JOHN DIETRICK III M.D.
NPI 1124103528
Surgery in Tampa, FL
About John Dietrick Iii M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN DIETRICK III M.D. (NPI 1124103528) is an individual surgery provider in Tampa, Florida, licensed in Florida (ME88224) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John Dietrick Iii M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show John Dietrick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tampa, FL 33613
- Reassigned Medicare billing, Florida enrollment
- 1,719 clinicians in this Medicare group
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 33613 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
TAMPA, FL 33613
TAMPA, FL 33613
TAMPA, FL 33613
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 John Dietrick's NPI number?
The NPI number for John Dietrick is 1124103528. It was assigned to this individual provider in the NPPES registry on October 25, 2006.
Where is John Dietrick located?
John Dietrick practices at 3000 Medical Park Dr Suite 330, Tampa, FL 33613. The listed phone number is (813) 971-2470.
What is John Dietrick's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is John Dietrick enrolled in Medicare?
Yes. John Dietrick is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for John Dietrick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Dietrick reassigns Medicare benefits to Florida Hospital Physician Group Inc (Tampa, FL). The 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 John Dietrick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Dietrick accept?
Health plans from Health First Commercial Plans, Inc. and Oscar Health Maintenance Organization of Florida list John Dietrick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for John Dietrick was last updated on December 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# John Dietrick III, M.D. · NPI 1124103528
Surgery physician in Tampa, Florida. Individual provider, active in the CMS NPPES registry since October 25, 2006.
## Identity
- **NPI:** 1124103528 (Entity type: Individual)
- **Enumerated:** October 25, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** ME88224 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3000 MEDICAL PARK DR, SUITE 330, Tampa, FL 33613-4680
- **Phone:** (813) 971-2470 · **Fax:** (813) 971-2491
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Florida Hospital Physician Group Inc (NPI 1174955256, Tampa, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 19, 2008
- **Other identifiers:** Medicare UPIN D97848 (FL); Medicaid 273011100 (FL); Medicare ID-Type Unspecified 71357Y (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1124103528) · Data from the CMS NPPES public registry.