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DR. DOUGLAS PAUL DIETZEL D.O.
NPI 1912934761
Orthopaedic Surgery - Sports Medicine in East Lansing, MI

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
4660 S HAGADORN RD, SUITE 420, EAST LANSING, MI 48823(517) 884-6100(517) 884-6233 Get Directions Write a Review

NPPES record last updated: August 22, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Douglas Paul Dietzel D.o. NPPES

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

DR. DOUGLAS PAUL DIETZEL D.O. (NPI 1912934761) is an individual sports medicine provider in East Lansing, Michigan, licensed in Michigan (5101011314) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Edward W Sparrow Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (1991).

NPPES Registry Identity

NPI1912934761
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. DOUGLAS PAUL DIETZELCredential: D.O.
Location Address4660 S HAGADORN RD, SUITE 420East Lansing, MI 48823-5376
Mailing Address804 Service Rd # A201East Lansing, MI 48824-7015 · (517) 884-2676 · Fax (517) 432-3928
Phone(517) 884-6100
Fax(517) 884-6233
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1991
Enumeration DateJune 27, 2006
Last NPPES UpdateAugust 22, 2016
✔ NPI 1912934761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in MI · 5101011314
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
4660 S HAGADORN RD, East Lansing, MI 48823
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Other Identifiers 6

Medicaid1912934761MI
Medicare PINOC36093MI
Medicaid3379305MI
Medicare PIN0C36093005MI
Medicare UPING32389MI
Medicare PIN0C36088MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Douglas Paul Dietzel D.o. 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 ID1254396351
PECOS Enrollment IDI20041201000054
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 Douglas Dietzel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Edward W. Sparrow Hospital Association
0.2 mi
Orthopaedic Surgery
2900 HANNAH BLVD STE 212
East Lansing, MI 48823
  • Reassigned Medicare billing, Michigan enrollment
  • 916 clinicians in this Medicare group
NPI 1700365244 (517) 364-8890

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.
60 services39 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 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.
37 services37 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
18 services13 patients
Anchoring of biceps tendon 23430
Anchoring of the biceps tendon is a surgical procedure aimed at restoring stability to your arm. The surgeon secures your biceps tendon to the bone using special anchors, which helps to reduce pain and improve arm function.
14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230230
Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County
Emergency services Birthing friendly

Sparrow Clinton Hospital

Critical Access Hospitals · Saint Johns, MI
5/5 CMS rating
OwnershipProprietary
CMS Certification Number231326
Location805 S OaklandSaint Johns, MI 48879 · Clinton County
Emergency services

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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
11%342 patients1/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
30%20 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
64%380 patients1/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
15%524 patients1/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%415 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
8%724 patients1/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
26%620 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%724 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
23%724 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
40%724 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$85.73 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.

MS. CATHERINE B DONAHUE D.O.
Neuromusculoskeletal Medicine & OMM
4660 S HAGADORN RD, #500
EAST LANSING, MI 48823
Ingham County (517) 432-6144
DR. JENNIFER LEE GILMORE D.O
Neuromusculoskeletal Medicine & OMM
4660 S HAGADORN RD, SUITE 500
EAST LANSING, MI 48823
Ingham County (517) 432-6144
ASHLEY DAY PA
Physician Assistant
4660 S HAGADORN RD, #600
EAST LANSING, MI 48823
Ingham County (517) 267-2460
CLARENCE L NICODEMUS PHD DO
Neuromusculoskeletal Medicine & OMM
4660 S HAGADORN RD, SUITE 500
EAST LANSING, MI 48823
Ingham County (517) 432-6144
INTERNATIONAL REHABILITATIVE SCIENCES INC.
Durable Medical Equipment & Medical Supplies
4660 S HAGADORN RD, STE 170
EAST LANSING, MI 48823
Ingham County (855) 503-4030
JEFFREY R MORIN DPM
Podiatrist (Foot & Ankle Surgery)
4660 S HAGADORN RD, STE 500
EAST LANSING, MI 48823
Ingham County (517) 884-4554
MRS. JAMIE FITZGERALD PNP
Nurse Practitioner (Pediatrics)
4660 S HAGADORN RD, 405
EAST LANSING, MI 48823
Ingham County (517) 884-8600
JUSTINE ANH QUY TRAN-SERRANO DO
Neuromusculoskeletal Medicine & OMM
4660 S HAGADORN RD
EAST LANSING, MI 48823
Ingham County (517) 432-6144

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 Douglas Dietzel's NPI number?

The NPI number for Douglas Dietzel is 1912934761. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Douglas Dietzel located?

Douglas Dietzel practices at 4660 S Hagadorn Rd Suite 420, East Lansing, MI 48823. The listed phone number is (517) 884-6100.

What is Douglas Dietzel's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Douglas Dietzel enrolled in Medicare?

Yes. Douglas Dietzel 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.

Which organization bills Medicare for Douglas Dietzel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Dietzel reassigns Medicare benefits to Edward W. Sparrow Hospital Association (East Lansing, MI). 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 Douglas Dietzel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Dietzel accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Douglas Dietzel 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 Douglas Dietzel affiliated with any hospitals?

According to CMS data, Douglas Dietzel is affiliated with Edward W Sparrow Hospital and Sparrow Clinton Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Dietzel was last updated on August 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.