JOHN DIETRICK III M.D.
NPI 1124103528
Surgery in Tampa, FL

Active since October 25, 2006PECOS Enrolled
94.93/100
CMS Quality Rating
3000 MEDICAL PARK DR, SUITE 330, TAMPA, FL 33613(813) 971-2470(813) 971-2491 Get Directions Write a Review

NPPES record last updated: December 19, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1124103528
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJOHN DIETRICK IIICredential: M.D.
Location Address3000 MEDICAL PARK DR, SUITE 330Tampa, FL 33613-4680
Mailing Address1904 W Morrison AveTampa, FL 33606-2831 · (813) 258-9864
Fax(813) 971-2491
Sole ProprietorYes
Enumeration DateOctober 25, 2006
Last NPPES UpdateDecember 19, 2008
NPI 1124103528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in FL · ME88224
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

3000 MEDICAL PARK DR, Tampa, FL 33613

Other Identifiers 3

Medicare UPIND97848FL
Medicaid273011100FL
Medicare ID-Type Unspecified71357YFL · Provider Number

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

John Dietrick Iii M.d. 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.

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.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
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.

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.

94.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.03
Promoting Interoperability100
Improvement Activities40

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.

Obstetrics & Gynecology
3000 MEDICAL PARK DR, STE 140
TAMPA, FL 33613
Internal Medicine (Cardiovascular Disease)
3000 MEDICAL PARK DR, SUITE 500
TAMPA, FL 33613
Internal Medicine (Hematology & Oncology)
3000 MEDICAL PARK DR, SUITE 250
TAMPA, FL 33613
Nurse Practitioner
3000 MEDICAL PARK DR, STE 150
TAMPA, FL 33613
Surgery
3000 MEDICAL PARK DR, SUITE 310
TAMPA, FL 33613
Nurse Practitioner
3000 MEDICAL PARK DR, SUITE500
TAMPA, FL 33613
Internal Medicine (Pulmonary Disease)
3000 MEDICAL PARK DR, SUITE 190
TAMPA, FL 33613
Nurse Practitioner
3000 MEDICAL PARK DR, SUITE 150
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.

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 with the weekly NPPES data releases published by CMS.