DR. DIANE MARIE KRUTZLER-BERRY (MD) – Surgery Physician, NPI 1073878872

DR. DIANE MARIE KRUTZLER-BERRY (MD) is a healthcare provider. based in Port st lucie, Florida. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 00000 (FL). The NPI Number for DR. DIANE MARIE KRUTZLER-BERRY (MD) is 1073878872

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. DIANE MARIE KRUTZLER-BERRY (MD)
NPI
1073878872
Phone
(772) 335-8446
Address
1400 SE GOLDTREE DR
Enumeration Date
8 July 2012
Last Update Date
11 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3045262000
Graduation Year
2012 (14 years ago)
PAC ID
2769756790
Group Practice PAC ID
3274436340
Professional Enrollment ID
I20211117001229
Address ID
WV257014114HU1400XBLVD400

Contacts

Secure Messaging
Diane.Krutzler@marshall.cernerdirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:13State licenses:2Other namesUpdated within 12 months

2,163 GENERAL SURGERY in FL

Provider Addresses for DR. DIANE MARIE KRUTZLER-BERRY (MD)

  • 1400 SE GOLDTREE DR

    STE 102-104

    PORT ST LUCIE, FL 349527582

    Phone: (772) 335-8446

    Fax: (772) 335-8499

    Type: Mailing

  • 1400 HAL GREER BLVD

    HUNTINGTON, WV 257014114

    Phone: (304) 399-6610

    Fax: (304) 399-6621

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $31.

Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.

Last reported payment date: 2024-10-11 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($16).

Total Amount

$31

General + Research + Ownership

Payments

2

Total payment records

General Amount

$31

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-11-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211117001229IGeneral SurgeryWVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes7266$0
99214Established patient office or other outpatient visit, 30-39 minutes3631$0
99204New patient office or other outpatient visit, 45-59 minutes3333$0
19083Biopsy of breast and placement of locating device using ultrasound, first growth2019$0
19081Biopsy of breast and placement of locating device using x-ray with needle, first growth1616$0
View full utilization report →

Insurance plans in this area (ZIP 34952)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274436340View full group profile
NameSpecialtyState
Hospitalist, Family PracticeWV
Nurse PractitionerWV
Medical OncologyPA
-WV
Family PracticeWV
Internal MedicineWV
H E M A T O L O G Y/ O N C O L O G YWV
-WV
Nurse PractitionerWV
Radiation OncologyWV

Reviews

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Frequently asked questions

How is DR. DIANE MARIE KRUTZLER-BERRY (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. DIANE MARIE KRUTZLER-BERRY (MD) with NPI 1073878872.
Is DR. DIANE MARIE KRUTZLER-BERRY (MD) still practicing?
DR. DIANE MARIE KRUTZLER-BERRY (MD) is currently listed as active in the public NPI registry.
What is DR. DIANE MARIE KRUTZLER-BERRY (MD)'s primary classification?
Surgery Physician is the headline specialty for DR. DIANE MARIE KRUTZLER-BERRY (MD) here. Clinical services aligned with this taxonomy classification.
Where is DR. DIANE MARIE KRUTZLER-BERRY (MD) based?
DR. DIANE MARIE KRUTZLER-BERRY (MD) is tied to Port St Lucie, Florida in the data we show; additional addresses may exist on the full record.
Why does DR. DIANE MARIE KRUTZLER-BERRY (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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