MR. JESSE THOMAS JOHNSON II PA
NPI 1003042664
Physician Assistant - Medical in Brooklyn, NY

Active since June 09, 2009PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
3201 KINGS HWY, BROOKLYN, NY 11234(718) 951-2901 Get Directions Write a Review

NPPES record last updated: August 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jesse Thomas Johnson Ii Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JESSE THOMAS JOHNSON II PA (NPI 1003042664) is an individual medical provider in Brooklyn, New York, licensed in New York (013190) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1003042664
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. JESSE THOMAS JOHNSON IICredential: PA
Location Address3201 KINGS HWYBrooklyn, NY 11234-2625
Mailing Address3201 Kings HwyBrooklyn, NY 11234-2625 · (718) 951-2901
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJune 9, 2009
Last NPPES UpdateAugust 19, 2016
NPI 1003042664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NY · 013190
3201 KINGS HWY, Brooklyn, NY 11234

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Jesse Thomas Johnson Ii Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476609314
PECOS Enrollment IDI20090918000164
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
126 services107 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
53 services53 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
37 services35 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
35 services33 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
32 services31 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
22 services22 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
3201 KINGS HWY
BROOKLYN, NY 11234
Internal Medicine
3201 KINGS HWY
BROOKLYN, NY 11234
Physician Assistant (Surgical)
3201 KINGS HWY
BROOKLYN, NY 11234
Pharmacist
3201 KINGS HWY
BROOKLYN, NY 11234
Nurse Practitioner (Adult Health)
3201 KINGS HWY
BROOKLYN, NY 11234
Student in an Organized Health Care Education/Training Program
3201 KINGS HWY
BROOKLYN, NY 11234
Anesthesiology
3201 KINGS HWY
BROOKLYN, NY 11234
Radiology (Radiological Physics)
3201 KINGS HWY, DEPT OF RADIOLOGY
BROOKLYN, NY 11234

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jesse Johnson's NPI number?

The NPI number for Jesse Johnson is 1003042664. It was assigned to this individual provider in the NPPES registry on June 9, 2009.

Where is Jesse Johnson located?

Jesse Johnson practices at 3201 Kings Hwy, Brooklyn, NY 11234. The listed phone number is (718) 951-2901.

What is Jesse Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jesse Johnson enrolled in Medicare?

Yes. Jesse Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jesse Johnson was last updated on August 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.