DR. BRADLEY TYLER JOHNSON MD NPI 1003010596
Otolaryngology in Winter Park, FL
About DR. BRADLEY TYLER JOHNSON MD
Bradley Johnson is a provider established in Winter Park, Florida and his medical specialization is Otolaryngology. The NPI number of this provider is 1003010596 and was assigned on June 2007. The practitioner's primary taxonomy code is 207Y00000X with license number ME132490 (FL). The provider is registered as an individual and his NPI record was last updated one year ago.
| NPI | 1003010596 |
| Provider Name | DR. BRADLEY TYLER JOHNSON MD |
| Location Address | 133 BENMORE DR STE 100 WINTER PARK, FL 32792 |
| Location Phone | (407) 644-4883 |
| Mailing Address | 133 BENMORE DR STE 100 WINTER PARK, FL 32792 |
| Gender | Male |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | No |
| Enumeration Date | 06-11-2007 |
| Last Update Date | 12-27-2021 |
Bradley Johnson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices..
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 80.8, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The following quality measures were reported for this provider: breast cancer screening, documentation of current medications in the medical record, engagement of patients through implementation of improvements in patient portal, e-prescribing, implementation of medication management practice improvements, implementation of use of specialist reports back to referring clinician or group to close referral loop, medication reconciliation, pneumococcal vaccination status for older adults, preventive care and screening: body mass index (bmi) screening and follow-up plan, preventive care and screening: influenza immunization, preventive care and screening: tobacco use: screening and cessation intervention, provide patient access, secure messaging, security risk analysis and use of decision support and standardized treatment protocols.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 207Y00000X |
| Classification | Otolaryngology |
| Type | Allopathic & Osteopathic Physicians |
| License No. | ME132490 |
| License State | FL |
| Taxonomy Description | An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
133 BENMORE DR STE 100
WINTER PARK, FL
ZIP 32792
Phone: (407) 644-4883
Fax: (407) 644-3697
Mailing Address
133 BENMORE DR STE 100
WINTER PARK, FL
ZIP 32792
Phone: (407) 644-4883
Fax: (407) 644-3697
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
| MIPS Measure | Score Weight | Score | |
|---|---|---|---|
| Quality | 40% | 77.5 | |
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The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores. There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey. |
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| Promoting Interoperability (PI) | 25% | N/A | |
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The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores. The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. |
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| Improvement Activities | 15% | 40 | |
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The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. |
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| Cost | 20% | N/A | |
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The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services. Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. |
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| MIPS Final Score | - | 80.8 | |
| The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment. | |||
Quality Reporting
The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Breast Cancer Screening | 35% | 178 |
| Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer | ||
| Documentation of Current Medications in the Medical Record | 95% | 947 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| Engagement of patients through implementation of improvements in patient portal | Yes | N/A |
| Access to an enhanced patient portal that provides up to date information related to relevant chronic disease health or blood pressure control, and includes interactive features allowing patients to enter health information and/or enables bidirectional communication about medication changes and adherence. | ||
| e-Prescribing | 98% | 669 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop | Yes | N/A |
| Performance of regular practices that include providing specialist reports back to the referring individual MIPS eligible clinician or group to close the referral loop or where the referring individual MIPS eligible clinician or group initiates regular inquiries to specialist for specialist reports which could be documented or noted in the EHR technology. | ||
| Medication Reconciliation | 96% | 177 |
| The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
| Pneumococcal Vaccination Status for Older Adults | 5% | 275 |
| Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 74% | 875 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Preventive Care and Screening: Influenza Immunization | 6% | 209 |
| Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization | ||
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 97% | 210 |
| Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user | ||
| Provide Patient Access | 63% | 1246 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 1% | 1246 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 22Diagnostic examination of voice box using flexible endoscope (HCPCS:31575)
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 022744400 | MEDICAID (05) | FL |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 1 | 0 | 5 | 9 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 1 | 0 | 5 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 0 + 1 + 0 + 5 + 1 + 8 + 24 = 44 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 44 = 6 | 6 | ||||||||
The NPI number 1003010596 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1770963910 | VICTORIA M. ENSOR AU.D. Individual | Audiologist | 133 BENMORE DR STE 100 WINTER PARK, FL 32792 (407) 644-4883 |
| 1164784591 | DR. JENNIFER PAMELA RODNEY M.D. Individual | Otolaryngology | 133 BENMORE DR STE 100 WINTER PARK, FL 32792 (407) 644-4883 |
| 1174143226 | JORDON MCARTHUR PT, DPT Individual | Physical Therapist | 133 BENMORE DR STE 100 WINTER PARK, FL 32792 (407) 644-4883 |
| 1801412549 | ARIEL BROWNLEE Individual | Audiologist | 133 BENMORE DR STE 100 WINTER PARK, FL 32792 (407) 644-4883 |
| 1679071336 | ALYSSA HERNANDEZ PENA PA-C Individual | Physician Assistant | 133 BENMORE DR STE 100 WINTER PARK, FL 32792 (407) 644-4883 |
| 1508462078 | CANDACE JOY NEUFVILLE AU.D. Individual | Audiologist | 133 BENMORE DR STE 100 WINTER PARK, FL 32792 (407) 644-4883 |
| 1649932542 | EMILY COLE Individual | Speech-Language Pathologist | 133 BENMORE DR STE 100 WINTER PARK, FL 32792 (407) 644-4883 |
| 1215355086 | ALVIN TRACEY DETORRES M.D. Individual | Otolaryngology | 133 BENMORE DR STE 100 WINTER PARK, FL 32792 (407) 644-4883 |
| 1235809211 | ASHLY NAIL Individual | Physical Therapist | 133 BENMORE DR STE 100 WINTER PARK, FL 32792 (407) 644-4883 |
| 1457993131 | TAYLOR WEISS Individual | Physician Assistant | 133 BENMORE DR STE 100 WINTER PARK, FL 32792 (407) 422-4921 |
| 1588277859 | BRIEANNE SALZMAN AUD Individual | Audiologist | 133 BENMORE DR STE 100 WINTER PARK, FL 32792 (407) 644-4883 |
| 1619492337 | MR. JORDAN AUSTIN COLLUM CF-SLP Individual | Speech-Language Pathologist | 133 BENMORE DR STE 100 WINTER PARK, FL 32792 (407) 644-4883 |
| 1730745233 | ABBEY STIGERS Individual | Audiologist | 133 BENMORE DR STE 100 WINTER PARK, FL 32792 (407) 644-4883 |
| 1770124471 | ELIZABETH LANZA Individual | Speech-Language Pathologist | 133 BENMORE DR STE 100 WINTER PARK, FL 32792 (407) 644-4883 |
| 1770927683 | BRITTANY CAITLYN DOBSON M.D. Individual | Otolaryngology | 133 BENMORE DR STE 100 WINTER PARK, FL 32792 (407) 644-4883 |
| 1871077933 | EMILY BAER Individual | Speech-Language Pathologist | 133 BENMORE DR STE 100 WINTER PARK, FL 32792 (407) 644-4883 |
| 1962486027 | DR. MATTHEW CARL JEPSEN M.D. Individual | Otolaryngology | 133 BENMORE DR STE 100 WINTER PARK, FL 32792 (407) 644-4883 |
| 1043942279 | CAROLINE F WAGNER AUD Individual | Audiologist | 133 BENMORE DR STE 100 WINTER PARK, FL 32792 (407) 644-4883 |
| 1275265316 | CAITLIN K CURRY AUD Individual | Audiologist | 133 BENMORE DR STE 100 WINTER PARK, FL 32792 (407) 644-4883 |
| 1023490190 | ALYSSA MADANICK PA Individual | Physician Assistant | 133 BENMORE DR STE 100 WINTER PARK, FL 32792 (407) 834-9120 |
Frequently Asked Questions
What is Dr. Bradley Johnson MD NPI number?
The NPI number assigned to this healthcare provider is 1003010596, registered as an "individual" on June 11, 2007
Where is Dr. Bradley Johnson MD located?
The provider is located at 133 Benmore Dr Ste 100 Winter Park, Fl 32792 and the phone number is (407) 644-4883
Which is Dr. Bradley Johnson MD specialty?
The provider's speciality is Otolaryngology
What insurance does Dr. Bradley Johnson MD accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Dr. Bradley Johnson MD registered in PECOS?
Yes, as of March 13, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
How much is a visit to Dr. Bradley Johnson MD?
Medicare beneficiaries should expect a typical cost of $90.24 with an average copayment of $22.56 for new patient appointments. Established patients should expect a typical charge of $73.05 and an average copayment of 18.26. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Dr. Bradley Johnson MD?
The most common procedures or services performed by this practitioner are: Diagnostic examination of voice box using flexible endoscope.
How do I update my NPI information?
The NPI record of Dr. Bradley Johnson MD was last updated on June 11, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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