Michael Jeffrey Dietzen, MD
NPI 1912434150ActiveIndividual· Student in an Organized Health Care Education/Training Program· Greenville, NC
Student in an Organized Health Care Education/Training Program (MD) in Greenville, North Carolina, trained at Brody School of Medicine at East Carolina University (class of 2017). Medicare paid $55,469 for services to 912 patients in 2024.
Overview
| NPI | 1912434150 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | May 18, 2017 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 912 |
|---|---|
| Services billed | 3,101 across 68 procedure codes |
| Paid by Medicare | $55,469 |
Education and affiliations
| Medical school | Brody School of Medicine at East Carolina University |
|---|---|
| Graduation year | 2017 |
| Medicare specialty | Diagnostic Radiology |
Medical groups
- Wake Forest University Health SciencesHigh Point, NC · 2,645 clinicians
- Wake Forest Health Network LLCAsheboro, NC · 292 clinicians
- Wake Forest Baptist Imaging LLCWinston Salem, NC · 79 clinicians
Hospital affiliations
- High Point Regional Health SystemHigh Point, NC
- Moses H. Cone Memorial Hospital, theGreensboro, NC
- North Carolina Baptist HospitalWinston-Salem, NC
- Watauga Medical CenterBoone, NC
- Wilkes Regional Medical CenterNorth Wilkesboro, NC
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All 863 Student in an Organized Health Care Education/Training Program providers in Greenville · All Student in an Organized Health Care Education/Training Program providers in North Carolina