FERNANDO DIETSCH JR. M.D.
NPI 1962455535
Family Medicine in Prosser, WA

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment
723 MEMORIAL ST, PROSSER, WA 99350(509) 786-2222(509) 786-6612 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Fernando Dietsch Jr. M.d. NPPES

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

FERNANDO DIETSCH JR. M.D. (NPI 1962455535) is an individual family medicine provider in Prosser, Washington, licensed in Washington (MD00041643) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Quincy Valley Medical Center, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1962455535
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameFERNANDO DIETSCH JR.Credential: M.D.
Location Address723 MEMORIAL STProsser, WA 99350-1524
Mailing Address21 W Imperial StWalla Walla, WA 99362-4457 · (509) 301-9342 · Fax (509) 786-6612
Fax(509) 786-6612
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateMay 17, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1962455535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD00041643
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
723 MEMORIAL ST, Prosser, WA 99350

Other Identifiers 5

Other162391WA · Labor & Industries #
Medicare UPINH73505WA
Medicare ID-Type UnspecifiedAB33328WA · Medicare Physician #
Medicaid8325656WA
Medicare ID-Type Unspecified8857668WA · Medicare Part B

Accepted 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

Fernando Dietsch Jr. 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 ID6507888559
PECOS Enrollment IDI20100315000766
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

4

Medicare enrollment records show Fernando Dietsch reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
1016 TACOMA AVE
Sunnyside, WA 98944
  • Reassigned Medicare billing, Washington enrollment
  • 64 clinicians in this Medicare group
Emergency Medical Services
908 10TH AVE SW
Quincy, WA 98848
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: Grant County Hospital District No. 2
  • 141 clinicians in this Medicare group
Emergency Medicine
330 S STILLAGUAMISH AVE
Arlington, WA 98223
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • 43 clinicians in this Medicare group
Emergency Medicine
94220 4TH ST
Gold Beach, OR 97444
  • Reassigned Medicare billing, Oregon enrollment
  • 67 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

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

Quincy Valley Medical Center

Critical Access Hospitals · Quincy, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501320
Location908 10th Avenue SouthwestQuincy, WA 98848 · Grant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99350 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
32%69 patients2/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
32%148 patients2/55-star benchmark: 85%
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.

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.

General Acute Care Hospital (Critical Access)
723 MEMORIAL ST
PROSSER, WA 99350
Occupational Therapist
723 MEMORIAL ST
PROSSER, WA 99350
Skilled Nursing Facility
723 MEMORIAL ST
PROSSER, WA 99350
Nurse Anesthetist, Certified Registered
723 MEMORIAL ST
PROSSER, WA 99350
Registered Nurse (Registered Nurse First Assistant)
723 MEMORIAL ST
PROSSER, WA 99350
Physical Therapist
723 MEMORIAL ST
PROSSER, WA 99350
Nurse Anesthetist, Certified Registered
723 MEMORIAL ST
PROSSER, WA 99350
Clinic/Center (Multi-Specialty)
723 MEMORIAL ST
PROSSER, WA 99350

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 Fernando Dietsch's NPI number?

The NPI number for Fernando Dietsch is 1962455535. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Fernando Dietsch located?

Fernando Dietsch practices at 723 Memorial St, Prosser, WA 99350. The listed phone number is (509) 786-2222.

What is Fernando Dietsch's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Fernando Dietsch enrolled in Medicare?

Yes. Fernando Dietsch 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 organizations bill Medicare for Fernando Dietsch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fernando Dietsch reassigns Medicare benefits to 4 organizations: Sunnyside Emergency Group A Professional LLC (Sunnyside, WA), Grant County Public Hospital District 2 (Quincy, WA), Northwest Emergency Physicians LLC (Arlington, WA) and Western Healthcare Services Texas (Gold Beach, OR). 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 Fernando Dietsch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fernando Dietsch accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Fernando Dietsch 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 Fernando Dietsch affiliated with any hospitals?

According to CMS data, Fernando Dietsch is affiliated with Quincy Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Fernando Dietsch was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.