DEREK K JOHNSON (MD) – Pediatric Allergy/Immunology Physician, NPI 1285622183

DEREK K JOHNSON (MD) is a healthcare provider. based in Fairfax, Virginia. specializing in ALLERGY/IMMUNOLOGY, PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. MD 065160L (PA). The NPI Number for DEREK K JOHNSON (MD) is 1285622183

Main info

Male
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
DEREK K JOHNSON (MD)
NPI
1285622183
Phone
(703) 648-0030
Address
3903A FAIR RIDGE DR
Enumeration Date
13 October 2005
Last Update Date
27 February 2017

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
7036480030
Graduation Year
1995 (31 years ago)
PAC ID
4880653369
Group Practice PAC ID
4385682061
Professional Enrollment ID
I20140917001575
Address ID
VA220332938FA3903XDRXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

165 ALLERGY/IMMUNOLOGY in VA

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Provider Addresses for DEREK K JOHNSON (MD)

  • Fair Ridge Drive, Pender, Fair Oaks, Fairfax County, Virginia, 22033, United States

    FAIRFAX, VA 220332938

    Phone: (703) 648-0030

    Fax: (703) 648-9028

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 251 Open Payments records for all available years, with a total value of $58,694.

Total Amount is formed as General ($58,694) + Research ($0) + Ownership ($0) = $58,694.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($32,204).

Total Amount

$58,694

General + Research + Ownership

Payments

251

Total payment records

General Amount

$58,694

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2014-09-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20140917001575IAllergy/ImmunologyDCTBD
I20140924001153IAllergy/ImmunologyVATBD

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
95004Test for allergy using allergenic extract1,40340$0
95165Professional service for preparation and provision of 1 or more antigens79016$0
95117Professional service for multiple injections of allergen24912$0
99213Established patient office or other outpatient visit, 20-29 minutes10975$0
99204New patient office or other outpatient visit, 45-59 minutes4646$0
View full utilization report →

Insurance plans in this area (ZIP 22033)

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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: 4385682061View full group profile

Reviews

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Frequently asked questions

What identifier follows DEREK K JOHNSON (MD) across health systems?
The NPI 1285622183 uniquely identifies DEREK K JOHNSON (MD) in U.S. healthcare data.
Is DEREK K JOHNSON (MD) currently accepting referrals based on NPI status?
Registry metadata lists DEREK K JOHNSON (MD) as active.
How should patients interpret DEREK K JOHNSON (MD)'s specialty?
The extract shows Pediatric Allergy/Immunology Physician for DEREK K JOHNSON (MD). Clinical services aligned with this taxonomy classification.
Can patients visit DEREK K JOHNSON (MD) in Fairfax, Virginia?
For routing, start with Fairfax, Virginia for DEREK K JOHNSON (MD), then verify phone and hours locally.
Can I export DEREK K JOHNSON (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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