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Active NPI 1457338741 Individual Practitioner Male Practitioner

Dr. John C Deitrick , MD

Surgery - Vascular Surgery • Richmond, VA

Professional Overview & Biography Verified Profile Summary

Dr. John Deitrick, MD is a registered healthcare professional specializing in Surgery - Vascular Surgery in Richmond, VA. Practice services are available at 1051 JOHNSTON WILLIS DR under active NPI credentials.

Frequently performed procedures and clinical services include ultrasound study of arm or leg veins with compression and maneuvers, ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1051 Johnston Willis Dr
Ste 200

Richmond, VA 23235

Telephone 8043202705
Fax 8043302433

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Richmond, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.0 Yrs
State Avg: 25.2 Yrs
Regional Practice Density
13 Specialists

Practicing in Richmond, VA (156 Statewide)

Telehealth Adoption Rate
7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
58.3% 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 (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
93970 Ultrasound study of arm or leg veins with compression and maneuvers
46 46 $80.11 $33.07
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
29 29 $51.50 $21.81

Medical Specialties & State Licenses

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License VA 0101037598

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1457338741 (VA)
Medicaid State Provider ID
7354380 (VA)

Practice Associates & Co-Workers

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

19 Associated Practitioners
NPI 1023095718

Doctor of Medicine (M.D.)

NPI 1023227345

Doctor of Medicine (M.D.)

NPI 1124007851

Doctor of Medicine (M.D.)

NPI 1154582492

Doctor of Medicine (M.D.)

NPI 1174765705

Doctor of Medicine (M.D.)

NPI 1184911356

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 13, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location January 13, 2010

Registered at 1051 JOHNSTON WILLIS DR, STE 200, RICHMOND, VA 23235 (Tel: 8043202705)

📍
Updated Business Mailing Address January 13, 2010

Registered at 1051 JOHNSTON WILLIS DR, STE 200, RICHMOND, VA 23235 (Tel: 8043202705)

👤
Provider Name / Credentials Updated January 13, 2010

Recorded as JOHN DEITRICK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2010

Surgery (License #0101037598 in VA)

🟢
Initial NPI Registration & Enumeration December 28, 2005

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: 1457338741
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 28, 2005
Last Update: January 13, 2010
Sole Proprietor: No

Mailing Address

1051 Johnston Willis Dr, Ste 200

Richmond, VA 23235

Phone: 8043202705

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.