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DR. JOHNNY MENDOZA MD
NPI 1972008035
Family Medicine in Ogdensburg, NY

Active since March 29, 2018PECOS EnrolledAccepts Medicare Assignment
102 FORD ST, OGDENSBURG, NY 13669(315) 713-9350 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2026, Jul 17, 2023, Jul 10, 2023 and 3 more (6 updates tracked since 2018).

About Dr. Johnny Mendoza Md NPPES

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

DR. JOHNNY MENDOZA MD (NPI 1972008035) is an individual family medicine provider in Ogdensburg, New York, licensed in New York (341268) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Canton-potsdam Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1972008035
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOHNNY MENDOZACredential: MD
Location Address102 FORD STOgdensburg, NY 13669-1402
Mailing AddressA2 Villa Del CarmenCabo Rojo, PR 00623-4310 · (939) 599-0160
Phone(315) 713-9350
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 29, 2018
Last NPPES UpdateFebruary 3, 20266 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
✔ NPI 1972008035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 341268
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.
102 FORD ST, Ogdensburg, NY 13669
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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. Johnny Mendoza 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 ID4183100142
PECOS Enrollment IDI20260108003629
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.

Canton-Potsdam Hospital

Acute Care Hospitals · Potsdam, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330197
Location50 Leroy StreetPotsdam, NY 13676 · St. Lawrence County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13669 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 4

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

MS. MICHELE MARIE KINNEY RDH
Dental Hygienist
102 FORD ST
OGDENSBURG, NY 13669
St. Lawrence County (315) 713-9350
DEREK FENTON
Nurse Practitioner (Family)
102 FORD ST
OGDENSBURG, NY 13669
St. Lawrence County (315) 713-9350
SARA GAIBIE DMD
Dentist
102 FORD ST
OGDENSBURG, NY 13669
St. Lawrence County (315) 713-9350
DR. PAZLIDDIN KOBILOV DDS
Dentist
102 FORD ST
OGDENSBURG, NY 13669
St. Lawrence County (315) 713-9350

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 Johnny Mendoza's NPI number?

The NPI number for Johnny Mendoza is 1972008035. It was assigned to this individual provider in the NPPES registry on March 29, 2018.

Where is Johnny Mendoza located?

Johnny Mendoza practices at 102 Ford St, Ogdensburg, NY 13669. The listed phone number is (315) 713-9350.

What is Johnny Mendoza's specialty?

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

Is Johnny Mendoza enrolled in Medicare?

Yes. Johnny Mendoza 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 Johnny Mendoza affiliated with any hospitals?

According to CMS data, Johnny Mendoza is affiliated with Canton-Potsdam Hospital.

When was this NPI record last updated?

The NPPES record for Johnny Mendoza was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.