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Active NPI 1700842457 Individual Practitioner Male Practitioner

Dr. Corey L Detlefs , MD

Surgery • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Corey Detlefs, MD is a registered healthcare professional specializing in Surgery in Phoenix, AZ. Practice services are available at 1441 N 12TH ST FL 1 under active NPI credentials.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, follow-up hospital inpatient care per day, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1441 N 12th St Fl 1

Phoenix, AZ 850062837

Telephone 6025215968

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.8 Yrs
State Avg: 23.6 Yrs
Regional Practice Density
180 Specialists

Practicing in Phoenix, AZ (801 Statewide)

Telehealth Adoption Rate
7.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
58.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
16 11 $185.00 $77.46

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License AZ 19043

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
140179 (AZ)

Secondary Practice Locations

925 E Mcdowell Rd

Phoenix, AZ 850062502

Phone: 6022395895

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Eric Petersen , MD

Surgery - Trauma Surgery

NPI 1255727863

Doctor of Medicine (M.D.)

NPI 1336112374

Doctor of Medicine (M.D.)

Madison Warren

Nurse Practitioner - Acute Care

NPI 1740928936
Dr. Natasha Keric , MD

Surgery - Trauma Surgery

NPI 1750543757

Doctor of Medicine (M.D.)

NPI 1881665115

Doctor of Medicine (M.D.)

NPI 1932559572

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active November 20, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address November 20, 2017

Registered at 1441 N 12TH ST FL 1, PHOENIX, AZ 850062837 (Tel: 6025215968)

📍
Updated Practice Location November 20, 2017

Registered at 925 E MCDOWELL RD, PHOENIX, AZ 850062502 (Tel: 6022395895)

👤
Provider Name / Credentials Updated November 20, 2017

Recorded as COREY DETLEFS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2017

Surgery (License #19043 in AZ)

NPI Profile Active September 27, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location September 27, 2010

Registered at 925 E MCDOWELL RD, PHOENIX, AZ 850062502 (Tel: 6022395895)

📍
Updated Business Mailing Address September 27, 2010

Registered at 925 E MCDOWELL RD, PHOENIX, AZ 850062502 (Tel: 6028395895)

👤
Provider Name / Credentials Updated September 27, 2010

Recorded as COREY DETLEFS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2010

Surgery (License #19043 in AZ)

🟢
Initial NPI Registration & Enumeration April 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700842457
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 21, 2006
Last Update: November 20, 2017
Sole Proprietor: No

Mailing Address

1441 N 12th St Fl 1

Phoenix, AZ 850062837

Phone: 6025215968

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.