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DR. HENRY T. DIETRICH III M.D.
NPI 1922074046
Family Medicine - Addiction Medicine in Williamsport, PA

Active since February 28, 2006PECOS Enrolled
425 MARKET ST, WILLIAMSPORT, PA 17701(570) 368-4477(570) 368-4476 Get Directions Write a Review

NPPES record last updated: August 24, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Henry T. Dietrich Iii M.d. NPPES

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

DR. HENRY T. DIETRICH III M.D. (NPI 1922074046) is an individual addiction medicine provider in Williamsport, Pennsylvania, licensed in Pennsylvania (MD045437E) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922074046
Entity TypeIndividualMale
Primary Taxonomy207QA0401X
Provider Legal NameDR. HENRY T. DIETRICH IIICredential: M.D.
Location Address425 MARKET STWilliamsport, PA 17701-6345
Mailing Address100 N Academy Ave, Credentials DeptDanville, PA 17822-4903 · (570) 271-6144
Phone(570) 368-4477
Fax(570) 368-4476
Sole ProprietorNo
Enumeration DateFebruary 28, 2006
Last NPPES UpdateAugust 24, 2020
NPPES CertifiedAugust 24, 2020
✔ NPI 1922074046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in PA · MD045437E
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedFamily MedicineTaxonomy 207Q00000X · License MD045437E (PA)
425 MARKET ST, Williamsport, PA 17701
Open in Google Maps ↗

Other Identifiers 1

Medicaid001192281PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Henry T. Dietrich Iii M.d. 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 Reassignments

2

Medicare enrollment records show Henry Dietrich reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geisinger Clinic
0.9 mi
Family Medicine
824 E THIRD STREET
Williamsport, PA 17701
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 clinicians in this Medicare group
NPI 1376979534 (570) 601-2200
Geisinger-Hm Joint Venture, LLC
1.9 mi
Family Medicine
1824 E 3RD ST
Williamsport, PA 17701
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,405 clinicians in this Medicare group
NPI 1073075909 (570) 601-2200

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 17701 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 5

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

BEC'S BEAUTY CO.
Massage Therapist
425 MARKET ST
WILLIAMSPORT, PA 17701
Lycoming County (272) 230-6256
DEANN CHRISTINE HANSUM PA-C
Physician Assistant
425 MARKET ST
WILLIAMSPORT, PA 17701
Lycoming County (570) 368-4477
DR. A DAVID PARKS D.M.D.
Dentist (Periodontics)
425 MARKET ST
WILLIAMSPORT, PA 17701
Lycoming County (570) 322-8200
LINN ORTHODONTICS, LLC
Dentist (Orthodontics and Dentofacial Orthopedics)
425 MARKET ST
WILLIAMSPORT, PA 17701
Lycoming County (570) 326-6181
DR. IFEANYI BERTRAM NWADUKWE MD
Preventive Medicine (Addiction Medicine)
425 MARKET ST
WILLIAMSPORT, PA 17701
Lycoming County (570) 368-4477

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 Henry Dietrich's NPI number?

The NPI number for Henry Dietrich is 1922074046. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Henry Dietrich located?

Henry Dietrich practices at 425 Market St, Williamsport, PA 17701. The listed phone number is (570) 368-4477.

What is Henry Dietrich's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Henry Dietrich enrolled in Medicare?

Yes. Henry Dietrich is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Henry Dietrich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Henry Dietrich reassigns Medicare benefits to 2 organizations: Geisinger Clinic (Williamsport, PA) and Geisinger-Hm Joint Venture, LLC (Williamsport, PA). Each 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 Henry Dietrich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Henry Dietrich was last updated on August 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.