DR. ALEC JAMES DIERKSHEIDE DPM
NPI 1558924399
Podiatrist - Sports Medicine in Fort Myers, FL

Q: What is Alec Dierksheide's NPI number?

The NPI number for Alec Dierksheide is 1558924399. It was assigned to this individual provider in the NPPES registry on April 17, 2019.

Q: What is Alec Dierksheide's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Sports Medicine, with taxonomy code 213ES0000X.

Q: When was this NPI record last updated?

The NPPES record for Alec Dierksheide was last updated on February 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 17, 2019PECOS EnrolledAccepts Medicare Assignment

3210 CLEVELAND AVE STE 100, FORT MYERS, FL 33901(239) 936-6778 Get Directions Write a Review

NPPES record last updated: February 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 8, 2024, Apr 17, 2019 (2 updates tracked since 2019).

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About Dr. Alec James Dierksheide Dpm NPPES

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

DR. ALEC JAMES DIERKSHEIDE DPM (NPI 1558924399) is an individual sports medicine provider in Fort Myers, Florida, licensed in Florida (PO4504) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and maintains a secondary practice location in Lehigh Acres.

NPPES Registry Identity

NPI1558924399

Entity TypeIndividualMale

Primary Taxonomy213ES0000X

Provider Legal NameDR. ALEC JAMES DIERKSHEIDECredential: DPM

Location Address3210 CLEVELAND AVE STE 100Fort Myers, FL 33901-7182

Mailing Address3210 Cleveland Ave Ste 100Fort Myers, FL 33901-7182 · (239) 936-6377

Phone(239) 936-6778

Sole ProprietorNo

Medical School CMSKent State University College Of Podiatric MedicineGraduated 2019

Enumeration DateApril 17, 2019

Last NPPES UpdateFebruary 8, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 8, 2024

✔ NPI 1558924399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Sports MedicinePodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0000X

License✔ Licensed in FL · PO4504

Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License PO4504 (FL)

3210 CLEVELAND AVE STE 100, Fort Myers, FL 33901

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Secondary Practice Location 1

Location 13400 Lee Blvd Ste 105Lehigh Acres, FL 33971-1309 · Phone (239) 368-8277

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Alec James Dierksheide 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 ID9537494745

PECOS Enrollment IDI20230829003629

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 Alec Dierksheide reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kagan Jugan & Associates PA

Same address

Orthopaedic Surgery

3210 CLEVELAND AVENUE, SUITE 100
Fort Myers, FL 33901

Reassigned Medicare billing, Florida enrollment
9 clinicians in this Medicare group

NPI 1861450827 (239) 936-6778

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

Areas of Expertise CMS Part B claims 11

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 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.

180 services87 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

139 services76 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.

108 services63 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.

105 services105 patients

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.

78 services16 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

75 services39 patients

Hospital Affiliations CMS Care Compare 3

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

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100012

Location2776 Cleveland AveFort Myers, FL 33901 · Lee County

Emergency services Birthing friendly

Gulf Coast Medical Center Lee Health

Acute Care Hospitals · Fort Myers, FL

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100220

Location13681 Doctors WayFort Myers, FL 33912 · Lee County

Emergency services

Cape Coral Hospital

Acute Care Hospitals · Cape Coral, FL

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100244

Location636 Del Prado BlvdCape Coral, FL 33990 · Lee County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 5

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

MR. DANIEL M DELMONT

Physician Assistant