KEVIN DEIDRICK
NPI 1538746110
Podiatrist - Primary Podiatric Medicine in Temple, TX

Q: What is Kevin Deidrick's NPI number?

The NPI number for Kevin Deidrick is 1538746110. It was assigned to this individual provider in the NPPES registry on March 28, 2021.

Q: What is Kevin Deidrick's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Deidrick was last updated on May 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 28, 2021PECOS EnrolledAccepts Medicare Assignment

2401 S 31ST ST, TEMPLE, TX 76508(254) 935-5750 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 17, 2024, Mar 28, 2021 (2 updates tracked since 2021).

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About Kevin Deidrick NPPES

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

KEVIN DEIDRICK (NPI 1538746110) is an individual primary podiatric medicine provider in Temple, Texas, licensed in Texas (692126) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Temple, and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (2021).

NPPES Registry Identity

NPI1538746110

Entity TypeIndividualMale

Primary Taxonomy213EP1101X

Provider Legal NameKEVIN DEIDRICK

Location Address2401 S 31ST STTemple, TX 76508-0001

Mailing Address2401 S 31st StTemple, TX 76508-0001 · (916) 390-1680

Phone(254) 935-5750

Sole ProprietorNo

Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 2021

Enumeration DateMarch 28, 2021

Last NPPES UpdateMay 17, 20242 updates tracked since enumeration

NPPES CertifiedMay 17, 2024

✔ NPI 1538746110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers

Taxonomy Code213EP1101X

License✔ Licensed in TX · 692126

2401 S 31ST ST, Temple, TX 76508

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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

Kevin Deidrick 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 ID8628470242

PECOS Enrollment IDI20240719002769

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 6

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.

175 services112 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

101 services101 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

29 services12 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.

27 services22 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

20 services19 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Baylor Scott & White Medical Center - Temple

Acute Care Hospitals · Temple, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450054

Location2401 S 31st StTemple, TX 76508 · Bell County

Emergency services Birthing friendly

Baylor Scott & White Hospital Brenham

Critical Access Hospitals · Brenham, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number451397

Location700 Medical ParkwayBrenham, TX 77833 · Washington County

Emergency services Birthing friendly

Baylor Scott & White Medical Center- College Stati

Acute Care Hospitals · College Station, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670088

Location700 Scott & White DriveCollege Station, TX 77845 · Brazos County

Emergency services Birthing friendly

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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.

DR. TIFFANY JONES BERRY MD

Family Medicine