DR. MARIE LYNNE DERUYTER (M.D.) – Anesthesiology Physician, NPI 1164419453
Anesthesiology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
3,340 ANESTHESIOLOGY in FL
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Provider Addresses for DR. MARIE LYNNE DERUYTER (M.D.)
Mayo Clinic Emergency Room, 4500, San Pablo Road South, Isle of Palms South, Jacksonville, Duval County, Florida, 32224, United States
JACKSONVILLE, FL 322241865
Phone: (904) 953-2000
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $131.
Total Amount is formed as General ($131) + Research ($0) + Ownership ($0) = $131.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Philips North America LLC ($131).
Total Amount
$131
General + Research + Ownership
Payments
1
Total payment records
General Amount
$131
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Philips North America LLC | $131 |
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: 2005-06-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050607000935 | I | Anesthesiology | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00670 | Anesthesia for extensive surgery on spine | 29 | 29 | $0 |
| 00520 | Anesthesia for other closed procedure on chest | 28 | 28 | $0 |
| 36620 | Insertion of artery tube for blood sampling or infusion through skin | 23 | 23 | $0 |
| 00210 | Anesthesia for other procedure on brain | 19 | 18 | $0 |
| 00840 | Anesthesia for other procedure on lower abdomen | 13 | 13 | $0 |
Insurance plans in this area (ZIP 32224)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | FL | 00790 | Anesthesia for procedure in upper abdomen including use of an endoscope | 12 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| G A S T R O E N T E R O L O G Y | FL | |
| Orthopedic Surgery | FL | |
| Internal Medicine | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL |
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