DR. JOHN DERENNE M.D.
NPI 1114212578
Psychiatry & Neurology - Psychiatry in Camp Pendleton, CA

Q: What is the provider's specialty?

The provider's specialty is Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.

Active since June 14, 2011PECOS Enrolled

200 MERCY CIRCLE, CAMP PENDLETON, CA 92055(760) 725-1288 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 13, 2024, Aug 31, 2022 (2 updates tracked since 2022).

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About Dr. John Derenne M.d. NPPES

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

DR. JOHN DERENNE M.D. (NPI 1114212578) is an individual psychiatry provider in Camp Pendleton, California, licensed in Virginia (0101252411) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in Portsmouth.

NPPES Registry Identity

NPI1114212578

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. JOHN DERENNECredential: M.D.

Location Address200 MERCY CIRCLECamp Pendleton, CA 92055-5191

Mailing AddressPo Box 555191Camp Pendleton, CA 92055-5191 · (760) 763-1639

Phone(760) 725-1288

Sole ProprietorNo

Enumeration DateJune 14, 2011

Last NPPES UpdateMay 13, 20242 updates tracked since enumeration

NPPES CertifiedMay 13, 2024

✔ NPI 1114212578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in VA · 0101252411

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

200 MERCY CIRCLE, Camp Pendleton, CA 92055

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Secondary Practice Location 1

Location 1620 John Paul Jones CirclePortsmouth, VA 23708-2197 · Phone (757) 953-5269

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Derenne M.d. 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 92055 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

$184.71 typical visit price

range $62.10 – $184.71

Typical copayment $46.17 (range $15.52 – $46.17)

Most-billed visit code 99205

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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.