DR. JOHN C D'EMILIA MD
NPI 1215907837
Surgery in Shiprock, NM

Active since January 25, 2006PECOS EnrolledAccepts Medicare Assignment
55.65/100
CMS Quality Rating
US HWY 491 NORTH, SHIPROCK, NM 87420(505) 368-6001 Get Directions Write a Review

NPPES record last updated: November 29, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John C D'emilia Md NPPES

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

DR. JOHN C D'EMILIA MD (NPI 1215907837) is an individual surgery provider in Shiprock, New Mexico, licensed in New Mexico (MD2016-0129) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Northern Navajo Medical Center, and is a graduate of New York University School Of Medicine (1985).

NPPES Registry Identity

NPI1215907837
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JOHN C D'EMILIACredential: MD
Location AddressUS HWY 491 NORTHShiprock, NM 87420
Mailing AddressPo Box 160, Business OfficeShiprock, NM 87420-0160 · (505) 368-6001
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1985
Enumeration DateJanuary 25, 2006
Last NPPES UpdateNovember 29, 2017
NPI 1215907837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in NM · MD2016-0129
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
US HWY 491 NORTH, Shiprock, NM 87420

Other Identifiers 1

Medicare PIN095548YTY5NJ

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

Dr. John C D'emilia 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 ID8224056809
PECOS Enrollment IDI20160520000767
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northern Navajo Medical Center

Acute Care Hospitals · Shiprock, NM
OwnershipGovernment - Federal
CMS Certification Number320059
LocationUs Hwy 491 NorthShiprock, NM 87420 · San Juan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87420 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

55.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.51
Promoting Interoperability0
Improvement Activities40
Cost51.32

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.

Social Worker (Clinical)
US HWY 491 NORTH
SHIPROCK, NM 87420
Podiatrist
US HWY 491 NORTH
SHIPROCK, NM 87420
Registered Nurse
US HWY 491 NORTH
SHIPROCK, NM 87420
Pharmacist
US HWY 491 NORTH, NORTHERN NAVAJO MEDICAL CENTER PHARMACY DEPARTMENT
SHIPROCK, NM 87420
Nurse Practitioner (Family)
US HWY 491 NORTH
SHIPROCK, NM 87420
Family Medicine
US HWY 491 NORTH
SHIPROCK, NM 87420
Obstetrics & Gynecology
US HWY 491 NORTH
SHIPROCK, NM 87420
Pediatrics
US HWY 491 NORTH
SHIPROCK, NM 87420

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 D'emilia's NPI number?

The NPI number for John D'emilia is 1215907837. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is John D'emilia located?

John D'emilia practices at Us Hwy 491 North, Shiprock, NM 87420. The listed phone number is (505) 368-6001.

What is John D'emilia's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is John D'emilia enrolled in Medicare?

Yes. John D'emilia 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.

Is John D'emilia affiliated with any hospitals?

According to CMS data, John D'emilia is affiliated with Northern Navajo Medical Center.

When was this NPI record last updated?

The NPPES record for John D'emilia was last updated on November 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.