DEREK JOHNSON D.O.
NPI 1407876063
Family Medicine in Brentwood, CA

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
350 JOHN MUIR PKWY STE 105, BRENTWOOD, CA 94513(925) 513-2483(925) 513-4957 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, Nov 14, 2018, Nov 1, 2017 (3 updates tracked since 2017).

About Derek Johnson D.o. NPPES

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

DEREK JOHNSON D.O. (NPI 1407876063) is an individual family medicine provider in Brentwood, California, licensed in California (20A8220) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1407876063
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDEREK JOHNSONCredential: D.O.
Location Address350 JOHN MUIR PKWY STE 105Brentwood, CA 94513-5183
Mailing Address2350 W El Camino Real Fl 2Mountain View, CA 94040-6203 · (925) 513-2483 · Fax (925) 513-4957
Fax(925) 513-4957
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 19, 2006
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
NPI 1407876063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · 20A8220
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.
350 JOHN MUIR PKWY STE 105, Brentwood, CA 94513

Secondary Practice Locations 2

Location 1500 San Pablo AveAlbany, CA 94706-1103 · Phone (510) 204-8130
Location 24053 Lone Tree Way Ste 101Antioch, CA 94531-6210 · Phone (925) 756-3400 · Fax (925) 757-0849

Other Identifiers 2

Medicaid00AX82200CA
Other20A8220CA · State Medical License

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

Derek Johnson D.o. 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 ID8729049010
PECOS Enrollment IDI20041020000719
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 30

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.

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.
19,676 services8,805 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
463 services462 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
435 services435 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
239 services208 patients
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.
194 services108 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
128 services87 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94513 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers13 claims26 services$6.32 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims19 services$69.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Family Medicine
350 JOHN MUIR PKWY STE 105
BRENTWOOD, CA 94513
Family Medicine
350 JOHN MUIR PKWY STE 105
BRENTWOOD, CA 94513
Pediatrics
350 JOHN MUIR PKWY STE 105
BRENTWOOD, CA 94513
Family Medicine
350 JOHN MUIR PKWY STE 105
BRENTWOOD, CA 94513

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 Derek Johnson's NPI number?

The NPI number for Derek Johnson is 1407876063. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Derek Johnson located?

Derek Johnson practices at 350 John Muir Pkwy Ste 105, Brentwood, CA 94513. The listed phone number is (925) 513-2483.

What is Derek Johnson's specialty?

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

Is Derek Johnson enrolled in Medicare?

Yes. Derek 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 Derek Johnson was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.