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HANS PETER DIERCKSEN MD
NPI 1518984541
Family Medicine in Bomoseen, VT

Active since July 16, 2006PECOS Enrolled
275 ROUTE 30 N, BOMOSEEN, VT 05732(802) 468-5641(802) 468-2923 Get Directions Write a Review

NPPES record last updated: November 29, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Hans Peter Diercksen Md NPPES

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

HANS PETER DIERCKSEN MD (NPI 1518984541) is an individual family medicine provider in Bomoseen, Vermont, licensed in Vermont (0420006786) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518984541
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameHANS PETER DIERCKSENCredential: MD
Location Address275 ROUTE 30 NBomoseen, VT 05732-9647
Mailing Address71 Allen St, Ste 101Rutland, VT 05701-4570 · (802) 772-4414 · Fax (802) 772-7973
Phone(802) 468-5641
Fax(802) 468-2923
Sole ProprietorNo
Enumeration DateJuly 16, 2006
Last NPPES UpdateNovember 29, 2016
✔ NPI 1518984541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VT · 0420006786
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
275 ROUTE 30 N, Bomoseen, VT 05732
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Other Identifiers 4

Medicare UPIND78600VT
Medicaid02622237NY
Medicare PINSX2990VT
Medicaid0005458VT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hans Peter Diercksen Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Hans Diercksen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health Centers Of The Rutland Region, Inc.
1.4 mi
Federally Qualified Health Center (FQHC)
275 ROUTE 30 N
Bomoseen, VT 05732
NPI 1336193838 (802) 468-5641

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05732 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
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers99 claims227 services$4.70 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers45 claims50 services$0.72 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers25 claims25 services$5.33 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers47 claims47 services$106.43 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
3 suppliers33 claims33 services$37.01 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
8 suppliers24 claims1,260 services$0.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

SARAH HART DWYER APRN
Family Medicine
275 ROUTE 30 N
BOMOSEEN, VT 05732
Rutland County (802) 468-5641
DEBORAH A BETHEL APRN
Nurse Practitioner
275 ROUTE 30 N, CASTLETON FAMILY HEALTH CENTER
BOMOSEEN, VT 05732
Rutland County (802) 468-5641
ERICA E TAMBLINI LCSW
Social Worker (Clinical)
275 ROUTE 30 N
BOMOSEEN, VT 05732
Rutland County (802) 468-5641
MRS. LARA K PECK RD CDE
Dietitian, Registered
275 ROUTE 30 N
BOMOSEEN, VT 05732
Rutland County (802) 468-5641
JILL V READ PNP
Nurse Practitioner (Pediatrics)
275 ROUTE 30 N, CASTLETON FAMILY HEALTH CENTER
BOMOSEEN, VT 05732
Rutland County (802) 468-5641
SALLY J BEAYON FNP-C
Family Medicine
275 ROUTE 30 N
BOMOSEEN, VT 05732
Rutland County (802) 468-5641
ERIN JOINER NP
Nurse Practitioner (Family)
275 ROUTE 30 N
BOMOSEEN, VT 05732
Rutland County (802) 468-5641
STEPHEN MARION ROSMUS MD
Family Medicine
275 ROUTE 30 N, CASTLETON FAMILY HEALTH CENTER
BOMOSEEN, VT 05732
Rutland County (802) 468-5641

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 Hans Diercksen's NPI number?

The NPI number for Hans Diercksen is 1518984541. It was assigned to this individual provider in the NPPES registry on July 16, 2006.

Where is Hans Diercksen located?

Hans Diercksen practices at 275 Route 30 N, Bomoseen, VT 05732. The listed phone number is (802) 468-5641.

What is Hans Diercksen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Hans Diercksen enrolled in Medicare?

Yes. Hans Diercksen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Hans Diercksen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hans Diercksen reassigns Medicare benefits to Community Health Centers Of The Rutland Region, Inc. (Bomoseen, VT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hans Diercksen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Hans Diercksen was last updated on November 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.