DEITRICK LEELLEN GORMAN DO
NPI 1649281569
Family Medicine in Modesto, CA

Active since August 10, 2006PECOS EnrolledAccepts Medicare Assignment
600 COFFEE RD, MODESTO, CA 95355(209) 550-4755(510) 491-7522 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 26, 2026, Sep 10, 2025, May 15, 2025 (3 updates tracked since 2025).

About Deitrick Leellen Gorman Do NPPES

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

DEITRICK LEELLEN GORMAN DO (NPI 1649281569) is an individual family medicine provider in Modesto, California, licensed in California (20A21341) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Reeves County Hospital District, and maintains a secondary practice location in Pecos.

NPPES Registry Identity

NPI1649281569
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDEITRICK LEELLEN GORMANCredential: DO
Location Address600 COFFEE RDModesto, CA 95355-4201
Mailing AddressPo Box 255228Sacramento, CA 95865-5228 · (800) 470-0071 · Fax (916) 854-6769
Fax(510) 491-7522
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 10, 2006
Last NPPES UpdateMay 26, 20263 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
NPI 1649281569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in CA · 20A21341 Licensed in TX · N4435
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
600 COFFEE RD, Modesto, CA 95355

Secondary Practice Location 1

Location 12349 Medical DrPecos, TX 79772-2251 · Phone (432) 447-0565 · Fax (432) 447-5053

Other Identifiers 1

Medicaid211545301TX

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

Deitrick Leellen Gorman Do 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 ID1456430107
PECOS Enrollment IDI20100322000793
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.

Hospital Affiliations CMS Care Compare

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

Reeves County Hospital District

Critical Access Hospitals · Pecos, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451377
Location2349 Medical DrivePecos, TX 79772 · Reeves County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95355 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers14 claims53 services$6.25 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers18 claims18 services$21.25 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers18 claims18 services$118.75 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$25.48 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers27 claims27 services$201.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Hospitalist
600 COFFEE RD
MODESTO, CA 95355
Emergency Medicine
600 COFFEE RD
MODESTO, CA 95355
Podiatrist
600 COFFEE RD
MODESTO, CA 95355
Allergy & Immunology (Allergy)
600 COFFEE RD
MODESTO, CA 95355
Family Medicine
600 COFFEE RD
MODESTO, CA 95355
Internal Medicine
600 COFFEE RD
MODESTO, CA 95355
Anesthesiology
600 COFFEE RD
MODESTO, CA 95355
Anesthesiology
600 COFFEE RD
MODESTO, CA 95355

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 Deitrick Gorman's NPI number?

The NPI number for Deitrick Gorman is 1649281569. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Deitrick Gorman located?

Deitrick Gorman practices at 600 Coffee Rd, Modesto, CA 95355. The listed phone number is (209) 550-4755.

What is Deitrick Gorman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Deitrick Gorman enrolled in Medicare?

Yes. Deitrick Gorman 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 Deitrick Gorman accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Deitrick Gorman 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 Deitrick Gorman affiliated with any hospitals?

According to CMS data, Deitrick Gorman is affiliated with Reeves County Hospital District.

When was this NPI record last updated?

The NPPES record for Deitrick Gorman was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.