Doctor profile · Federal record
Dr. Tara Deitrick
Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Mineola, NY
- NPI 1497855704
- Accepts Medicare
- 46 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
259 1St St
Mineola, NY 115013957
(516) 741-0570
fax (516) 741-8276 - Mailing address
-
17 Kenwood RD
Garden City, NY 115303034
Credentials & registration
- NPI registered
- September 2006 — 20 yrs on file
- Profile last updated
- November 29, 2017
- Year of graduation
- 1980 — 46 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State license (1)
- New York #9330
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1497855704. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
196
Distinct HCPCS
4
Medicare allowed
$14,522
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00812 |
Anesthesia for exam of colon using an endoscope | 93 | 93 | $62 | |
00813 |
Anesthesia for procedure on small and large bowel using an endoscope | 47 | 47 | $94 | |
00731 |
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 36 | 36 | $78 | |
00811 |
Anesthesia for other procedure on large bowel using an endoscope | 20 | 20 | $74 |
In context: peer comparison
Among 11 peers in Mineola Certified Registered Nurse Anesthetist, average services per provider: 26. This provider delivers 7.5× the peer median.Frequently asked questions
What is Dr. Tara Deitrick's medical specialty?
Dr. Tara Deitrick practices Certified Registered Nurse Anesthetist in Mineola, NY.
Where does Dr. Tara Deitrick practice?
Dr. Tara Deitrick practices at 259 1St St, Mineola, NY 115013957. Office phone: 5167410570.
What is Dr. Tara Deitrick's NPI?
Dr. Tara Deitrick's National Provider Identifier (NPI) is 1497855704, issued by NPPES.
Does Dr. Tara Deitrick accept Medicare assignment?
Yes. Dr. Tara Deitrick accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Tara Deitrick commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for exam of colon using an endoscope (HCPCS 00812); Anesthesia for procedure on small and large bowel using an endoscope (HCPCS 00813); Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS 00731). Source: CMS Medicare Physician & Other Practitioners file.