1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Emergency Medicine
  6. NPI Profile

WILLIAM G DIETRICH MD
NPI 1952397036
Emergency Medicine in Jacksonville, FL

Active since September 23, 2005PECOS Enrolled
1 SHIRCLIFF WAY, JACKSONVILLE, FL 32204(989) 356-7390 Get Directions Write a Review

NPPES record last updated: January 11, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About William G Dietrich Md NPPES

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

WILLIAM G DIETRICH MD (NPI 1952397036) is an individual emergency medicine provider in Jacksonville, Florida, licensed in Florida (ME55253) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952397036
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameWILLIAM G DIETRICHCredential: MD
Location Address1 SHIRCLIFF WAYJacksonville, FL 32204-4748
Mailing AddressPo Box 863026Orlando, FL 32886-3026 · (800) 288-8325 · Fax (419) 866-5453
Phone(989) 356-7390
Sole ProprietorNo
Enumeration DateSeptember 23, 2005
Last NPPES UpdateJanuary 11, 2013
✔ NPI 1952397036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in FL · ME55253
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.
1 SHIRCLIFF WAY, Jacksonville, FL 32204
Open in Google Maps ↗

Other Identifiers 5

Medicare UPINB97790FL
Other930051064FL · Rrmcr
Other12806FL · Bcbs
Medicare ID-Type Unspecified12806XFL · Medicare
Medicaid055296800FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William G Dietrich Md 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

3

Medicare enrollment records show William Dietrich reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medical Specialists Of Jacksonville
Same address
Emergency Medicine
1 SHIRCLIFF WAY
Jacksonville, FL 32204
  • Reassigned Medicare billing, Florida enrollment
  • 78 clinicians in this Medicare group
NPI 1295738367 (904) 308-7300
Cep America LLC
1.3 mi
Emergency Medicine
1 SHIRCLIFF WAY
Jacksonville, FL 32204
  • Reassigned Medicare billing, Florida enrollment
  • 367 clinicians in this Medicare group
NPI 1912694902 (904) 308-7300
St Vincent's Full Service Urgent Care, LLC
9.1 mi
Occupational Medicine
10503 SAN JOSE BLVD
Jacksonville, FL 32257
  • Reassigned Medicare billing, Florida enrollment
  • 78 clinicians in this Medicare group
NPI 1750672051 (904) 379-1203

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 2

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.
52 services52 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.
44 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32204 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

COMPREHENSIVE CARE PARTNERS LLC
Surgery
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (352) 250-2650
DR. SARAH ANNE PISCITELLO CRNA
Nurse Anesthetist, Certified Registered
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (904) 477-5855
MRS. JENNIFER ANNE ALLEN NP
Nurse Practitioner (Critical Care Medicine)
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (904) 308-7300
MAX T BILLINGSLEY MD
Emergency Medicine (Emergency Medical Services)
1 SHIRCLIFF WAY, EMERGENCY DEPARTMENT
JACKSONVILLE, FL 32204
Duval County (904) 346-5426
TABITHA JAY GOLDEN CRNA
Nurse Anesthetist, Certified Registered
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (954) 939-5216
PAUL D LUCEY MD
Emergency Medicine
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (904) 308-7300
WILBUR L AUGENSTEIN MD
Emergency Medicine (Emergency Medical Services)
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (904) 308-7300
CHANEL WOOD MD
Radiology (Diagnostic Radiology)
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (904) 308-7300

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 William Dietrich's NPI number?

The NPI number for William Dietrich is 1952397036. It was assigned to this individual provider in the NPPES registry on September 23, 2005.

Where is William Dietrich located?

William Dietrich practices at 1 Shircliff Way, Jacksonville, FL 32204. The listed phone number is (989) 356-7390.

What is William Dietrich's specialty?

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

Is William Dietrich enrolled in Medicare?

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

Which organizations bill Medicare for William Dietrich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Dietrich reassigns Medicare benefits to 3 organizations: Emergency Medical Specialists Of Jacksonville (Jacksonville, FL), Cep America LLC (Jacksonville, FL) and St Vincent's Full Service Urgent Care, LLC (Jacksonville, FL). 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 William 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 William Dietrich was last updated on January 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.