Individual provider Active NPI

Terry Detrich, MD

  • Neurology Physician
  • Easton, MD
National Provider Identifier
1154433720
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
D12893 Issued in MD
Practice address
29466 Pintail Dr Ste 10
Easton, MD 21601-9324
Phone
(443) 746-3816
Fax
(410) 604-7349
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X D12893 MD Primary

Addresses

Primary practice location

29466 Pintail Dr Ste 10
Easton, MD 21601-9324

Mailing address

29466 Pintail Dr Ste 10
Easton, MD 21601-9324
Phone (443) 746-3816

Other identifiers 1

IdentifierTypeStateIssuer
41274801OtherMDBLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120301000438 MD Practitioner - PsychiatryPractitioner - NeurologyPractitioner - Neuropsychiatry 2062670557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology, Neuropsychiatry
Education
University of Maryland School of Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

29466 Pintail Dr
Suite 10
Easton, MD 21601-9324
Phone (443) 746-3816

Hospital & facility affiliations

  • University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037
  • University of MD Shore Medical Ctr at Chestertown Hospital, Chestertown, MD, CCN 210030

Merit-based Incentive Payment System (MIPS)

Final score
23.07 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.91

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D12893MDMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Terry P Detrich MD Neurology CurrentSince Jul 1, 2019 Accepting new patients

Locations

29466 Pintail Dr
Ste 10
Easton, MD 21601
Phone (410) 820-5191

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1154433720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29466 PINTAIL DR STE 10",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216019324",
            "telephone_number": "443-746-3816",
            "fax_number": "410-604-7349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29466 PINTAIL DR STE 10",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216019324",
            "telephone_number": "443-746-3816",
            "fax_number": "410-604-7349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETRICH",
        "first_name": "TERRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D12893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "41274801",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

Verify at the official NPI Registry.