DERECK PETTIFORD CRNA
NPI 1972677367
Nurse Anesthetist, Certified Registered in Ocala, FL
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
7Medicare enrollment records show Dereck Pettiford reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ocala, FL 34471
- Reassigned Medicare billing, Florida enrollment
- 42 clinicians in this Medicare group
Oxford, FL 34484
- Reassigned Medicare billing, Florida enrollment
- 92 clinicians in this Medicare group
Gainesville, FL 32608
- Reassigned Medicare billing, Florida enrollment
- 528 clinicians in this Medicare group
Mount Dora, FL 32757
- Reassigned Medicare billing, Florida enrollment
- Medicare enrollment name: Nature Coast Anesthesia Providers PA
- 66 clinicians in this Medicare group
Bradenton, FL 34208
- Reassigned Medicare billing, Florida enrollment
- 1,887 clinicians in this Medicare group
Fort Myers, FL 33966
- Reassigned Medicare billing, Florida enrollment
- 34 clinicians in this Medicare group
Pensacola, FL 32502
- Reassigned Medicare billing, Florida enrollment
- 768 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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
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.
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 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.
Where is Dereck Pettiford located?
Dereck Pettiford practices at 3330 SW 33rd Rd, Ocala, FL 34474. The listed phone number is (352) 873-9311.
What is Dereck Pettiford's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Dereck Pettiford enrolled in Medicare?
Yes. Dereck Pettiford 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.
Which organizations bill Medicare for Dereck Pettiford's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dereck Pettiford reassigns Medicare benefits to 7 organizations: Anesthesia Associates Of Ocala, LLC (Ocala, FL), Solace Anesthesia, LLC (Oxford, FL), Anesthesia Physician Solutions Of North Florida, LLC (Gainesville, FL), Nature Coast Anesthesia Providers, P.A. (Mount Dora, FL), Anesthesia Dynamics LLC (Bradenton, FL) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dereck Pettiford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Dereck Pettiford, CRNA · NPI 1972677367
Nurse Anesthetist, Certified Registered physician in Ocala, Florida. Individual provider, active in the CMS NPPES registry since November 20, 2006.
## Identity
- **NPI:** 1972677367 (Entity type: Individual)
- **Enumerated:** November 20, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 3280462 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3330 SW 33RD RD, Ocala, FL 34474-7458
- **Phone:** (352) 873-9311
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Anesthesia Associates Of Ocala, LLC (NPI 1962808287, Ocala, FL); Solace Anesthesia, LLC (NPI 1962046151, Oxford, FL); Anesthesia Physician Solutions Of North Florida, LLC (NPI 1942149992, Gainesville, FL); Nature Coast Anesthesia Providers, P.A. (NPI 1578557104, Mount Dora, FL); Anesthesia Dynamics LLC (NPI 1073001012, Bradenton, FL); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1972677367) · Data from the CMS NPPES public registry.