Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lucas Alan Dietrich, PA

Individual provider Physician Assistant · NPI 1689918278

Lucas Alan Dietrich, PA is a Physician Assistant in Winston Salem, North Carolina. Licensed in Colorado and North Carolina. Registered with an NPI since 2012.

Licensed in
CO, NC
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3001 Lyndhurst Ave
Winston Salem, NC 27103-4007
Phone: (336) 765-0383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-08128 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 3555 (CO)

Record details

NPI number1689918278
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 20, 2012
Last updated in NPPESOctober 24, 2023
Certification dateOctober 24, 2023

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients16
Services billed 36 a service is one billed item, such as a visit, a test or a procedure
Average patient age71

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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