GARY D DIEDERICH M.D.
NPI 1720029259
Family Medicine in Bristol, NH

Q: What is Gary Diederich's NPI number?

The NPI number for Gary Diederich is 1720029259. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Q: What is Gary Diederich'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 Gary Diederich was last updated on November 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 June 08, 2006PECOS Enrolled

859 LAKE ST, BRISTOL, NH 03222(603) 744-6200(603) 744-9024 Get Directions Write a Review

NPPES record last updated: November 30, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Gary D Diederich M.d. NPPES

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

GARY D DIEDERICH M.D. (NPI 1720029259) is an individual family medicine provider in Bristol, New Hampshire, licensed in New Hampshire (6515) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720029259

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameGARY D DIEDERICHCredential: M.D.

Location Address859 LAKE STBristol, NH 03222-4506

Mailing Address101 Boulder Point Dr, Suite 1Plymouth, NH 03264 · (603) 536-4000 · Fax (603) 536-4001

Phone(603) 744-6200

Fax(603) 744-9024

Sole ProprietorNo

Enumeration DateJune 8, 2006

Last NPPES UpdateNovember 30, 2007

✔ NPI 1720029259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NH · 6515

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.

859 LAKE ST, Bristol, NH 03222

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Other Identifiers 4

Medicare UPINB85860NH

Medicare OSCAR/certificationNH0321NH

Medicaid80000321NH

OtherRE4060NH · Medicare Group

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gary D Diederich M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03222 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

$89.14 typical visit price

range $57.75 – $174.26

Typical copayment $22.28 (range $14.43 – $43.56)

Most-billed visit code 99203

Established Patient

$101.54 typical visit price

range $18.70 – $142.15

Typical copayment $25.38 (range $4.67 – $35.53)

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 3

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

5 suppliers21 claims44 services$4.97 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$21.30 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

1 supplier12 claims12 services$119.41 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Gary Diederich's NPI number?

The NPI number for Gary Diederich is 1720029259. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Gary Diederich located?

Gary Diederich practices at 859 Lake St, Bristol, NH 03222. The listed phone number is (603) 744-6200.

What is Gary Diederich's specialty?

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

Is Gary Diederich enrolled in Medicare?

Yes. Gary Diederich is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gary Diederich was last updated on November 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.