JOHN VIDRIH (M.D.) – Internal Medicine Physician, NPI 1063482842
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
21,511 INTERNAL MEDICINE in CA
Provider Addresses for JOHN VIDRIH (M.D.)
15630 18TH AVE
CLEARLAKE, CA 954229336
Phone: (707) 994-6486
Type: Location
55 Fogg Rd
Weymouth, MA 021902432
Phone: (781) 340-4293
Fax: (781) 340-3782
Type: Location
South Shore Hospital, 55, Fogg Road, South Weymouth, Weymouth, Norfolk County, Massachusetts, 02190, United States
WEYMOUTH, MA 021902432
Phone: (781) 340-4293
Fax: (781) 340-3782
Type: Mailing
2100 POWELL ST STE 400
EMERYVILLE, CA 946081872
Phone: (510) 350-2600
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2026-02-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20110428000699 | I | Internal Medicine | AZ | TBD |
| I20130624000242 | I | Internal Medicine | HI | TBD |
| I20210412002611 | I | Hospitalist | CA | TBD |
| I20241028002818 | I | Hospitalist | NY | TBD |
| I20260205001917 | I | Hospitalist | IN | 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 |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 463 | 187 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 124 | 124 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 82 | 56 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 65 | 64 | $0 |
| 99497 | Advance care planning, first 30 minutes | 26 | 24 | $0 |
Insurance plans in this area (ZIP 95422)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | IL | |
| Internal Medicine | MO | |
| H O S P I T A L I S T | MS | |
| Internal Medicine | CA | |
| H O S P I T A L I S T | SC | |
| Hospitalist, Internal Medicine | CA | |
| - | MO | |
| Internal Medicine | CA | |
| - | OR | |
| Internal Medicine, Hospitalist | IL |
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