RICHARD G DIETHELM M.D.
NPI 1851518476
Psychiatry & Neurology - Neurology in Birmingham, AL

Active since April 18, 2007PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
48 MEDICAL PARK DR E, SUITE 351, BIRMINGHAM, AL 35235(205) 836-9366 Get Directions Write a Review

NPPES record last updated: July 19, 2011. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Richard G Diethelm M.d. NPPES

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

RICHARD G DIETHELM M.D. (NPI 1851518476) is an individual neurology provider in Birmingham, Alabama, licensed in Alabama (26360) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Mississippi School Of Medicine (2003).

NPPES Registry Identity

NPI1851518476
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameRICHARD G DIETHELMCredential: M.D.
Location Address48 MEDICAL PARK DR E, SUITE 351Birmingham, AL 35235-3430
Mailing Address48 Medical Park Dr E, Suite 351Birmingham, AL 35235-3400 · (205) 836-9366
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2003
Enumeration DateApril 18, 2007
Last NPPES UpdateJuly 19, 2011
✔ NPI 1851518476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in AL · 26360
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.
48 MEDICAL PARK DR E, Birmingham, AL 35235

Other Identifiers 6

Medicare UPINOTH000AL
Medicaid009910701AL
Medicare PIN051558879AL
OtherP00417763AL · Railroad Medicare
Other26360AL · Medical License
Other051005449AL · Blue Cross Of Alabama

Accepted 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

Richard G Diethelm M.d. 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 ID42319378
PECOS Enrollment IDI20070627000084
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 17

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
33,690 services61 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.
532 services424 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
167 services167 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
160 services84 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
111 services108 patients
Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face 64615
This procedure involves injecting a chemical into specific facial and neck muscles, causing temporary paralysis. This helps reduce muscle activity and can alleviate certain medical conditions. Both sides of the face are treated for a balanced result.
110 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35235 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

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.

Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg J1561
Treatment-Injections and Infusions (nononcologic) · category RI008N
2 suppliers11 claims1,210 services$35.20 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers24 claims24 services$17.93 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 20

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

Obstetrics & Gynecology (Gynecology)
48 MEDICAL PARK DR E, SUITE 355
BIRMINGHAM, AL 35235
Internal Medicine
48 MEDICAL PARK DR E, SUITE 457
BIRMINGHAM, AL 35235
Specialist
48 MEDICAL PARK DR E, SUITE 350
BIRMINGHAM, AL 35235
Dentist (Oral and Maxillofacial Surgery)
48 MEDICAL PARK DR E, SUITE 158
BIRMINGHAM, AL 35235
Dermatology (Dermatopathology)
48 MEDICAL PARK DR E, SUITE 458
BIRMINGHAM, AL 35235
Obstetrics & Gynecology
48 MEDICAL PARK DR E, SUITE 355
BIRMINGHAM, AL 35235
Audiologist
48 MEDICAL PARK DR E, SUITE 153
BIRMINGHAM, AL 35235
Family Medicine
48 MEDICAL PARK DR E, SUITE 154
BIRMINGHAM, AL 35235

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 Richard Diethelm's NPI number?

The NPI number for Richard Diethelm is 1851518476. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Where is Richard Diethelm located?

Richard Diethelm practices at 48 Medical Park Dr E Suite 351, Birmingham, AL 35235. The listed phone number is (205) 836-9366.

What is Richard Diethelm's specialty?

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

Is Richard Diethelm enrolled in Medicare?

Yes. Richard Diethelm 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 Richard Diethelm accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Richard Diethelm 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 Richard Diethelm was last updated on July 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.