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DAVID DANIEL DIETERICH DO
NPI 1083603591
Internal Medicine - Cardiovascular Disease in Clearwater, FL

Active since October 18, 2005PECOS Enrolled
455 PINELLAS ST, SUITE 400, CLEARWATER, FL 33756(727) 445-1991(727) 445-1986 Get Directions Write a Review

NPPES record last updated: October 26, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About David Daniel Dieterich Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID DANIEL DIETERICH DO (NPI 1083603591) is an individual cardiovascular disease provider in Clearwater, Florida, licensed in Florida (053669) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083603591
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDAVID DANIEL DIETERICHCredential: DO
Location Address455 PINELLAS ST, SUITE 400Clearwater, FL 33756-3356
Mailing Address455 Pinellas St, Suite 400Clearwater, FL 33756-3356 · (727) 445-1992 · Fax (727) 445-1993
Phone(727) 445-1991
Fax(727) 445-1986
Sole ProprietorNo
Enumeration DateOctober 18, 2005
Last NPPES UpdateOctober 26, 2012
✔ NPI 1083603591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in FL · 053669
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
455 PINELLAS ST, Clearwater, FL 33756
Open in Google Maps ↗

Other Identifiers 4

Other82318XMedicare Ptan
Medicare UPINE12046
Medicaid065988600FL
Medicare ID-Type Unspecified82318X

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Daniel Dieterich Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show David Dieterich reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Morton Plant Mease Health Services, Inc
0.1 mi
Diagnostic Radiology
400 PINELLAS ST, SUITE 100
Clearwater, FL 33756
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Morton Plant Health Services Inc
  • 136 clinicians in this Medicare group
NPI 1730470311 (727) 298-6670
Pinellas Ekg Interpreters Inc
0.2 mi
Cardiovascular Disease
323 JEFFORDS ST
Clearwater, FL 33756
  • Reassigned Medicare billing, Florida enrollment
  • 75 clinicians in this Medicare group
NPI 1013952977 (727) 462-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33756 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KERRIE MICHELLE COFFMAN ARNP
Nurse Practitioner
455 PINELLAS ST, SUITE 400
CLEARWATER, FL 33756
Pinellas County (727) 445-1992
OLIVIA ANNE O'BERRY PA-C
Physician Assistant
455 PINELLAS ST, SUITE 400
CLEARWATER, FL 33756
Pinellas County (727) 445-1911
MRS. LAURA WALLACE ARNP
Nurse Practitioner
455 PINELLAS ST, SUITE #400
CLEARWATER, FL 33756
Pinellas County (727) 445-1911
MR. IAN WETHERALL PA-C
Physician Assistant (Surgical)
455 PINELLAS ST, SUITE 320
CLEARWATER, FL 33756
Pinellas County (727) 446-2273
DR. JOHN BROOKE TOURTELOT M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
455 PINELLAS ST
CLEARWATER, FL 33756
Pinellas County (727) 461-8300
PAUL LESLIE PHILLIPS MD
Internal Medicine (Cardiovascular Disease)
455 PINELLAS ST, STE 400
CLEARWATER, FL 33756
Pinellas County (727) 445-1911
SHANNON O'DONNELL LOFGREN PA-C
Physician Assistant
455 PINELLAS ST
CLEARWATER, FL 33756
Pinellas County (305) 322-6263
MARY CHRISTINE LENYO ARNP
Nurse Practitioner
455 PINELLAS ST, STE 400
CLEARWATER, FL 33756
Pinellas County (727) 445-1911

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Dieterich's NPI number?

The NPI number for David Dieterich is 1083603591. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Where is David Dieterich located?

David Dieterich practices at 455 Pinellas St Suite 400, Clearwater, FL 33756. The listed phone number is (727) 445-1991.

What is David Dieterich's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is David Dieterich enrolled in Medicare?

Yes. David Dieterich is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for David Dieterich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Dieterich reassigns Medicare benefits to 2 organizations: Morton Plant Mease Health Services, Inc (Clearwater, FL) and Pinellas Ekg Interpreters Inc (Clearwater, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Dieterich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for David Dieterich was last updated on October 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.