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Active NPI 1912944661 Individual Practitioner Male Practitioner

Dr. Derek B Johnson , MD

Surgery • Santa Fe, NM

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Derek Johnson, MD is a certified Surgery practicing in Santa Fe, NM. With approximately 27 years of clinical experience since completing medical education in 1999, Dr. Johnson delivers high-quality medical care to the local community at 454 SAINT MICHAELS DR STE 200.

Dr. Johnson is affiliated with Presbyterian Healthcare Services and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

454 Saint Michaels Dr Ste 200

Santa Fe, NM 87505

Telephone 5053035000
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Santa Fe, NM

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
27 Yrs +3.2 yrs vs City Avg
City Avg: 23.8 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
17 Specialists

Practicing in Santa Fe, NM (251 Statewide)

Telehealth Adoption Rate
5.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
65.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (27 Years) 27 Yrs
Santa Fe Specialty Average (23.8 Years) 23.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
20 20 $155.00 $134.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
18 18 $111.50 $83.26
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk
16 16 $724.00 $184.28
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
15 15 $522.00 $100.69
45380 Biopsy of large bowel using an endoscope
14 14 $487.00 $185.31

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NM MD2018-0748

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License MA 224930

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License WI 49065

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
34863900 (WI)
Commercial Insurance / Payer ID Medicare Ptan
057945003 (WI)

Hospital & Practice Group Affiliations

Presbyterian Healthcare Services

454 Saint Michaels Dr, Santa Fe, NM 875057602

Phone: 5054730390

Secondary Practice Locations

100 County Road B

Shawano, WI 541667072

Phone: 7155242161

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
Tenzin Yangchen

Family Medicine

NPI 1023696127
NPI 1093036865

Doctor of Osteopathic Medicine (D.O.)

Camille Gonzales , CNP

Nurse Practitioner - Family

NPI 1093703985

Certified Nurse Practitioner

NPI 1215591359

Doctor of Medicine (M.D.)

Lisa Shah

Family Medicine

NPI 1225770365
Mallory Edwards , MSN

Registered Nurse - Ambulatory Care

NPI 1275381188

Master of Science in Nursing

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 28, 2018

Registered at 454 SAINT MICHAELS DR STE 200, SANTA FE, NM 87505 (Tel: 5053035000)

📍
Updated Business Mailing Address August 28, 2018

Registered at PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 871256666 (Tel: 5059236770)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2018

Surgery (License #224930 in MA)

NPI Profile Active March 19, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location March 19, 2012

Registered at 100 COUNTY ROAD B, SHAWANO, WI 541667072 (Tel: 7155242161)

📍
Updated Business Mailing Address March 19, 2012

Registered at PO BOX 8003, APPLETON, WI 549128003 (Tel: 9209963200)

👤
Provider Name / Credentials Updated March 19, 2012

Recorded as DEREK JOHNSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2012

Surgery (License #49065 in WI)

🟢
Initial NPI Registration & Enumeration June 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912944661
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2006
Last Update: August 28, 2018
Sole Proprietor: No

Mailing Address

Po Box 26666, Phs Provider Enrollment

Albuquerque, NM 871256666

Phone: 5059236770

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.