DERECK PETTIFORD CRNA
NPI 1972677367
Nurse Anesthetist, Certified Registered in Ocala, FL

Q: What is Dereck Pettiford's NPI number?

The NPI number for Dereck Pettiford is 1972677367. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Q: What is Dereck Pettiford's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Dereck Pettiford was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 November 20, 2006Accepts Medicare Assignment

3330 SW 33RD RD, OCALA, FL 34474(352) 873-9311 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dereck Pettiford Crna NPPES

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

DERECK PETTIFORD CRNA (NPI 1972677367) is an individual nurse anesthetist, certified registered in Ocala, Florida, licensed in Florida (3280462) and active in the NPI registry since November 2006. He is a graduate of Other (2003).

NPPES Registry Identity

NPI1972677367

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameDERECK PETTIFORDCredential: CRNA

Location Address3330 SW 33RD RDOcala, FL 34474-7458

Mailing Address8235 Sw 72nd PlGainesville, FL 32608-8425 · (352) 380-2724

Phone(352) 873-9311

Sole ProprietorYes

Medical School CMSOtherGraduated 2003

Enumeration DateNovember 20, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1972677367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in FL · 3280462

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

3330 SW 33RD RD, Ocala, FL 34474

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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 and accepts Medicare assignment

Dereck Pettiford Crna 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 ID9739120700

PECOS Enrollment IDI20050519000731

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 procedure on anus and rectum 00902

Anesthesia for procedures on the anus and rectum ensures comfort during medical procedures. It involves the administration of medication to numb the area or induce sleep, so you don't feel pain or discomfort. This helps doctors perform necessary procedures smoothly and effectively.

206 services199 patients

Anesthesia for other procedure on urinary system through urethra 00910

Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.

198 services188 patients

Anesthesia for removal of urinary bladder tumors including use of an endoscope 00912

This procedure involves the use of anesthesia to ensure comfort while an endoscope, a thin tube with a light and camera, is used to identify and remove abnormal growths in the bladder. It's a minimally invasive approach to maintain bladder health.

58 services53 patients

Anesthesia for removal of prostate including use of an endoscope 00914

Anesthesia is used during the removal of the prostate to ensure you feel no discomfort. An endoscope, a thin tube with a camera, aids in viewing the area. This procedure involves the careful administration of medicines to help you sleep and prevent pain.

58 services58 patients

Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope 00918

This procedure involves using anesthesia to ensure comfort while a special instrument called an endoscope helps to locate, break up, and possibly remove kidney stones. The endoscope is a thin, flexible tube which is gently inserted and navigated to the area of concern.

46 services44 patients

Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back 00300

Anesthesia for procedures on skin, muscles, or nerves of the head, neck, and upper back involves using medication to numb the area or make you unconscious during the procedure. This ensures you don't feel pain or discomfort. It's safe and monitored by professionals.

39 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34474 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

Reported Quality Measures

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)

Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…

96%25 patients4/55-star benchmark: 100%

Pre-operative OSA assessment

Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)

74%61 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

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