DR. JOHN MILTON SODERBERG (M.D.) – Dermatology Physician, NPI 1386810588

DR. JOHN MILTON SODERBERG (M.D.) is a healthcare provider. based in South boston, Virginia. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 0101261724 (VA). The NPI Number for DR. JOHN MILTON SODERBERG (M.D.) is 1386810588

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN MILTON SODERBERG (M.D.)
NPI
1386810588
Phone
(434) 549-0383
Address
3459 Old Halifax Rd Ste I
Enumeration Date
7 May 2008
Last Update Date
3 June 2026

Doctor Profile

Medical School Name
YALE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4345490383
Graduation Year
2004 (22 years ago)
PAC ID
9133295942
Group Practice PAC ID
3779471701
Professional Enrollment ID
I20170410001759
Address ID
VA245924900SO3459XRDXX401

Contacts

Secure Messaging
JS3975@forefrontdermatology.emadirect.md
Data current as of
10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness95
Years active:18State licenses:2Other names

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

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: 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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080902000412IDermatologyNCTBD
I20170410001759IDermatologyVATBD

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
17003Destruction of precancer skin growth, 2-14 growths669132$0
99213Established patient office or other outpatient visit, 20-29 minutes266207$0
17000Destruction of precancer skin growth, 1 growth232185$0
99203New patient office or other outpatient visit, 30-44 minutes165165$0
11102Biopsy of related skin growth, first growth127115$0
View full utilization report →

Insurance plans in this area (ZIP 24592)

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Provider's Procedures

DR. JOHN MILTON SODERBERG (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYNC17003Destruction of 2-14 skin growths1405232

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: 3779471701View full group profile
NameSpecialtyState
-WI
Physician AssistantVA
-VA
D E R M A T O L O G YTX
-WI
D E R M A T O L O G YAL
D E R M A T O L O G YWI
-WI
Physician AssistantNY
D E R M A T O L O G YWA

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Frequently asked questions

Does DR. JOHN MILTON SODERBERG (M.D.) have a public NPI I can cite?
Public records show DR. JOHN MILTON SODERBERG (M.D.) under NPI 1386810588.
Is DR. JOHN MILTON SODERBERG (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. JOHN MILTON SODERBERG (M.D.) as active.
What does the directory say DR. JOHN MILTON SODERBERG (M.D.) does?
Insurance directories may phrase it differently, but here DR. JOHN MILTON SODERBERG (M.D.) maps to Dermatology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. JOHN MILTON SODERBERG (M.D.)?
DR. JOHN MILTON SODERBERG (M.D.) is associated with South Boston, Virginia in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.