MARIANNE K DEZELAN PAC
NPI 1871619171
Physician Assistant in Rancho Mirage, CA

Q: What is Marianne Dezelan's NPI number?

The NPI number for Marianne Dezelan is 1871619171. It was assigned to this individual provider in the NPPES registry on March 21, 2007. The provider is also known as Marianne Kelley Pac.

Q: What is Marianne Dezelan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Marianne Dezelan was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 21, 2007PECOS EnrolledAccepts Medicare Assignment

80.6/100

CMS Quality Rating

39000 BOB HOPE DR, HIRSCHBERG BLG, STE 310, RANCHO MIRAGE, CA 92270(760) 568-2684(760) 341-5832 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2023, Jun 4, 2021 (2 updates tracked since 2021).

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About Marianne K Dezelan Pac NPPES

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

MARIANNE K DEZELAN PAC (NPI 1871619171) is an individual physician assistant in Rancho Mirage, California, licensed in California (PA14742) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in La Quinta, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1871619171

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMARIANNE K DEZELANCredential: PAC

Location Address39000 BOB HOPE DR, HIRSCHBERG BLG, STE 310Rancho Mirage, CA 92270

Mailing AddressPo Box 1730Rancho Mirage, CA 92270-1058 · (760) 568-2684 · Fax (760) 341-5832

Phone(760) 568-2684

Fax(760) 341-5832

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateMarch 21, 2007

Last NPPES UpdateFebruary 20, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 20, 2024

✔ NPI 1871619171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · PA14742

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

39000 BOB HOPE DR, HIRSCHBERG BLG, STE 310, Rancho Mirage, CA 92270

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Other Names 1

Other Name (5)Marianne Kelley Pac

Secondary Practice Location 1

Location 145280 Seeley Dr., FL 2La Quinta, CA 92253-6834 · Phone (760) 568-2684 · Fax (760) 341-5832

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

Marianne K Dezelan Pac 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 ID3072409010

PECOS Enrollment IDI20040225001088

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 4

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 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.

884 services377 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

827 services378 patients

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.

104 services80 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

95 services79 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92270 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

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.

80.6/100

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

Scored as part of a group practice

Quality

91.15

Promoting Interoperability

100

Improvement Activities

Cost

44.19

Referred Medical Equipment & Supplies CMS DME claims

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

Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0637

DME-Orthotic Devices · category DF007N

1 supplier11 claims11 services$983.97 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 5

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

JANET ELAINE CONLEY NP-C

Nurse Practitioner