DR. JOHN ROXBOROUGH IV MD
NPI 1033630124
Family Medicine in Washington, DC

Active since June 29, 2017PECOS EnrolledAccepts Medicare Assignment
4414 BENNING RD NE, WASHINGTON, DC 20019(202) 388-7891(202) 548-8600 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 19, 2021, Sep 15, 2020, Jun 29, 2017 (3 updates tracked since 2017).

About Dr. John Roxborough Iv Md NPPES

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

DR. JOHN ROXBOROUGH IV MD (NPI 1033630124) is an individual family medicine provider in Washington, District Of Columbia, licensed in District Of Columbia (MD048736) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1033630124
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOHN ROXBOROUGH IVCredential: MD
Location Address4414 BENNING RD NEWashington, DC 20019-4555
Mailing Address555 Mountcastle RdSpringfield, IL 62704-1597 · (202) 207-6929
Fax(202) 548-8600
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 29, 2017
Last NPPES UpdateJanuary 19, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2021
✔ NPI 1033630124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in DC · MD048736✔ Licensed in MD · D0089405✔ Licensed in IL · 125.070326
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4414 BENNING RD NE, Washington, DC 20019

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 Roxborough Iv 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.

PECOS PAC ID9032480249
PECOS Enrollment IDI20210122000692
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.

Medicare Billing Reassignments

2

Medicare enrollment records show John Roxborough reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
3901 RANDOLPH RD
Silver Spring, MD 20902
  • Reassigned Medicare billing, District of Columbia enrollment
Federally Qualified Health Center (FQHC)
5525 EASTERN AVE
Baltimore, MD 21224
  • Reassigned Medicare billing, Maryland enrollment
  • Medicare enrollment name: Baltimore Medical System, Inc.
  • 243 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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
93 services39 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
66 services34 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
64 services34 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services13 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
13 services13 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20019 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
4414 BENNING RD NE
WASHINGTON, DC 20019
Internal Medicine
4414 BENNING RD NE
WASHINGTON, DC 20019
Registered Nurse (Pediatrics)
4414 BENNING RD NE
WASHINGTON, DC 20019
Obstetrics & Gynecology
4414 BENNING RD NE
WASHINGTON, DC 20019
Family Medicine
4414 BENNING RD NE
WASHINGTON, DC 20019
Social Worker
4414 BENNING RD NE
WASHINGTON, DC 20019
Family Medicine
4414 BENNING RD NE
WASHINGTON, DC 20019
Family Medicine
4414 BENNING RD NE
WASHINGTON, DC 20019

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 Roxborough's NPI number?

The NPI number for John Roxborough is 1033630124. It was assigned to this individual provider in the NPPES registry on June 29, 2017.

Where is John Roxborough located?

John Roxborough practices at 4414 Benning Rd NE, Washington, DC 20019. The listed phone number is (202) 388-7891.

What is John Roxborough's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is John Roxborough enrolled in Medicare?

Yes. John Roxborough 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 organizations bill Medicare for John Roxborough's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Roxborough reassigns Medicare benefits to 2 organizations: Roxborough Medical Group LLC (Silver Spring, MD) and Baltimore Medical Systems, Inc. (Baltimore, MD). Each 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 Roxborough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for John Roxborough was last updated on January 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.