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JORG DIETRICH MD PHD
NPI 1407977473
Psychiatry & Neurology - Neurology in Boston, MA

Active since April 03, 2007PECOS EnrolledAccepts Medicare Assignment
55 FRUIT STREET, YAWKEY CENTER 9E PAPPAS CENTER FOR NEUROONCOLOGY, BOSTON, MA 02114(617) 724-8770(617) 724-8769 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jorg Dietrich Md Phd NPPES

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

JORG DIETRICH MD PHD (NPI 1407977473) is an individual neurology provider in Boston, Massachusetts, licensed in Massachusetts (225271) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Cooley Dickinson Hospital Inc,the, and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1407977473
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameJORG DIETRICHCredential: MD PHD
Location Address55 FRUIT STREET, YAWKEY CENTER 9E PAPPAS CENTER FOR NEUROONCOLOGYBoston, MA 02114
Mailing Address275 Beacon St Apt 2aBoston, MA 02116-1257 · (617) 722-3025
Phone(617) 724-8770
Fax(617) 724-8769
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateApril 3, 2007
Last NPPES UpdateMarch 11, 2026
NPPES CertifiedMarch 11, 2026
✔ NPI 1407977473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in MA · 225271
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
55 FRUIT STREET, Boston, MA 02114
Open in Google Maps ↗

Secondary Practice Location 1

Location 175 Francis StBoston, MA 02115-6110 · Phone (617) 643-6593

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

Jorg Dietrich Md Phd 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 ID7810047768
PECOS Enrollment IDI20090615000472
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 6

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
106 services74 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
92 services34 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
78 services47 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
66 services23 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
31 services23 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
23 services19 patients

Hospital Affiliations CMS Care Compare 5

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

Cooley Dickinson Hospital Inc,the

Acute Care Hospitals · Northampton, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220015
Location30 Locust StreetNorthampton, MA 01060 · Hampshire County
Emergency services Birthing friendly

North Shore Medical Center -

Acute Care Hospitals · Salem, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220035
Location81 Highland AvenueSalem, MA 01970 · Essex County
Emergency services Birthing friendly

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Massachusetts Eye And Ear Infirmary -

Acute Care Hospitals · Boston, MA
OwnershipVoluntary non-profit - Private
CMS Certification Number220075
Location243 Charles StreetBoston, MA 02114 · Suffolk County
Emergency services

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
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 20

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

KUI TOH GERARD LEONG M.D.
Internal Medicine (Cardiovascular Disease)
55 FRUIT STREET, MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114
Suffolk County (617) 726-8862
MS. JACQUELINE BANGO LICSW
Social Worker (Clinical)
55 FRUIT STREET, FOUNDERS BUILDING SUITE 880
BOSTON, MA 02114
Suffolk County (617) 643-8281
SARA ELIZABETH GROSSLEIN PA
Physician Assistant
55 FRUIT STREET, WHITE 1
BOSTON, MA 02114
Suffolk County (617) 724-4100
JEFFREY M ELLENBOGEN M.D.
Psychiatry & Neurology (Neurology)
55 FRUIT STREET, WANG 720 (NEUROLOGY)
BOSTON, MA 02114
Suffolk County (617) 724-7419
DR. NANCY LEE HARRIS MD
Pathology (Anatomic Pathology & Clinical Pathology)
55 FRUIT STREET, WRN 2 PATHOLOGY ASSOCIATES
BOSTON, MA 02114
Suffolk County (617) 726-5155
DR. STANLEY YANG SHAW MD PHD
Internal Medicine (Cardiovascular Disease)
55 FRUIT STREET, YAW 5 CARDIAC UNIT ASSOCIATES
BOSTON, MA 02114
Suffolk County (617) 724-6750
LEONARDO V RIELLA M.D., PHD
Internal Medicine
55 FRUIT STREET, WHITE 5
BOSTON, MA 02114
Suffolk County (617) 726-5050
SUSAN MAHER CRNA
Nurse Anesthetist, Certified Registered
55 FRUIT STREET, CLN 309 MGH ANESTHESIA ASSOCIATES
BOSTON, MA 02114
Suffolk County (617) 726-3030

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 Jorg Dietrich's NPI number?

The NPI number for Jorg Dietrich is 1407977473. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Jorg Dietrich located?

Jorg Dietrich practices at 55 Fruit Street Yawkey Center 9E Pappas Center For Neurooncology, Boston, MA 02114. The listed phone number is (617) 724-8770.

What is Jorg Dietrich's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Jorg Dietrich enrolled in Medicare?

Yes. Jorg Dietrich 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.

Is Jorg Dietrich affiliated with any hospitals?

According to CMS data, Jorg Dietrich is affiliated with Cooley Dickinson Hospital Inc,the, North Shore Medical Center -, Massachusetts General Hospital, Massachusetts Eye And Ear Infirmary - and Brigham And Women's Hospital.

When was this NPI record last updated?

The NPPES record for Jorg Dietrich was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.