DR. JOHN JOSEPH GHIDONI III MD
NPI 1003829920
Dermatology - MOHS-Micrographic Surgery in Austin, TX
About Dr. John Joseph Ghidoni Iii Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN JOSEPH GHIDONI III MD (NPI 1003829920) is an individual mohs-micrographic surgery provider in Austin, Texas, licensed in Texas (G5089) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Texas Tech University Health Science Center School Of Medicine (1983).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. John Joseph Ghidoni Iii Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show John Ghidoni reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dallas, TX 75230
- Reassigned Medicare billing, Texas enrollment
- 163 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 18
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78757 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AUSTIN, TX 78757
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 John Ghidoni's NPI number?
The NPI number for John Ghidoni is 1003829920. It was assigned to this individual provider in the NPPES registry on August 14, 2006.
Where is John Ghidoni located?
John Ghidoni practices at 8229 Shoal Creek Blvd Suite#101, Austin, TX 78757. The listed phone number is (512) 371-7400.
What is John Ghidoni's specialty?
The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.
Is John Ghidoni enrolled in Medicare?
Yes. John Ghidoni is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for John Ghidoni's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Ghidoni reassigns Medicare benefits to Oliver Street 5.01(a) Inc. (Dallas, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Ghidoni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Ghidoni accept?
Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Cigna Healthcare, Imperial Insurance Companies, Inc. and Moda Health Plan, Inc. and 2 other insurers list John Ghidoni as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for John Ghidoni was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.