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JOHN BENJAMIN DEGRAFT-JOHNSON M.D.,
NPI 1043472871
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Modesto, CA

Active since July 02, 2008PECOS EnrolledAccepts Medicare Assignment
83.63/100
CMS Quality Rating
1541 FLORIDA AVE STE 305, MODESTO, CA 95350(209) 575-5836(209) 577-1040 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 18, 2025, Apr 4, 2024, Jun 14, 2018 (3 updates tracked since 2018).

About John Benjamin Degraft-johnson M.d., NPPES

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

JOHN BENJAMIN DEGRAFT-JOHNSON M.D., (NPI 1043472871) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Modesto, California, licensed in California (A104894) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Stockton, and is a graduate of University Of Cincinnati College Of Medicine (1996).

NPPES Registry Identity

NPI1043472871
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameJOHN BENJAMIN DEGRAFT-JOHNSONCredential: M.D.,
Location Address1541 FLORIDA AVE STE 305Modesto, CA 95350-4439
Mailing Address1541 Florida Ave Ste 103Modesto, CA 95350-4438 · (209) 575-5836 · Fax (209) 577-1040
Phone(209) 575-5836
Fax(209) 577-1040
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1996
Enumeration DateJuly 2, 2008
Last NPPES UpdateJune 18, 20253 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
✔ NPI 1043472871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in CA · A104894✔ Licensed in CA · PENDING
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
1541 FLORIDA AVE STE 305, Modesto, CA 95350
Open in Google Maps ↗

Secondary Practice Location 1

Location 17373 West LnStockton, CA 95210-3377 · Phone (209) 476-2000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John Benjamin Degraft-johnson M.d., 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 ID4587810619
PECOS Enrollment IDI20120806000639
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.

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 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.
79 services64 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
66 services66 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
36 services35 patients
Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
16 services16 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
16 services16 patients
Exclusion of appendage of left upper chamber of heart performed during other procedure on chest 33268
This is a procedure done on the heart's left upper chamber (atrium). The small pouch-like appendage is sealed off during another chest procedure. This is done to reduce the risk of blood clots forming and causing strokes.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95350 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
$176.60 typical visit price
range $58.87 – $176.60
Typical copayment $44.15 (range $14.71 – $44.15)
Most-billed visit code 99205
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

83.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.79
Promoting Interoperability97
Improvement Activities40
Cost62.56

Reported Quality Measures

Controlling High Blood Pressure
79%57 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
63%492 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
99%258 patients5/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
15%181 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 96% · 237 patients
Patients screened: 96% · 237 patients
95%20 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
67%268 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

MARK JACOBS PA
Physician Assistant
1541 FLORIDA AVE STE 305
MODESTO, CA 95350
Stanislaus County (209) 575-5833
DR. JAMES GREGORY ROBERTS M.D., R.V.T. FACS
Surgery (Vascular Surgery)
1541 FLORIDA AVE STE 305
MODESTO, CA 95350
Stanislaus County (209) 575-5833
DR. ZACHARY EDGAR BREWER MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1541 FLORIDA AVE STE 305
MODESTO, CA 95350
Stanislaus County (209) 575-5833

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 Degraft-johnson's NPI number?

The NPI number for John Degraft-johnson is 1043472871. It was assigned to this individual provider in the NPPES registry on July 2, 2008.

Where is John Degraft-johnson located?

John Degraft-johnson practices at 1541 Florida Ave Ste 305, Modesto, CA 95350. The listed phone number is (209) 575-5836.

What is John Degraft-johnson's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is John Degraft-johnson enrolled in Medicare?

Yes. John Degraft-johnson 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.

When was this NPI record last updated?

The NPPES record for John Degraft-johnson was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.