JOHN S VIDEEN (MD) – Nephrology Physician, NPI 1043318199
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,404 NEPHROLOGY in CA
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Provider Addresses for JOHN S VIDEEN (MD)
4225 EXECUTIVE SQ STE 450
LA JOLLA, CA 920378411
Phone: (858) 810-0000
Fax: (858) 268-1911
Type: Mailing
9610, Granite Ridge Drive, San Diego, San Diego County, California, 92123, United States
STE B
SAN DIEGO, CA 921232684
Phone: (858) 810-8000
Fax: (858) 268-1911
Type: Mailing
752, Medical Center Court, Chula Vista, San Diego County, California, 91911, United States
SUITE 302
CHULA VISTA, CA 919116658
Phone: (619) 421-3361
Fax: (619) 656-8936
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 59 Open Payments records for all available years, with a total value of $13,155.
Total Amount is formed as General ($13,155) + Research ($0) + Ownership ($0) = $13,155.
Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($7,958).
Total Amount
$13,155
General + Research + Ownership
Payments
59
Total payment records
General Amount
$13,155
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-25
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-01-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040128000872 | I | Nephrology | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 369 | 57 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 347 | 149 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 245 | 129 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 238 | 99 | $0 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 167 | 56 | $0 |
Insurance plans in this area (ZIP 92037)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Nephrology, Internal Medicine | CA | |
| Nephrology, Internal Medicine | CA | |
| N E P H R O L O G Y | CA | |
| Nephrology, Internal Medicine | CA | |
| Vascular Surgery, Emergency Medicine | CA | |
| - | CA | |
| Nurse Practitioner | CA | |
| Nephrology, Internal Medicine | CA | |
| Nephrology, Internal Medicine | CA |
Reviews
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