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Mia Deritis

Physician Assistant โ€ข Pennington, NJ

Active NPI 1073063012 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

1 Capital Way
Pennington, NJ 085342520

Call 8006372374 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1 Capital Way

Pennington, NJ 085342520

Telephone 8006372374
Organization at the Same NPPES Address or Phone
Capital Health System, Inc. Facility NPI 1073516183

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Atlantic City, NJ; Pennington, NJ. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Cmc Department Of Medicine Group Pa. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2018

Medicare patients

46 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $4,025 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $3,213 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

20 standardized 30-day fills in 2020

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$126 in 2020

The total cost of these prescriptions in 2020, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2020.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $17.59 in 2023

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2023.

Guide: How to read an Open Payments record

Years since graduation

8 years (graduated 2018)

CMS Doctors and Clinicians data list 2018 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Mia Deritis has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Mia Deritis as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Pennington and New Jersey

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 60% of clinicians listed under Physician Assistant in Pennington, NJ (2024, 17 clinicians with data). Median for this group: 94. Middle half: 31 to 230.

Fewer Medicare Part B services than 80% of clinicians listed under Physician Assistant in New Jersey (2024, 1,486 clinicians with data). Median for this group: 225. Middle half: 65 to 624.

Medicare-allowed amount

A lower Medicare-allowed amount than 65% of clinicians listed under Physician Assistant in Pennington, NJ (2024, 17 clinicians with data). Median for this group: $8,764. Middle half: $2,650 to $13,483.

A lower Medicare-allowed amount than 80% of clinicians listed under Physician Assistant in New Jersey (2024, 1,486 clinicians with data). Median for this group: $18,800. Middle half: $6,168 to $45,462.

Paid by Medicare

A lower Medicare payment amount than 65% of clinicians listed under Physician Assistant in Pennington, NJ (2024, 17 clinicians with data). Median for this group: $6,575. Middle half: $1,868 to $10,352.

A lower Medicare payment amount than 80% of clinicians listed under Physician Assistant in New Jersey (2024, 1,486 clinicians with data). Median for this group: $13,991. Middle half: $4,777 to $33,650.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Mia Deritis are from 2020.

44 active clinicians are listed under Physician Assistant with a practice address in Pennington, NJ (3,397 in New Jersey).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Pennington

0% of these 44 clinicians have the CMS telehealth indicator.

75% of these 44 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2020), CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2023
Disclosure Year:

Program year 2023 (payments made January 1 โ€“ December 31, 2023): fewer than 11 records totaling $17.59.

Manufacturer Payment Nature Product Type Amount ($)
Chiesi USA, Inc.
Food and Beverage
Cash or cash equivalent
CLEVIPREX General $17.59

Source: CMS Open Payments, program year 2023, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2022โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
34 25 $233.00 $69.26
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
16 13 $335.00 $104.40

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2020.

CMS Part D ยท Data Year 2020
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 14 600 $125.99 โ€”

Source: CMS Part D by Provider and Drug, 2020; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-12-09
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES NJ 25MP00518400

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

License # reported to NPPES NJ 25MP00518400
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Jersey Division of Consumer Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20190613000177

Enrollment State Jurisdiction

NJ

PECOS Control ID

6709119340

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Cmc Department Of Medicine Group Pa

3 Cooper Plz, Camden, NJ 081031407

Phone: 8569687965

Cmc Department Of Medicine Group Pa

1 Cooper Plz, Camden, NJ 081031461

Phone: 8563424192

Cmc Department Of Medicine Group Pa

3 Cooper Plz, Camden, NJ 081031438

Cmc Department Of Medicine Group Pa

2 Cooper Plz, Camden, NJ 081031461

Phone: 8556322667

Secondary Practice Locations

1925 Pacific Ave

Atlantic City, NJ 084016713

Phone: 6094494373

2 Capital Way Ste 456

Pennington, NJ 085342521

Phone: 6095377300

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

31 listed
NPI 1669608220

Doctor of Medicine (M.D.)

Kelly Butrica , PA

Physician Assistant

NPI 1659064913

Physician Assistant

Patrick Cunningham

Nurse Anesthetist, Certified Registered

NPI 1679164388
Maddie Dalgliesh

Nurse Practitioner - Acute Care

NPI 1588065445
Stacey Delaney , APN, CRNA

Nurse Anesthetist, Certified Registered

NPI 1609304898

Advanced Practice Nurse, Certified Registered Nurse Anesthetist

Kristine Doris , CRNA

Nurse Anesthetist, Certified Registered

NPI 1114099579

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2024

Physician Assistant (license number reported to NPPES: NJ 25MP00518400)

๐Ÿ“
Updated Practice Location April 27, 2021

Registered at 1 CAPITAL WAY, PENNINGTON, NJ 085342520 (Tel: 8006372374)

๐Ÿ“
Updated Business Mailing Address April 27, 2021

Registered at 1 CAPITAL WAY, PENNINGTON, NJ 085342520 (Tel: 8006372374)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2021

Physician Assistant (license number reported to NPPES: NJ 25MP00518400)

๐Ÿ“
Updated Practice Location April 30, 2019

Registered at 2 CAPITAL WAY STE 456, PENNINGTON, NJ 085342521 (Tel: 6095377300)

๐Ÿ“
Updated Business Mailing Address April 30, 2019

Registered at 2 CAPITAL WAY, STE 456, PENNINGTON, NJ 085342521 (Tel: 6108887943)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2019

Physician Assistant (license number reported to NPPES: NJ 25MP00518400)

โœ…
NPI Profile Active October 13, 2016

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) October 13, 2016

Registered at 36 FERGUSON AVE, BROOMALL, PA 190082601 (Tel: 6108887943)

๐Ÿ“
Business Mailing Address (Initial Record) October 13, 2016

Registered at 36 FERGUSON AVE, BROOMALL, PA 190082601 (Tel: 6108887943)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) October 13, 2016

Recorded as MIA DERITIS

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2016

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration October 13, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1073063012
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2016
Last Update: December 09, 2024
Sole Proprietor: No

Other Physician Assistants in Pennington

All Physician Assistants in Pennington

More public profiles in New Jersey

Directory navigation, in NPI number order.

Mailing Address

1 Capital Way

Pennington, NJ 085342520

Phone: 8006372374

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.