DR. GERALD DETATA (MD) – Family Medicine Physician, NPI 1902877079
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. GERALD DETATA (MD)
8, Bridlewood Court, Sooy Place, Tabernacle Township, Burlington County, New Jersey, 08088, United States
TABERNACLE, NJ 080889600
Phone: (609) 792-1092
Fax: (609) 388-4373
Type: Mailing
White Horse Pike, Da Costa, Hammonton, Atlantic County, New Jersey, 08037, United States
HAMMONTON, NJ 080371804
Phone: (609) 567-2573
Fax: (609) 561-8046
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2006-12-13
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 |
|---|---|---|---|---|
| I20061213000098 | I | Family Practice | NJ | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 164 | 143 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 66 | 61 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 64 | 64 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 26 | 13 | $0 |
| 81003 | Automated urinalysis test | 23 | 22 | $0 |
Insurance plans in this area (ZIP 08088)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| EMERGENCY MEDICINE | NJ | 81002 | Urinalysis, manual test | 66 | 56 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Nurse Midwife (Cnm) | NJ | |
| Nurse Practitioner | NJ | |
| Emergency Medicine | OH | |
| Certified Nurse Midwife (Cnm) | NJ | |
| Emergency Medicine | OH | |
| - | NJ | |
| - | NJ | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | NJ | |
| Internal Medicine | NJ | |
| - | NJ |
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