DR. GREGORY DEAN DIETRICH MD NPI 1306831698

NPI Information

  • NPI: 1306831698
  • Provider Name: DR. GREGORY DEAN DIETRICH, MD
  • Classification: Orthopaedic Surgery - 207XS0117X
  • Specialization: Orthopaedic Surgery of the Spine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 320 WARNER DRIVE
    LEWISTON, ID
    ZIP 83501
  • Phone: (208) 743-3523

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NPI Details

DR. Gregory Dean Dietrich, MD is an orthopaedic surgery of the spine orthopaedic surgery in Lewiston, ID with 34 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. DR. Gregory Dean Dietrich, MD NPI is 1306831698. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1992

The provider's business location address is:

320 WARNER DRIVE
LEWISTON, ID
ZIP 83501
Phone: (208) 743-3523
Fax: (208) 746-8741

The NPI 1306831698 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
  • Insertion of cage or mesh device to spine bone and disc space during spine fusion (HCPCS:22853)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment (HCPCS:63048)
  • Placement of stabilizing device to back of 1 spine bone in neck (HCPCS:22840)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • Fusion of lower spine bone through abdomen with partial removal of disc (HCPCS:22558)
  • Fusion of spine in lower back (HCPCS:22612)
  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
  • Aspiration of bone marrow for spine bone graft (HCPCS:20939)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Fusion of spine in lower back with partial removal of spine bone and disc (HCPCS:22633)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Partial removal of spine bone with release of lower spinal cord or nerves and/or removal of disc (HCPCS:63030)
  • Placement of stabilizing device to back, 3-6 spine bone segments (HCPCS:22842)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Exploration of spine fusion (HCPCS:22830)
  • Hip replacement (HCPCS:NAN09)
  • Spinal fusion (HCPCS:NAN02)
  • Laminectomy or laminotomy (partial removal of spine bones) (HCPCS:NAN18)

The enumeration date for this NPI number is 9/13/2005 and was last updated on 6/24/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine00034506WASHINGTONNo
2207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineM7482IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G42122MEDICARE UPINIDAHO
2805208800MEDICAIDIDAHO
38204851MEDICAIDWASHINGTON
474823OTHERIDAHOBCI
5GAB06298MEDICARE PINWASHINGTON
61139646MEDICARE PINIDAHO
7000010004322OTHERIDAHOREGENCE
8200033093MEDICARE PINIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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