DR. JOHN MILTON SODERBERG (M.D.) – Dermatology Physician, NPI 1386810588
Dermatology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
471 DERMATOLOGY in VA
Provider Addresses for DR. JOHN MILTON SODERBERG (M.D.)
3459 Old Halifax Rd Ste I
South Boston, VA 245924900
Phone: (434) 549-0383
Fax: (434) 549-0384
Type: Location
4711 S Croatan Hwy Ste 6B
Nags Head, NC 279598997
Phone: (252) 441-0515
Fax: (252) 441-0531
Type: Location
1134 N Road St Ste 3
Elizabeth City, NC 279093365
Phone: (252) 331-5869
Fax: (252) 331-5906
Type: Location
801, York Street, Manitowoc, Manitowoc County, Wisconsin, 54220, United States
MANITOWOC, WI 542204630
Phone: (920) 663-9008
Fax: (920) 684-1439
Type: Mailing
Carpenter Fire Station Road, Cary, Wake County, North Carolina, 27519, United States
CARY, NC 275199637
Phone: (919) 439-4206
Fax: (919) 439-9375
Type: Location
6807 Knightdale Blvd Ste C
Knightdale, NC 275456563
Phone: (919) 217-5510
Fax: (919) 217-5501
Type: Location
7650 E PARHAM RD STE 110
Richmond, VA 232944376
Phone: (804) 916-7062
Fax: (804) 918-2172
Type: Location
101 CANDLEWOOD CT
LYNCHBURG, VA 245022654
Phone: (434) 363-4190
Fax: (434) 363-4191
Type: Location
5589 N Croatan Hwy
Kitty Hawk, NC 279493996
Phone: (252) 715-0610
Fax: (252) 715-0612
Type: Location
300 E 3RD ST
FARMVILLE, VA 239011510
Phone: (434) 607-4599
Fax: (434) 363-4191
Type: Location
3825 CONLON WAY #100
ELIZABETH CITY, NC 27909
Phone: (252) 331-5869
Fax: (252) 331-5906
Type: Location
242 S Main St Ste 212
Holly Springs, NC 275406054
Phone: (919) 439-9423
Fax: (919) 439-9533
Type: Location
1380 AMERICAN WAY UNIT D
BEDFORD, VA 245232940
Phone: (540) 583-7114
Fax: (540) 583-7112
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 543 Open Payments records for all available years, with a total value of $204,545.
Total Amount is formed as General ($204,545) + Research ($0) + Ownership ($0) = $204,545.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Lilly USA, LLC ($39,181).
Total Amount
$204,545
General + Research + Ownership
Payments
543
Total payment records
General Amount
$204,545
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
2
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $39,181 |
| Amgen Inc. | $35,934 |
| E.R. Squibb & Sons, L.L.C. | $32,532 |
| PFIZER INC. | $28,309 |
| Sun Pharmaceutical Industries Inc. | $17,613 |
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: 2017-04-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080902000412 | I | Dermatology | NC | TBD |
| I20170410001759 | I | Dermatology | VA | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 669 | 132 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 266 | 207 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 232 | 185 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 165 | 165 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 127 | 115 | $0 |
Insurance plans in this area (ZIP 24592)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | NC | 17003 | Destruction of 2-14 skin growths | 1405 | 232 |
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Physician Assistant | VA | |
| - | VA | |
| D E R M A T O L O G Y | TX | |
| - | WI | |
| D E R M A T O L O G Y | AL | |
| D E R M A T O L O G Y | WI | |
| - | WI | |
| Physician Assistant | NY | |
| D E R M A T O L O G Y | WA |
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