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DEREK B JOHNSON M.D.
NPI 1912944661
Surgery in Santa Fe, NM

Active since June 01, 2006PECOS Enrolled
83.84/100
CMS Quality Rating
454 SAINT MICHAELS DR STE 200, SANTA FE, NM 87505(505) 303-5000 Get Directions Write a Review

NPPES record last updated: August 28, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Derek B Johnson M.d. NPPES

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

DEREK B JOHNSON M.D. (NPI 1912944661) is an individual surgery provider in Santa Fe, New Mexico, licensed in New Mexico (MD2018-0748) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Shawano.

NPPES Registry Identity

NPI1912944661
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDEREK B JOHNSONCredential: M.D.
Location Address454 SAINT MICHAELS DR STE 200Santa Fe, NM 87505
Mailing AddressPo Box 26666, Phs Provider EnrollmentAlbuquerque, NM 87125-6666 · (505) 923-6770 · Fax (505) 923-5354
Phone(505) 303-5000
Sole ProprietorNo
Enumeration DateJune 1, 2006
Last NPPES UpdateAugust 28, 2018
✔ NPI 1912944661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in NM · MD2018-0748✔ Licensed in MA · 224930✔ Licensed in WI · 49065
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.
454 SAINT MICHAELS DR STE 200, Santa Fe, NM 87505
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Secondary Practice Location 1

Location 1100 County Road BShawano, WI 54166-7072 · Phone (715) 524-2161 · Fax (715) 524-8164

Other Identifiers 2

Other057945003WI · Medicare Ptan
Medicaid34863900WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derek B Johnson 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Derek Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Presbyterian Healthcare Services
5.1 mi
General Acute Care Hospital
4801 BECKNER ROAD
Santa Fe, NM 87507
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,331 clinicians in this Medicare group
NPI 1730684853 (505) 772-1234
Roswell Clinic Corp
174 mi
Family Medicine
350 W COUNTRY CLUB RD, STE 201
Roswell, NM 88201
  • Reassigned Medicare billing, New Mexico enrollment
  • 69 clinicians in this Medicare group
NPI 1649267618 (888) 801-5554

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 87505 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.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

Other Providers at the Same Location NPPES 7

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

TENZIN YANGCHEN
Family Medicine
454 SAINT MICHAELS DR STE 200
SANTA FE, NM 87505
Santa Fe County (505) 303-5000
MARIA SAMANTHA BARRERAS MD
Family Medicine
454 SAINT MICHAELS DR STE 200
SANTA FE, NM 87505
Santa Fe County (505) 303-5000
AMY JELLIFFE MD
Psychiatry & Neurology (Psychiatry)
454 SAINT MICHAELS DR STE 200
SANTA FE, NM 87505
Santa Fe County (505) 303-5000
HANNAH LAMAR GIBSON DO
Family Medicine
454 SAINT MICHAELS DR STE 200
SANTA FE, NM 87505
Santa Fe County (505) 303-5000
HSIANG CHIH TSENG MD
Internal Medicine
454 SAINT MICHAELS DR STE 200
SANTA FE, NM 87505
Santa Fe County (505) 303-5000
DR. STUART MARK HOCHRON M.D.
Internal Medicine
454 SAINT MICHAELS DR STE 200
SANTA FE, NM 87505
Santa Fe County (505) 303-5000
ELIZABETH HEEDER MD
Family Medicine
454 SAINT MICHAELS DR STE 200
SANTA FE, NM 87505
Santa Fe County (505) 303-5000

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 1912944661. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Derek Johnson located?

Derek Johnson practices at 454 Saint Michaels Dr Ste 200, Santa Fe, NM 87505. The listed phone number is (505) 303-5000.

What is Derek Johnson's specialty?

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

Is Derek Johnson enrolled in Medicare?

Yes. Derek Johnson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Derek Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Johnson reassigns Medicare benefits to 2 organizations: Presbyterian Healthcare Services (Santa Fe, NM) and Roswell Clinic Corp (Roswell, NM). 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 Derek Johnson'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 Derek Johnson was last updated on August 28, 2018. 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.