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DR. CONNOR DERYL DIETZ MD, FRCPC
NPI 1780417493
Psychiatry & Neurology - Neurology in San Francisco, CA

Active since August 20, 2024PECOS Enrolled
675 NELSON RISING LANE, SUITE 190, SAN FRANCISCO, CA 94158(415) 866-6835 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Connor Deryl Dietz Md, Frcpc NPPES

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

DR. CONNOR DERYL DIETZ MD, FRCPC (NPI 1780417493) is an individual neurology provider in San Francisco, California, licensed in California (A198459) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780417493
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. CONNOR DERYL DIETZCredential: MD, FRCPC
Location Address675 NELSON RISING LANE, SUITE 190San Francisco, CA 94158
Mailing Address675 Nelson Rising Lane, Suite 190San Francisco, CA 94158 · (415) 866-6835
Phone(415) 866-6835
Sole ProprietorNo
Enumeration DateAugust 20, 2024
NPPES CertifiedAugust 20, 2024
✔ NPI 1780417493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in CA · A198459
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Behavioral Neurology & NeuropsychiatryTaxonomy 2084B0040X · License A198459 (CA)
675 NELSON RISING LANE, San Francisco, CA 94158
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Connor Deryl Dietz Md, Frcpc 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 94158 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

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 Connor Dietz's NPI number?

The NPI number for Connor Dietz is 1780417493. It was assigned to this individual provider in the NPPES registry on August 20, 2024.

Where is Connor Dietz located?

Connor Dietz practices at 675 Nelson Rising Lane Suite 190, San Francisco, CA 94158. The listed phone number is (415) 866-6835.

What is Connor Dietz's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Connor Dietz enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Connor Dietz was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.