DR. MARIE LYNNE DERUYTER M.D.
NPI 1164419453
Anesthesiology in Jacksonville, FL

Q: What is Marie Deruyter's NPI number?

The NPI number for Marie Deruyter is 1164419453. It was assigned to this individual provider in the NPPES registry on October 1, 2005.

Q: What is Marie Deruyter's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Marie Deruyter was last updated on September 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 01, 2005PECOS EnrolledAccepts Medicare Assignment

76.2/100

CMS Quality Rating

4500 SAN PABLO RD S, JACKSONVILLE, FL 32224(904) 953-2000 Get Directions Write a Review

NPPES record last updated: September 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2020, Dec 22, 2017 (2 updates tracked since 2017).

On this page

About Dr. Marie Lynne Deruyter M.d. NPPES

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

DR. MARIE LYNNE DERUYTER M.D. (NPI 1164419453) is an individual anesthesiology provider in Jacksonville, Florida, licensed in Florida (ME62548) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic, and is a graduate of Creighton University School Of Medicine (1994).

NPPES Registry Identity

NPI1164419453

Entity TypeIndividualFemale

Primary Taxonomy207L00000X

Provider Legal NameDR. MARIE LYNNE DERUYTERCredential: M.D.

Location Address4500 SAN PABLO RD SJacksonville, FL 32224-1865

Mailing Address4500 San Pablo Rd SJacksonville, FL 32224-1865 · (904) 953-2000

Phone(904) 953-2000

Sole ProprietorNo

Medical School CMSCreighton University School Of MedicineGraduated 1994

Enumeration DateOctober 1, 2005

Last NPPES UpdateSeptember 2, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 2, 2020

✔ NPI 1164419453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in FL · ME62548

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License ME62548 (FL)

4500 SAN PABLO RD S, Jacksonville, FL 32224

Open in Google Maps ↗

Other Identifiers 3

Other050030329FL · Railroad Medicare

Medicaid261226700FL

Other25484FL · Bluecross/blueshield

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. Marie Lynne Deruyter 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 ID7214970557

PECOS Enrollment IDI20050607000935

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 9

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.

Anesthesia for extensive surgery on spine 00670

Anesthesia for extensive spine surgery involves medication to block pain and make you unconscious during the procedure. It ensures comfort and prevents movement. Two types may be used: general (you sleep) or regional (numbs a large area). The choice depends on the surgery specifics and your health.

45 services44 patients

Insertion of artery tube for blood sampling or infusion through skin 36620

This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.

36 services36 patients

Anesthesia for other closed procedure on chest 00520

Anesthesia for a closed chest procedure involves the use of medications to block sensation, ensuring you don't feel pain during the procedure. It can be general (you're asleep) or regional (part of your body is numbed). This helps maintain comfort and safety.

30 services30 patients

Anesthesia for other procedure on brain 00210

Anesthesia for a brain procedure involves administering medications to ensure you are pain-free and comfortable during surgery. It can make you drowsy or completely unconscious. It's safe, monitored by a specialist, and designed to help you recover smoothly.

25 services25 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

18 services17 patients

Anesthesia for other procedure on skin of arms, legs, and front body 00400

Anesthesia for procedures on the skin of your arms, legs, and front body is a service that numbs the area being treated. This ensures you don't feel pain during procedures like biopsies, stitches, or minor surgeries. It's administered through a small injection or a topical cream.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Mayo Clinic

Acute Care Hospitals · Jacksonville, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100151

Location4500 San Pablo RdJacksonville, FL 32224 · Duval County

Emergency services

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.

76.2/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

69.33

Promoting Interoperability

100

Improvement Activities

Cost

51.32

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.

KATHERINE L WALSH PA-C/MPH

Physician Assistant