DR. JOHN M. CARETHERS M.D.
NPI 1518048990
Internal Medicine - Gastroenterology in La Jolla, CA

Active since October 18, 2006PECOS EnrolledAccepts Medicare Assignment
9350 CAMPUS POINT DR, LA JOLLA, CA 92037(800) 926-8273 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. John M. Carethers M.d. NPPES

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

DR. JOHN M. CARETHERS M.D. (NPI 1518048990) is an individual gastroenterology provider in La Jolla, California, licensed in California (G081894) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Wayne State University School Of Medicine (1985).

NPPES Registry Identity

NPI1518048990
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. JOHN M. CARETHERSCredential: M.D.
Location Address9350 CAMPUS POINT DRLa Jolla, CA 92037-1300
Mailing AddressFile 57326Los Angeles, CA 90074-0001
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1985
Enumeration DateOctober 18, 2006
Last NPPES UpdateJune 28, 2024
NPPES CertifiedJune 28, 2024
✔ NPI 1518048990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in CA · G081894✔ Licensed in MI · 4301059491
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301059491 (MI)
9350 CAMPUS POINT DR, La Jolla, CA 92037

Secondary Practice Locations 3

Location 11500 E Medical Center Drive, 1st floor Cancer CenterAnn Arbor, MI 48109-5902 · Phone (734) 647-8906
Location 2200 W Arbor DrSan Diego, CA 92103-9000 · Phone (800) 926-8273
Location 39300 Campus Point DrLA Jolla, CA 92037-1300 · Phone (800) 926-8273

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 M. Carethers 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 ID3870636319
PECOS Enrollment IDI20240708001394
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 Carethers reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allergy & Immunology
200 W ARBOR DR
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 1,051 clinicians in this Medicare group
Pediatric Rheumatology
1200 SIXTH ST, SUITE 100
Traverse City, MI 49684
  • Reassigned Medicare billing, Michigan enrollment
  • 2,377 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92037 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Pharmacist (Pharmacotherapy)
9350 CAMPUS POINT DR
LA JOLLA, CA 92037
Obstetrics & Gynecology
9350 CAMPUS POINT DR
LA JOLLA, CA 92037
Obstetrics & Gynecology (Obstetrics)
9350 CAMPUS POINT DR
LA JOLLA, CA 92037
Audiologist
9350 CAMPUS POINT DR
LA JOLLA, CA 92037
Internal Medicine
9350 CAMPUS POINT DR
LA JOLLA, CA 92037
Physical Therapist
9350 CAMPUS POINT DR
LA JOLLA, CA 92037
Physician Assistant
9350 CAMPUS POINT DR
LA JOLLA, CA 92037
Internal Medicine (Gastroenterology)
9350 CAMPUS POINT DR
LA JOLLA, CA 92037

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 Carethers's NPI number?

The NPI number for John Carethers is 1518048990. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is John Carethers located?

John Carethers practices at 9350 Campus Point Dr, La Jolla, CA 92037. The listed phone number is (800) 926-8273.

What is John Carethers's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is John Carethers enrolled in Medicare?

Yes. John Carethers 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 Carethers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Carethers reassigns Medicare benefits to 2 organizations: Regents Of The University Of California (San Diego, CA) and Regents Of The University Of Michigan (Traverse City, MI). 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 Carethers'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 Carethers was last updated on June 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.