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THOMAS J DIETRICH M.D.
NPI 1912959446
Emergency Medicine in Milwaukee, WI

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
111 E WISCONSIN AVE, SUITE 2000, MILWAUKEE, WI 53202(414) 290-6720(414) 290-6755 Get Directions Write a Review

NPPES record last updated: January 27, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Thomas J Dietrich M.d. NPPES

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

THOMAS J DIETRICH M.D. (NPI 1912959446) is an individual emergency medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (44609-020) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Oconomowoc Memorial Hospital, and is a graduate of Pennsylvania State University College Of Medicine (1996).

NPPES Registry Identity

NPI1912959446
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTHOMAS J DIETRICHCredential: M.D.
Location Address111 E WISCONSIN AVE, SUITE 2000Milwaukee, WI 53202-4815
Mailing Address111 E Wisconsin Ave, Suite 2000Milwaukee, WI 53202-4815 · (414) 290-6720 · Fax (414) 290-6755
Phone(414) 290-6720
Fax(414) 290-6755
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 1996
Enumeration DateMay 16, 2006
Last NPPES UpdateJanuary 27, 2009
✔ NPI 1912959446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in WI · 44609-020
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
111 E WISCONSIN AVE, Milwaukee, WI 53202
Open in Google Maps ↗

Other Identifiers 9

Other930126400WI · Medicare Railroad
Medicare ID-Type Unspecified000260045WI
Medicare UPING65137WI
Medicare ID-Type Unspecified005507660WI
OtherP0030673WI · Medicare Railroad
OtherP00024625WI · Medicare Railroad
Medicare ID-Type Unspecified009901400WI
Medicare ID-Type Unspecified009968655WI
Medicaid34306000WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Thomas J Dietrich 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 ID4688569072
PECOS Enrollment IDI20040216000780
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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
283 services249 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
174 services155 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
120 services118 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
95 services91 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
23 services22 patients

Hospital Affiliations CMS Care Compare

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

Oconomowoc Memorial Hospital

Acute Care Hospitals · Oconomowoc, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520062
Location791 E Summit AveOconomowoc, WI 53066 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53202 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 20

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

ADAM C ANKRUM D.O.
Emergency Medicine
111 E WISCONSIN AVE, SUITE 2000
MILWAUKEE, WI 53202
Milwaukee County (414) 290-6720
ROBERT J HALLOCK M.D.
Emergency Medicine
111 E WISCONSIN AVE, SUITE 2000
MILWAUKEE, WI 53202
Milwaukee County (414) 290-6720
ANDREA D GRANSEE APNP
Nurse Practitioner
111 E WISCONSIN AVE, SUITE 2000
MILWAUKEE, WI 53202
Milwaukee County (414) 290-6720
DR. ANDREW W HARRON D.O.
Radiology (Diagnostic Radiology)
111 E WISCONSIN AVE
MILWAUKEE, WI 53202
Milwaukee County (414) 290-6720
WILLIAM T TUCKER M.D.
Emergency Medicine
111 E WISCONSIN AVE
MILWAUKEE, WI 53202
Milwaukee County (414) 290-6720
TERRANCE L OTZELBERGER PA-C
Physician Assistant
111 E WISCONSIN AVE
MILWAUKEE, WI 53202
Milwaukee County (414) 290-6720
JULIE A BURANOSKY M.D.
Emergency Medicine
111 E WISCONSIN AVE, SUITE 2000
MILWAUKEE, WI 53202
Milwaukee County (414) 290-6720
STEVEN S KANTOR M.D.
Emergency Medicine
111 E WISCONSIN AVE
MILWAUKEE, WI 53202
Milwaukee County (414) 290-6720

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 Thomas Dietrich's NPI number?

The NPI number for Thomas Dietrich is 1912959446. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Thomas Dietrich located?

Thomas Dietrich practices at 111 E Wisconsin Ave Suite 2000, Milwaukee, WI 53202. The listed phone number is (414) 290-6720.

What is Thomas Dietrich's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Thomas Dietrich enrolled in Medicare?

Yes. Thomas Dietrich 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 Thomas Dietrich accept?

Health plans from Medica list Thomas Dietrich 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 Thomas Dietrich affiliated with any hospitals?

According to CMS data, Thomas Dietrich is affiliated with Oconomowoc Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Dietrich was last updated on January 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.