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PIERCE DERICO
NPI 1891322269
Family Medicine in Twentynine Palms, CA

Active since March 25, 2020PECOS Enrolled
1145 STURGIS ROAD, TWENTYNINE PALMS, CA 92278(760) 830-2117 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 3, 2023, Nov 24, 2020, Mar 25, 2020 (3 updates tracked since 2020).

About Pierce Derico NPPES

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

PIERCE DERICO (NPI 1891322269) is an individual family medicine provider in Twentynine Palms, California, licensed in Virginia (0101273114) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891322269
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePIERCE DERICO
Location Address1145 STURGIS ROADTwentynine Palms, CA 92278-8275
Mailing Address1145 Sturgis RoadTwentynine Palms, CA 92278 · (760) 830-2117
Phone(760) 830-2117
Sole ProprietorNo
Enumeration DateMarch 25, 2020
Last NPPES UpdateJuly 3, 20233 updates tracked since enumeration
NPPES CertifiedJune 22, 2023
✔ NPI 1891322269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101273114
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.
Also ListedMilitary Health Care ProviderTaxonomy 171000000X
1145 STURGIS ROAD, Twentynine Palms, CA 92278
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pierce Derico is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92278 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
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 20

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

JANELLE MARIE MARRA DO
Family Medicine
1145 STURGIS ROAD, MAGTFTC MCAGCC
TWENTYNINE PALMS, CA 92278
San Bernardino County (760) 830-2190
DR. AMANDA FAYE BOUDREAUX AUD
Audiologist
1145 STURGIS ROAD
TWENTYNINE PALMS, CA 92278
San Bernardino County (760) 830-2850
DIEGO ARMANDO AGUILAR PHARMD, RPH
Pharmacist
1145 STURGIS ROAD, NMRTC/NAVHOSP 29 PALMS/EMF BRAVO
TWENTYNINE PALMS, CA 92278
San Bernardino County (760) 830-2117
DR. JEFFREY C RICKS M.D.
Emergency Medicine
1145 STURGIS ROAD
TWENTYNINE PALMS, CA 92278
San Bernardino County (760) 830-2354
DR. DAVID MCCALL GROVES DPT
Physical Therapist
1145 STURGIS ROAD
TWENTYNINE PALMS, CA 92278
San Bernardino County (760) 830-2140
CHRISTOPHER BARAJAS
Audiologist
1145 STURGIS ROAD
TWENTYNINE PALMS, CA 92278
San Bernardino County (760) 830-2190
BENJAMIN ERIC GROUNDS
Obstetrics & Gynecology
1145 STURGIS ROAD
TWENTYNINE PALMS, CA 92278
San Bernardino County (760) 830-2117
RODRIGO FERNANDO LOPEZ CRNA
Nurse Anesthetist, Certified Registered
1145 STURGIS ROAD, NAVAL HOSPITAL TWENTYNINE PALMS
TWENTYNINE PALMS, CA 92278
San Bernardino County (760) 830-2290

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 Pierce Derico's NPI number?

The NPI number for Pierce Derico is 1891322269. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Pierce Derico located?

Pierce Derico practices at 1145 Sturgis Road, Twentynine Palms, CA 92278. The listed phone number is (760) 830-2117.

What is Pierce Derico's specialty?

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

Is Pierce Derico enrolled in Medicare?

Yes. Pierce Derico is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Pierce Derico was last updated on July 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.