DR. KEITH J DIETRICK M.D.
NPI 1144223785
Pain Medicine - Interventional Pain Medicine in Wellington, FL

Active since May 27, 2005PECOS EnrolledAccepts Medicare Assignment
2585 SOUTH STATE ROAD 7, STE 110, WELLINGTON, FL 33414(561) 795-8655(561) 795-3275 Get Directions Write a Review

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

About Dr. Keith J Dietrick M.d. NPPES

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

DR. KEITH J DIETRICK M.D. (NPI 1144223785) is an individual interventional pain medicine provider in Wellington, Florida, licensed in Florida (ME85786) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Medical Center, and is a graduate of University Of Pittsburgh School Of Medicine (1991).

NPPES Registry Identity

NPI1144223785
Entity TypeIndividualMale
Primary Taxonomy208VP0014X
Provider Legal NameDR. KEITH J DIETRICKCredential: M.D.
Location Address2585 SOUTH STATE ROAD 7, STE 110Wellington, FL 33414-9323
Mailing Address2585 South State Road 7, Ste 110Wellington, FL 33414-9323 · (561) 795-8655 · Fax (561) 795-3275
Fax(561) 795-3275
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1991
Enumeration DateMay 27, 2005
Last NPPES UpdateFebruary 18, 2026
NPPES CertifiedFebruary 18, 2026
NPI 1144223785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License Licensed in FL · ME85786
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
2585 SOUTH STATE ROAD 7, Wellington, FL 33414

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 and accepts Medicare assignment

Dr. Keith J Dietrick M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668438334
PECOS Enrollment IDI20041203000878
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.

Areas of Expertise CMS Part B claims 25

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
852 services294 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
781 services234 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
696 services114 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
643 services103 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
237 services180 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level 64484
This procedure involves injecting an anesthetic or steroid drug into the sacral spine nerve root. It's done under imaging guidance to ensure accuracy. The process can be repeated for each additional level of the spine to help manage pain or inflammation.
146 services78 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Good Samaritan Medical Center

Acute Care Hospitals · West Palm Beach, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100287
Location1309 N Flagler DrWest Palm Beach, FL 33401 · Palm Beach County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33414 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
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 2

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

Pain Medicine (Interventional Pain Medicine)
2585 SOUTH STATE ROAD 7, STE 110
WELLINGTON, FL 33414
Pain Medicine (Interventional Pain Medicine)
2585 SOUTH STATE ROAD 7, STE 110
WELLINGTON, FL 33414

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 Keith Dietrick's NPI number?

The NPI number for Keith Dietrick is 1144223785. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is Keith Dietrick located?

Keith Dietrick practices at 2585 South State Road 7 Ste 110, Wellington, FL 33414. The listed phone number is (561) 795-8655.

What is Keith Dietrick's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Keith Dietrick enrolled in Medicare?

Yes. Keith Dietrick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Keith Dietrick accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Keith 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.

Is Keith Dietrick affiliated with any hospitals?

According to CMS data, Keith Dietrick is affiliated with Good Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Keith Dietrick was last updated on February 18, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.