DR. JAMISON DEREK FERAMISCO (MD, PHD) – Internal Medicine Physician, NPI 1043410871

DR. JAMISON DEREK FERAMISCO (MD, PHD) is a healthcare provider. based in La mesa, California. specializing in DERMATOLOGY. They hold the professional credentials MD, PHD. They hold a License No. A105161 (CA). The NPI Number for DR. JAMISON DEREK FERAMISCO (MD, PHD) is 1043410871

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAMISON DEREK FERAMISCO (MD, PHD)
NPI
1043410871
Phone
(619) 650-5476
Address
7918 El Cajon Blvd Ste N186
Enumeration Date
19 July 2007
Last Update Date
28 August 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
-
Graduation Year
2007 (19 years ago)
PAC ID
4688724602
Group Practice PAC ID
7012247414
Professional Enrollment ID
I20090615000077
Address ID
CA921192141SA8898XRDXX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience79
Completeness75
Years active:18State licenses:2Digital endpointsOther names

2,140 DERMATOLOGY in CA

Provider Addresses for DR. JAMISON DEREK FERAMISCO (MD, PHD)

  • 7918 El Cajon Blvd Ste N186

    LA Mesa, CA 919426719

    Phone: (619) 650-5476

    Type: Location

  • Canyon Lake Post Office, 31566, Railroad Canyon Road, Canyon Lake, Riverside County, California, 92587, United States

    2-130

    CANYON LAKE, CA 925879446

    Phone: (877) 870-9301

    Fax: (877) 882-0462

    Type: Mailing

  • 1125 SIR FRANCIS DRAKE BLVD

    KENTFIELD, CA 94904

    Phone: (415) 456-9680

    Fax: (415) 485-3622

    Type: Location

  • 367 Del Norte Ave Ste 1

    Yuba City, CA 959914116

    Phone: (619) 650-5476

    Type: Location

  • 8898 NAVAJO RD # C-349

    SAN DIEGO, CA 921192141

    Phone: (619) 650-5476

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $186.

Total Amount is formed as General ($186) + Research ($0) + Ownership ($0) = $186.

Last reported payment date: 2024-04-05 • Largest payer in this snapshot: Medtronic, Inc. ($147).

Total Amount

$186

General + Research + Ownership

Payments

3

Total payment records

General Amount

$186

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-07-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090615000077IDermatologyCATBD
I20200415002332IGeneral PracticeORTBD
I20220707003634IDermatologyFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96910Therapy procedure using ultraviolet radiation with tar or petroleum jelly application13,255491$0
Q4229Cogenex amniotic membrane, per square centimeter4,28733$0
Q4180Revita, per square centimeter4,17850$0
17003Destruction of precancer skin growth, 2-14 growths3,897596$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes3,3201,021$0
View full utilization report →

Insurance plans in this area (ZIP 91942)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012247414View full group profile
NameSpecialtyState
General SurgeryCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

How do payers reference DR. JAMISON DEREK FERAMISCO (MD, PHD)?
For DR. JAMISON DEREK FERAMISCO (MD, PHD), use NPI 1043410871 as the unique 10-digit identifier.
Is DR. JAMISON DEREK FERAMISCO (MD, PHD) still an active registrant?
DR. JAMISON DEREK FERAMISCO (MD, PHD) carries an active NPI according to the public dataset.
How would a patient describe DR. JAMISON DEREK FERAMISCO (MD, PHD)'s focus?
For DR. JAMISON DEREK FERAMISCO (MD, PHD), the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in California is DR. JAMISON DEREK FERAMISCO (MD, PHD) registered?
Use La Mesa, California as the headline location for DR. JAMISON DEREK FERAMISCO (MD, PHD) here.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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