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Dr. Devon Jacob Johnson , MD

General Practice β€’ San Diego, CA

Active NPI 1063079739 Individual Practitioner Male Practitioner
Practice location in NPPES

200 W Arbor Dr # Mc8218
San Diego, CA 921031911

Call 6194710283 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

200 W Arbor Dr # Mc8218

San Diego, CA 921031911

Telephone 6194710283

30-day fills

103 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$2,332 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Dr. Johnson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in San Diego and California

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Fewer Part D prescriptions than 85% of clinicians listed under General Practice in San Diego, CA (2024, 22 clinicians with data). Median for this group: 303. Middle half: 75 to 2,046.

Fewer Part D prescriptions than 80% of clinicians listed under General Practice in California (2024, 610 clinicians with data). Median for this group: 758. Middle half: 125 to 3,707.

Part D drug cost

A lower Part D drug cost than 65% of clinicians listed under General Practice in San Diego, CA (2024, 22 clinicians with data). Median for this group: $10,270. Middle half: $1,575 to $122,685.

A lower Part D drug cost than 70% of clinicians listed under General Practice in California (2024, 610 clinicians with data). Median for this group: $48,894. Middle half: $2,044 to $279,308.

260 active clinicians are listed under General Practice with a practice address in San Diego, CA (1,963 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in San Diego

2.3% of these 260 clinicians have the CMS telehealth indicator.

9.2% of these 260 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D Β· Data Year 2024
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Quetiapine Fumarate Quetiapine Fumarate 16 915 $214.97 β€”
Clonazepam Clonazepam 14 250 $70.33 β€”
Hydroxyzine Hcl Hydroxyzine Hcl 13 704 $146.10 β€”
Trazodone Hcl Trazodone Hcl 11 635 $70.85 β€”
Lurasidone Hcl Lurasidone Hcl 11 316 $1,829.43 β€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-12-20
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES CA A190695

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Medical Board Ca
A190695 (CA)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Dr. Neharika Akkoor , MD

Psychiatry & Neurology - Psychiatry

NPI 1346878048

Doctor of Medicine (M.D.)

Dr. Eric Geier , MD, PhD

Psychiatry & Neurology - Psychiatry

NPI 1922681634

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Jack Hunt

Student in an Organized Health Care Education/Training Program

NPI 1174106843
Jacqueline Kulbe , MD-PHD

Psychiatry & Neurology - Psychiatry

NPI 1992383509

MDPHD

Jacklyn Vargas

Psychiatry & Neurology - Psychiatry

NPI 1467192252

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location April 07, 2022

Registered at 200 W ARBOR DR # MC8218, SAN DIEGO, CA 921031911 (Tel: 6194710283)

πŸ“
Updated Business Mailing Address April 07, 2022

Registered at 200 W ARBOR DR # MC8218, SAN DIEGO, CA 921031911

πŸ‘€
Provider Name / Credentials Updated April 07, 2022

Recorded as DEVON JOHNSON, MD

βœ…
NPI Profile Active May 28, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 28, 2019

Registered at 2150 STOCKTON BLVD, SACRAMENTO, CA 958171337 (Tel: 7072068985)

πŸ“
Business Mailing Address (Initial Record) May 28, 2019

Registered at 5533 RUNNING SPRINGS RD, UKIAH, CA 954829004 (Tel: 7072068985)

πŸ‘€
Provider Name / Credentials (Initial Record) May 28, 2019

Recorded as DEVON JOHNSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2019

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration May 28, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1063079739
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 28, 2019
Last Update: December 20, 2024
Sole Proprietor: No

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Mailing Address

200 W Arbor Dr # Mc8218

San Diego, CA 921031911

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.