NPIMap

Individual provider Active NPI

John Terry Dearborn, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Menlo Park, CA
National Provider Identifier
1396786901
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
G76369 Issued in CA
Practice address
1706 El Camino Real Ste 101
Menlo Park, CA 94027-4127
Phone
(650) 325-1395
Fax
(650) 326-2019
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X G76369 CA Primary

Addresses

Primary practice location

1706 El Camino Real Ste 101
Menlo Park, CA 94027-4127

Mailing address

1706 El Camino Real Ste 101
Menlo Park, CA 94027-4127
Phone (650) 325-1395

Other practice location 1

2000 Mowry Ave
Fremont, CA 94538-1716
Phone (510) 818-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061025000774 CA Practitioner - Orthopedic Surgery 5395715973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of California, San Francisco School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2000 Mowry Ave
Fremont, CA 94538-1716
Phone (510) 793-6653

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.9 of 100Reported as group
Quality
81.89
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
72.92
Promoting interoperability
100
Improvement activities
40
Cost
84.95

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement144
Knee replacement324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G76369CAMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Surgery Center, LLC Current Accepting new patients
Dearborn & Associates Institute for Joint Restoration CurrentSince Sep 1, 2006 Accepting new patients
Dearborn & Associates Institute for Joint Restoration CurrentSince Sep 1, 2006 Accepting new patients
Dearborn & Associates Institute for Joint Restoration Past Accepting new patients
Washington Township Hospital District Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

38690 Stivers St
Ste A
Fremont, CA 94536
Phone (510) 248-1040

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

1706 El Camino Real
Ste 101
Menlo Park, CA 94027
Phone (510) 818-7230

3329 G St
Ste A
Merced, CA 95340
Phone (209) 400-2959

900 Welch Rd
Ste 405
Palo Alto, CA 94304
Phone (415) 327-8551

1505 Main St
Watsonville, CA 95076
Phone (831) 722-1444

Interoperability endpoints

  • Direct secure messaging: jdearborn13575@direct.whhs.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 29

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 29

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1396786901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 EL CAMINO REAL STE 101",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940274127",
            "telephone_number": "650-325-1395",
            "fax_number": "650-326-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 EL CAMINO REAL STE 101",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940274127",
            "telephone_number": "650-325-1395",
            "fax_number": "650-326-2019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Mowry Ave",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945381716",
            "country_code": "US",
            "telephone_number": "510-818-7200",
            "fax_number": "510-742-9334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEARBORN",
        "first_name": "JOHN",
        "middle_name": "TERRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "CA",
            "license": "G76369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

Verify at the official NPI Registry.