Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194845388 Individual Practitioner Female Practitioner

Dr. Adeline Mae Deladisma , MD

Surgery • Clearwater, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Adeline Deladisma, MD is a certified Surgery practicing in Clearwater, FL. With approximately 22 years of clinical experience since graduating from Pennsylvania State University College Of Medicine in 2004, Dr. Deladisma delivers high-quality medical care to the local community at 400 PINELLAS ST STE 200.

Dr. Deladisma is affiliated with Baycare Medical Group, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, lymph node imaging during surgery. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

400 Pinellas St Ste 200

Clearwater, FL 337563312

Telephone 7274622131
Fax 7272664914
Associated Practice Facility / Clinic
🏢 Baycare Medical Group Inc Facility NPI 1700559903

Medicare Profile & Education

Medical School

Pennsylvania State University College Of Medicine

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Clearwater, FL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
22 Yrs -2.0 yrs vs City Avg
City Avg: 24.0 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
13 Specialists

Practicing in Clearwater, FL (2030 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
60.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Deladisma (22 Years) 22 Yrs
Clearwater Specialty Average (24.0 Years) 24.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
42 32 $172.29 $82.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
15 15 $296.80 $104.12

Medical Specialties & State Licenses

CMS Verified: 2025-02-20
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License FL ME134033

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License MD D72711

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License IN 01071770A

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License GA 00498

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
045199100 (MD)
Commercial Insurance / Payer ID Bcbs
V8080011 (DC)
Commercial Insurance / Payer ID Bcbs
V8380011 (DC)
Commercial Insurance / Payer ID Bcbs
97509402 (MD)
Commercial Insurance / Payer ID Bcbs
97509401 (MD)
Commercial Insurance / Payer ID Bcbs
97509403 (MD)
Commercial Insurance / Payer ID Bcbs
V8740011 (DC)

Hospital & Practice Group Affiliations

Baycare Medical Group, Inc.

400 Pinellas St, Clearwater, FL 337563312

Phone: 7274622131

Secondary Practice Locations

11141 Parkview Plaza Dr, Suite 305

Fort Wayne, IN 468451713

Phone: 2604849611

Practice Associates & Co-Workers

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

9 Associated Practitioners
NPI 1164691747

Doctor of Medicine (M.D.)

Erika Oschmann , ARNP

Nurse Practitioner

NPI 1174098438

Advanced Registered Nurse Practitioner

Katsiaryna Falkovich , PA-C

Physician Assistant

NPI 1184094203

Physician Assistant (Certified)

NPI 1306845037

Doctor of Medicine (M.D.)

Dr. Paula Lundgren , MD

Surgery - Surgical Oncology

NPI 1407842727

Doctor of Medicine (M.D.)

Ellen Stone , ARNP-BC, ONC

Nurse Practitioner

NPI 1528292661

ARNPBC, ONC

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location February 20, 2025

Registered at 400 PINELLAS ST STE 200, CLEARWATER, FL 337563312 (Tel: 7274622131)

📍
Updated Business Mailing Address February 20, 2025

Registered at 2995 DREW ST, CLEARWATER, FL 337593012 (Tel: 7272819065)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2025

Surgery (License #D72711 in MD)

NPI Profile Active October 12, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 12, 2012

Registered at 11141 PARKVIEW PLAZA DR, SUITE 305, FORT WAYNE, IN 468451713 (Tel: 2604849611)

📍
Updated Business Mailing Address October 12, 2012

Registered at 11141 PARKVIEW PLAZA DR, SUITE 305, FORT WAYNE, IN 468451713 (Tel: 2604849611)

👤
Provider Name / Credentials Updated October 12, 2012

Recorded as ADELINE DELADISMA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2012

Surgery (License #01071770A in IN)

🟢
Initial NPI Registration & Enumeration March 30, 2007

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: 1194845388
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 30, 2007
Last Update: February 20, 2025
Sole Proprietor: No

Mailing Address

2995 Drew St

Clearwater, FL 337593012

Phone: 7272819065

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.