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DR. CRAIG ALLAN DIETZ D.O.
NPI 1740247097
Internal Medicine in Kansas City, MO

Active since April 28, 2006PECOS Enrolled
3515 BROADWAY ST, KANSAS CITY, MO 64111(816) 777-2759(816) 753-0804 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 23, 2023, Sep 26, 2018 (2 updates tracked since 2018).

About Dr. Craig Allan Dietz D.o. NPPES

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

DR. CRAIG ALLAN DIETZ D.O. (NPI 1740247097) is an individual internal medicine provider in Kansas City, Missouri, licensed in Missouri (2003024389) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740247097
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. CRAIG ALLAN DIETZCredential: D.O.
Location Address3515 BROADWAY STKansas City, MO 64111-2537
Mailing Address3515 Broadway BlvdKansas City, MO 64111-2501 · (816) 777-2759 · Fax (816) 753-0804
Phone(816) 777-2759
Fax(816) 753-0804
Sole ProprietorNo
Enumeration DateApril 28, 2006
Last NPPES UpdateJune 23, 20232 updates tracked since enumeration
NPPES CertifiedJune 23, 2023
✔ NPI 1740247097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MO · 2003024389
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3515 BROADWAY ST, Kansas City, MO 64111
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Craig Allan Dietz D.o. 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 Craig Dietz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kansas City Care Clinic
Same address
Federally Qualified Health Center (FQHC)
3501 BROADWAY BLVD
Kansas City, MO 64111
  • Reassigned Medicare billing, Missouri enrollment
  • 30 clinicians in this Medicare group
NPI 1437897774 (816) 753-5144

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 64111 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
$127.61 typical visit price
range $55.29 – $168.52
Typical copayment $31.90 (range $13.82 – $42.13)
Most-billed visit code 99204
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
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 8

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

DR. MARK THOMAS SAWKIN PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3515 BROADWAY ST
KANSAS CITY, MO 64111
Jackson County (816) 777-2721
DR. BROOKE YATES PATTERSON PHARMD
Pharmacist (Pharmacotherapy)
3515 BROADWAY ST
KANSAS CITY, MO 64111
Jackson County (816) 777-2721
GRISELDA WILLIAMS LCSW
Social Worker (Clinical)
3515 BROADWAY ST
KANSAS CITY, MO 64111
Jackson County (816) 777-2702
DR. SARA JANE SCHWARTZHOFF DEPPE PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3515 BROADWAY ST
KANSAS CITY, MO 64111
Jackson County (816) 777-1545
GRETCHEN GAIL DERR MULLINS MSAT
Art Therapist
3515 BROADWAY ST
KANSAS CITY, MO 64111
Jackson County (816) 753-5144
DR. BLAIR ASHTON THEDINGER
Family Medicine
3515 BROADWAY ST
KANSAS CITY, MO 64111
Jackson County (816) 753-5144
LISA DARLENE BRUCE PA-C
Physician Assistant
3515 BROADWAY ST
KANSAS CITY, MO 64111
Jackson County (816) 777-2787
DR. ALFRED DEBARD BIGGS JR. M.D.
Internal Medicine
3515 BROADWAY ST
KANSAS CITY, MO 64111
Jackson County (816) 753-5144

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 Craig Dietz's NPI number?

The NPI number for Craig Dietz is 1740247097. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Where is Craig Dietz located?

Craig Dietz practices at 3515 Broadway St, Kansas City, MO 64111. The listed phone number is (816) 777-2759.

What is Craig Dietz's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Craig Dietz enrolled in Medicare?

Yes. Craig Dietz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Craig Dietz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Craig Dietz reassigns Medicare benefits to Kansas City Care Clinic (Kansas City, MO). 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 Craig Dietz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Craig Dietz accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 5 other insurers list Craig 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.

When was this NPI record last updated?

The NPPES record for Craig Dietz was last updated on June 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.