DR. JOHN CHAMP II NEELY (M.D.) – Emergency Medicine Physician, NPI 1528292471

DR. JOHN CHAMP II NEELY (M.D.) is a healthcare provider. based in San marcos, California. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD2022-1046 (NM). The NPI Number for DR. JOHN CHAMP II NEELY (M.D.) is 1528292471

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN CHAMP II NEELY (M.D.)
NPI
1528292471
Phone
(904) 643-4353
Address
338 VIA VERA CRUZ STE 100
Enumeration Date
6 May 2009
Last Update Date
22 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4068461722
Graduation Year
2009 (17 years ago)
PAC ID
3072779859
Group Practice PAC ID
6103734728
Professional Enrollment ID
I20230223002629
Address ID
MT597222317DE1100XLNXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience90
Completeness75
Years active:17State licenses:4Digital endpointsOther names

410 EMERGENCY MEDICINE in NM

Provider Addresses for DR. JOHN CHAMP II NEELY (M.D.)

  • 338 VIA VERA CRUZ STE 100

    SAN MARCOS, CA 920782645

    Phone: (904) 643-4353

    Type: Mailing

  • 2205 Miguel Chavez Rd Ste E

    Santa Fe, NM 875051111

    Phone: (505) 954-4422

    Fax: (505) 954-4433

    Type: Location

  • Shreveport Post Office (Industrial), 1446, Hawn Avenue, Shreveport, Bossier Parish, Louisiana, 71107, United States

    SHREVEPORT, LA 711333923

    Phone: (800) 684-1583

    Type: Mailing

  • Sabine Medical Center, 240, Highland Drive, Many, Sabine Parish, Louisiana, 71449, United States

    MANY, LA 714493718

    Phone: (318) 256-5691

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $3,504.

Total Amount is formed as General ($3,504) + Research ($0) + Ownership ($0) = $3,504.

Last reported payment date: 2024-10-28 • Largest payer in this snapshot: Merz North America, Inc. ($2,777).

Total Amount

$3,504

General + Research + Ownership

Payments

25

Total payment records

General Amount

$3,504

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-28

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: 2024-08-22

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20141014000235IEmergency MedicineTNTBD
I20170707003094IInternal MedicineCATBD
I20230223002629IEmergency MedicineMTTBD
I20240822003060IEmergency MedicineNMTBD

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
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes273209$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes113105$0
99497Advance care planning, first 30 minutes6868$0
View full utilization report →

Insurance plans in this area (ZIP 92078)

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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: 6103734728View full group profile
NameSpecialtyState
General SurgeryMT
Internal MedicineMT
U R O L O G YMT
-ID
Family Practice, Emergency MedicineND
Family PracticeOR
Nurse PractitionerMT
Orthopedic SurgeryMT
Physician AssistantMT
Family Practice, Emergency MedicineIN

Reviews

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Frequently asked questions

Does DR. JOHN CHAMP II NEELY (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. JOHN CHAMP II NEELY (M.D.) uses 1528292471.
Does CMS list DR. JOHN CHAMP II NEELY (M.D.) as active?
Yes — DR. JOHN CHAMP II NEELY (M.D.) is active in the NPI listing used on this page.
What is DR. JOHN CHAMP II NEELY (M.D.)'s specialty?
The listing groups DR. JOHN CHAMP II NEELY (M.D.) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. JOHN CHAMP II NEELY (M.D.) list a practice location?
Patients near San Marcos, California may find DR. JOHN CHAMP II NEELY (M.D.) in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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DESTINATIONS DIRECT PRIMARY CARE

Emergency Medicine Physician
338 VIA VERA CRUZ STE 100
NPI: 1346811882