David R Dietrich, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

ME74604 Issued in FL

Practice address

120 N Richard Jackson Blvd Ste 140
Panama City, FL 32407

Phone

(850) 532-6168

Fax

(850) 532-6568

NPI assigned

Jun 30, 2006

Last updated

Oct 22, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, AZ2 enrollments

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 2

Specialty

Orthopedic Surgery

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gulf Coast Multispeciality Services, LLCGroup PAC ID 2466555339, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Panama City, FL, CCN 108380
• Centerwell Home Health Home health agency, Panama City, FL, CCN 107275
• Amedisys Home Health Home health agency, Pensacola, FL, CCN 108309
• HCA Florida Gulf Coast Hospital Hospital, Panama City, FL, CCN 100242

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.dietrich@hca5.eclinicaldirectplus.com

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

• Gulf Coast Multispeciality Services, LLC

  • Surgery Physician
  • Panama City, FL
  • NPI 1649296088

  Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD
• Northwest Allied Physicians LLC

  • General Practice Physician
  • Tucson, AZ
  • NPI 1003833179
  Medicare reassignment NPD
• Emerald Coast Orthopedics PLLC

  • Orthopaedic Surgery Physician
  • Panama City, FL
  • NPI 1740823830
  NPD Authorized official
• Northwest Allied Physicians, LLC

  • Durable Medical Equipment & Medical Supplies
  • Oro Valley, AZ
  • NPI 1821302910
  NPD

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

• Centerwell Health Services (Certified), Inc.

  dba Centerwell Home Health

  • Home Health Agency
  • Panama City, FL
  • NPI 1083648950
  Care Compare affiliation Name & address match
• Amedisys Florida, LLC

  dba Amedisys Home Health

  • Home Health Agency
  • Pensacola, FL
  • NPI 1679685085
  Care Compare affiliation
• Bay Hospital, Inc

  dba HCA Florida Gulf Coast Hospital

  • General Acute Care Hospital
  • Panama City, FL
  • NPI 1699721589
  Care Compare affiliation
• Caresouth HHA Holdings of Panama City, LLC

  dba Enhabit Home Health

  • Home Health Agency
  • Panama City, FL
  • NPI 1518916659
  Care Compare affiliation

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1871522250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N RICHARD JACKSON BLVD STE 140",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324072522",
            "telephone_number": "850-532-6168",
            "fax_number": "850-532-6568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N RICHARD JACKSON BLVD STE 140",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "32407",
            "telephone_number": "850-532-6168",
            "fax_number": "850-532-6568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1827 Harrison Ave",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324057605",
            "country_code": "US",
            "telephone_number": "850-785-0095",
            "fax_number": "850-785-0842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIETRICH",
        "first_name": "DAVID",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME74604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.