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CAMRON L JOHNSON PRIVITERA D.O.
NPI 1003810862
Pediatrics in Roanoke, VA

Active since June 09, 2005PECOS Enrolled
5000 BRAMBLETON AVE STE B, ROANOKE, VA 24018(540) 200-8091(540) 779-7848 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 30, 2026, Nov 17, 2020 (2 updates tracked since 2020).

About Camron L Johnson Privitera D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAMRON L JOHNSON PRIVITERA D.O. (NPI 1003810862) is an individual pediatrics provider in Roanoke, Virginia, licensed in Virginia (0102201592) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003810862
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCAMRON L JOHNSON PRIVITERACredential: D.O.
Location Address5000 BRAMBLETON AVE STE BRoanoke, VA 24018-4642
Mailing Address5000 Brambleton Ave Ste BRoanoke, VA 24018-4642 · (540) 200-8091 · Fax (540) 779-7848
Phone(540) 200-8091
Fax(540) 779-7848
Sole ProprietorYes
Enumeration DateJune 9, 2005
Last NPPES UpdateJanuary 30, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2026
✔ NPI 1003810862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in VA · 0102201592
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

5000 BRAMBLETON AVE STE B, Roanoke, VA 24018
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Other Identifiers 6

Other6830577VA · Cigna
Other244013VA · Southern Health
Other54088505618VA · John Deere
Medicaid010072701VA
Other139824VA · Anthem
Other7861556VA · Aetna

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Camron L Johnson Privitera D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24018 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Camron Johnson Privitera's NPI number?

The NPI number for Camron Johnson Privitera is 1003810862. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Camron Johnson Privitera located?

Camron Johnson Privitera practices at 5000 Brambleton Ave Ste B, Roanoke, VA 24018. The listed phone number is (540) 200-8091.

What is Camron Johnson Privitera's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Camron Johnson Privitera enrolled in Medicare?

Yes. Camron Johnson Privitera is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Camron Johnson Privitera was last updated on January 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.