Active NPI 1124103528 Individual Practitioner Male Practitioner

Dr. John Dietrick , MD

Surgery • Tampa, FL

Professional Overview & Biography Verified Profile Summary

Dr. John Dietrick, MD is a registered healthcare professional specializing in Surgery in Tampa, FL. Practice services are available at 3000 MEDICAL PARK DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, test to measure exhaled air for evaluation of lung function at rest. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3000 Medical Park Dr
Suite 330

Tampa, FL 336134680

Telephone 8139712470

Fax 8139712491

Associated Practice Facility / Clinic

🏢 Tampa Ear Nose & Throat Associates Facility NPI 1467473702

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Tampa, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 21.6 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

189 Specialists

Practicing in Tampa, FL (2030 Statewide)

Telehealth Adoption Rate

20.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.3% 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	12	$380.67	$120.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	27	21	$273.00	$83.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	14	$383.48	$127.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$507.00	$156.53
94690 Test to measure exhaled air for evaluation of lung function at rest	17	16	$127.00	$41.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	42	25	$274.00	$92.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	26	$386.65	$128.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$508.00	$162.25
94690 Test to measure exhaled air for evaluation of lung function at rest	20	20	$128.00	$40.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$339.00	$113.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	22	$328.00	$109.98
99213 Established patient office or other outpatient visit, typically 15 minutes	25	20	$226.00	$75.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$500.00	$167.78
94690 Test to measure exhaled air for evaluation of lung function at rest	12	12	$148.00	$45.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	59	40	$224.00	$73.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	26	$328.00	$107.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$499.00	$165.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$328.00	$108.61
94690 Test to measure exhaled air for evaluation of lung function at rest	18	18	$155.00	$51.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	37	32	$219.00	$67.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	29	$322.00	$103.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$498.00	$158.49
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$420.00	$138.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$326.00	$93.66
94690 Test to measure exhaled air for evaluation of lung function at rest	11	11	$151.00	$50.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$498.00	$160.25
99213 Established patient office or other outpatient visit, typically 15 minutes	33	26	$219.00	$69.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	25	$322.00	$98.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$326.00	$107.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	12	$130.00	$41.71

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License FL ME88224

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

273011100 (FL)

Practice Associates & Co-Workers

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

14 Associated Practitioners

Rita Mcgauvran , APRN

Nurse Practitioner - Family

NPI 1063481554

Advanced Practice Registered Nurse

Jamecia Delice , RD, LDN

Dietitian, Registered

NPI 1104403237

Registered Dietitian, Licensed Dietitian Nutritionist

Veronica Colon Pardo , MS, RDN, LD, N

Dietitian, Registered

NPI 1295437754

Master of Science, Registered Dietitian Nutritionist, Licensed Dietitian, N

Theresa Anderson Bennati , APRN

Nurse Practitioner

NPI 1386017929

Advanced Practice Registered Nurse

Dana Hartley , RD LD, N

Dietitian, Registered

NPI 1508529637

RDLD, N

Tiffany Smiley , FNP-C

Nurse Practitioner - Family

NPI 1679137541

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 19, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location December 19, 2008

Registered at 3000 MEDICAL PARK DR, SUITE 330, TAMPA, FL 336134680 (Tel: 8139712470)

📍

Updated Business Mailing Address December 19, 2008

Registered at 1904 W MORRISON AVE, TAMPA, FL 336062831 (Tel: 8132589864)

👤

Provider Name / Credentials Updated December 19, 2008

Recorded as JOHN DIETRICK, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2008

Surgery (License #ME88224 in FL)

🟢

Initial NPI Registration & Enumeration October 25, 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: 1124103528

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 25, 2006

Last Update: December 19, 2008

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1904 W Morrison Ave

Tampa, FL 336062831

Phone: 8132589864

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.