John Benjamin Degraft-Johnson, M.D.,
Individual provider Active NPI Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Modesto, CA
NPI 1043472871 · NPPES record last updated Jun 18, 2025
Key facts
- NPI
- 1043472871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
- License
- A104894 (CA)
- Practice address
- 1541 Florida Ave Ste 305
Modesto, CA 95350-4439 - Phone
- (209) 575-5836
- Fax
- (209) 577-1040
- NPI assigned
- Jul 2, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 13
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- University of Cincinnati College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- First Choice Physician Partners
Practice addresses (Care Compare)
1801 Colorado Ave
Suite 250
Turlock, CA 95382-2710
Phone (209) 647-3950
Hospital & facility affiliations
- Doctors Medical Center
- Adventist Health Sonora
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 64.37
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.88
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 20 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 20 |
| Leg revascularization (restoring blood flow) | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120806000639 | CA | Practitioner - General Surgery |
4587810619 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | CA | MD | Dentist |
| A104894 | CA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles (11 of 12)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group Inc | Current |
Accepting new patients | |
| Permanente Medical Group, Inc | Current |
Accepting new patients | |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| First Choice Physician Partners | Current |
Accepting new patients | |
| First Choice Physician Partners | Current |
Accepting new patients | |
| San Diego Cardiovascular and Thoracic Surgeons, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current |
Accepting new patients |
| Doctors Medical Center of Modesto, Inc. | Past | Accepting new patients | |
| Memorial Hospital | Past | Accepting new patients | |
| Sutter Valley Hospitals | Past | Accepting new patients | |
| First Choice Physician Partners | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
| Sharp Memorial Hospital | Past | Accepting new patients |
Locations
1205 E North St
Manteca, CA 95336
Phone (209) 239-8301
1234 E North St
Ste 103
Manteca, CA 95336
Phone (209) 647-3101
1234 E North St
Ste 102
Manteca, CA 95336
Phone (209) 647-7280
1262 E North St
Manteca, CA 95336
Phone (209) 823-7646
1541 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 575-3839
1541 Florida Ave
Ste 304
Modesto, CA 95350
Phone (209) 576-3832
1541 Florida Ave
Ste 103
Modesto, CA 95350
Phone (209) 572-1200
1541 Florida Ave
Ste 305
Modesto, CA 95350
Phone (209) 575-5833
1541 Florida Ave
Modesto, CA 95350
Phone (209) 214-7049
1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
8008 Frost St
Ste 300
San Diego, CA 92123
Phone (858) 939-7471
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
1801 Colorado Ave
Ste 250
Turlock, CA 95382
Phone (209) 216-3500
825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- john.degraft-johnson.1@14035.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | PENDING | CA | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | A104894 | CA | Yes |
Addresses
Primary practice location
1541 Florida Ave Ste 305
Modesto, CA 95350-4439
Mailing address
1541 Florida Ave Ste 103
Modesto, CA 95350-4438
Phone (209) 575-5836
Other practice location 1
7373 West Ln
Stockton, CA 95210-3377
Phone (209) 476-2000
Other providers in Modesto, CA
- Deep Wellness Center Child & Family Inc
- Deer Tail Senior Lving, Inc.
- Steven Deford
- Quentin Michael Deforest
- Sean Kirby Degmetich
- Bomnara Degroot
- Thomas Anthony Deguzman
- Mayra Deharo
- Erika Janelle Dehart
- Jordan Dejarnett
All providers in Modesto, CA · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.