LISA DIETZ DO
NPI 1629067541
Family Medicine in Clarkston, MI

Q: What is Lisa Dietz's NPI number?

The NPI number for Lisa Dietz is 1629067541. It was assigned to this individual provider in the NPPES registry on October 14, 2005.

Q: What is Lisa Dietz's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Dietz was last updated on February 19, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 14, 2005PECOS EnrolledAccepts Medicare Assignment

6507 TOWN CENTER DR, SUITE A, CLARKSTON, MI 48346(248) 922-9975(248) 922-9143 Get Directions Write a Review

NPPES record last updated: February 19, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Lisa Dietz Do NPPES

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

LISA DIETZ DO (NPI 1629067541) is an individual family medicine provider in Clarkston, Michigan, licensed in Michigan (LD011820) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Mclaren Oakland, and is a graduate of College Of Osteo Med Of The Pacific At Pomona (1992).

NPPES Registry Identity

NPI1629067541

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameLISA DIETZCredential: DO

Location Address6507 TOWN CENTER DR, SUITE AClarkston, MI 48346-4826

Mailing Address6507 Town Center Dr, Suite AClarkston, MI 48346-4826 · (248) 922-9975 · Fax (248) 922-9143

Phone(248) 922-9975

Fax(248) 922-9143

Sole ProprietorNo

Medical School CMSCollege Of Osteo Med Of The Pacific At PomonaGraduated 1992

Enumeration DateOctober 14, 2005

Last NPPES UpdateFebruary 19, 2013

✔ NPI 1629067541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · LD011820

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.

6507 TOWN CENTER DR, Clarkston, MI 48346

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Other Identifiers 3

Medicare UPING36515MI

Medicare ID-Type Unspecified0N12680MI

Medicaid4225528MI

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

Lisa Dietz 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 ID4688698921

PECOS Enrollment IDI20060126000139

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.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

203 services144 patients

Established patient office or other outpatient visit, 20-29 minutes 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.

195 services114 patients

Established patient office or other outpatient visit, 30-39 minutes 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.

137 services104 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

129 services129 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

41 services38 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

40 services28 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

38 services38 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

34 services33 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

19 services15 patients

New patient office or other outpatient visit, 30-44 minutes 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.

15 services15 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

14 services14 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Mclaren Oakland

Acute Care Hospitals · Pontiac, MI

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230207

Location50 N Perry StPontiac, MI 48342 · Oakland County

Emergency services

Ascension Providence Rochester Hospital

Acute Care Hospitals · Rochester, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230254

Location1101 W University DriveRochester, MI 48307 · Oakland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48346 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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 2

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

6 suppliers22 claims70 services$5.80 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

4 suppliers12 claims20 services$0.79 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 6

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

COWAN CHIROPRACTIC CLINIC, P.C.

Chiropractor

6507 TOWN CENTER DR, SUITE F
CLARKSTON, MI 48346

Oakland County (248) 625-7600

LISA DIETZ DO PLLC

Internal Medicine

6507 TOWN CENTER DR, STE A
CLARKSTON, MI 48346

Oakland County (248) 992-9975

KATHERINE Z FRENCH, D.O. L.L.C

Family Medicine

6507 TOWN CENTER DR, SUITE A
CLARKSTON, MI 48346

Oakland County (248) 922-9975

DR. CODY SENKYR D.C.

Chiropractor

6507 TOWN CENTER DR, SUITE F
CLARKSTON, MI 48346

Oakland County (248) 625-7600

SABRINA RUSSOM NP-BC

Nurse Practitioner

6507 TOWN CENTER DR
CLARKSTON, MI 48346

Oakland County (248) 620-4000

DR. JOHN STEPHEN COWAN DC

Chiropractor

6507 TOWN CENTER DR, SUITE F
CLARKSTON, MI 48346

Oakland County (248) 625-7600

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 Lisa Dietz's NPI number?

The NPI number for Lisa Dietz is 1629067541. It was assigned to this individual provider in the NPPES registry on October 14, 2005.

Where is Lisa Dietz located?

Lisa Dietz practices at 6507 Town Center Dr Suite A, Clarkston, MI 48346. The listed phone number is (248) 922-9975.

What is Lisa Dietz's specialty?

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

Is Lisa Dietz enrolled in Medicare?

Yes. Lisa Dietz 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 Lisa Dietz 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 Lisa Dietz 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 Lisa Dietz affiliated with any hospitals?

According to CMS data, Lisa Dietz is affiliated with Mclaren Oakland and Ascension Providence Rochester Hospital.

When was this NPI record last updated?

The NPPES record for Lisa Dietz was last updated on February 19, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.