensed in Minnesota (51694) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Mclaren Central Michigan, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2003).

NPPES Registry Identity

NPI1376730069

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameJASON PAUL DIETERLECredential: DO

Location Address5715 MEMORIAL AVE NOak Park Heights, MN 55082-1093

Mailing Address3500 American Blvd W Ste 300Bloomington, MN 55431-4442 · (952) 512-5600

Phone(651) 439-8807

Fax(651) 439-0232

Sole ProprietorNo

Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2003

Enumeration DateSeptember 26, 2007

Last NPPES UpdateSeptember 4, 2024

NPPES CertifiedSeptember 4, 2024

✔ NPI 1376730069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

Licenses✔ Licensed in MN · 51694✔ Licensed in WI · 52724-21

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 51694 (MN), 52724-21 (WI)

5715 MEMORIAL AVE N, Oak Park Heights, MN 55082

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Jason Paul Dieterle Do 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 ID3779637400

PECOS Enrollment IDI20090903000110, I20250114002429

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 12

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

796 services97 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

184 services101 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

148 services104 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

117 services73 patients

Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose J7323

Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.

61 services18 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

53 services53 patients

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.

44 services43 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

39 services25 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

35 services33 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

21 services20 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 patients

Mri scan of arm joint without contrast 73221

An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Mclaren Central Michigan

Acute Care Hospitals · Mount Pleasant, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230080

Location1221 South DriveMount Pleasant, MI 48858 · Isabella County

Emergency services Birthing friendly

Mclaren Northern Michigan

Acute Care Hospitals · Petoskey, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230105

Location416 Connable AvePetoskey, MI 49770 · Emmet County

Emergency services Birthing friendly

Chippewa County War Memorial Hospital

Acute Care Hospitals · Sault Sainte Marie, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230239

Location500 Osborn BlvdSault Sainte Marie, MI 49783 · Chippewa 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.

83.53/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.79

Promoting Interoperability

100

Improvement Activities

Cost

63.31

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Other Providers at the Same Location NPPES 18

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

MARGARET M FAUST PA-C

Physician Assistant

5715 MEMORIAL AVE N
OAK PARK HEIGHTS, MN 55082

Washington County (651) 439-8807

AUNDREA DENISE RAINVILLE M.D.

Orthopaedic Surgery (Hand Surgery)

5715 MEMORIAL AVE N
OAK PARK HEIGHTS, MN 55082

Washington County (651) 439-8807

DEREK ALLEN LAHTI PT

Physical Therapist

5715 MEMORIAL AVE N
OAK PARK HEIGHTS, MN 55082

Washington County (651) 439-8807

INFINITE HEALTH COLLABORATIVE, PA

Durable Medical Equipment & Medical Supplies

5715 MEMORIAL AVE N
STILLWATER, MN 55082

Washington County (651) 439-8807

AMANDA J MICKELSON CNP

Nurse Practitioner (Gerontology)

5715 MEMORIAL AVE N
OAK PARK HEIGHTS, MN 55082

Washington County (651) 439-8807

KALLI JO FANNING PT

Physical Therapist

5715 MEMORIAL AVE N
OAK PARK HEIGHTS, MN 55082

Washington County (651) 439-8807

MCKENZIE NICOLE TIRREL OSTENDORF PT

Physical Therapist

5715 MEMORIAL AVE N
OAK PARK HEIGHTS, MN 55082

Washington County (651) 439-8807

ALEXANDER ROHNE MOREHEAD PA-C

Physician Assistant

5715 MEMORIAL AVE N
OAK PARK HEIGHTS, MN 55082

Washington County (651) 439-8807

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 Jason Dieterle's NPI number?

The NPI number for Jason Dieterle is 1376730069. It was assigned to this individual provider in the NPPES registry on September 26, 2007.

Where is Jason Dieterle located?

Jason Dieterle practices at 5715 Memorial Ave N, Oak Park Heights, MN 55082. The listed phone number is (651) 439-8807.

What is Jason Dieterle's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Jason Dieterle enrolled in Medicare?

Yes. Jason Dieterle 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 Jason Dieterle accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Jason Dieterle 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 Jason Dieterle affiliated with any hospitals?

According to CMS data, Jason Dieterle is affiliated with Mclaren Central Michigan, Mclaren Northern Michigan and Chippewa County War Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jason Dieterle was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.