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MR. DOUGLAS W JOHNSON PA-C
NPI 1003816471
Physician Assistant - Surgical in Dayton, OH

Active since July 28, 2005PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
1 ELIZABETH PL, 4TH FLOOR, DAYTON, OH 45408(937) 221-7001(937) 224-5307 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Douglas W Johnson Pa-c NPPES

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

MR. DOUGLAS W JOHNSON PA-C (NPI 1003816471) is an individual surgical provider in Dayton, Ohio, licensed in Ohio (50-00-0344) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1003816471
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. DOUGLAS W JOHNSONCredential: PA-C
Location Address1 ELIZABETH PL, 4TH FLOORDayton, OH 45408-1445
Mailing Address3995 Willow Run DrBeavercreek, OH 45430-1552 · (937) 429-7132 · Fax (937) 224-5307
Phone(937) 221-7001
Fax(937) 224-5307
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateJuly 28, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1003816471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in OH · 50-00-0344
1 ELIZABETH PL, Dayton, OH 45408
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedJOPA17301OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.Insurance ›

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. Douglas W Johnson Pa-c 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 ID2961738299
PECOS Enrollment IDI20190724003479
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.

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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

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.

KENVIC INC
Hospitalist
1 ELIZABETH PL, SIXTH FLOOR
DAYTON, OH 45408
Montgomery County (937) 222-5963
VENKATACHALAM MUTHIAH MD
Internal Medicine (Nephrology)
1 ELIZABETH PL, SUITE 190
DAYTON, OH 45408
Montgomery County (937) 222-3118
MRS. MARLENE A SORAH MS
Counselor (Mental Health)
1 ELIZABETH PL
DAYTON, OH 45408
Montgomery County (937) 228-0579
RICHARD J SCHUSTER MD
Internal Medicine
1 ELIZABETH PL, SUITE 500
DAYTON, OH 45408
Montgomery County (937) 443-0354
MS. DONNA DOLORES FEDOROCSKO PC
Counselor (Professional)
1 ELIZABETH PL, SUITE 111
DAYTON, OH 45408
Montgomery County (937) 228-0579
CIRRUS CONCEPT DESIGN, LLC.
Durable Medical Equipment & Medical Supplies
1 ELIZABETH PL
DAYTON, OH 45408
Montgomery County (937) 228-0409
DR. WILLIAM A ROMER M.D.
Family Medicine
1 ELIZABETH PL
DAYTON, OH 45408
Montgomery County (937) 229-9800
VINOD K PATWA MD INC
Psychiatry & Neurology (Psychiatry)
1 ELIZABETH PL, SUITE 111
DAYTON, OH 45408
Montgomery County (937) 228-0579

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 Douglas Johnson's NPI number?

The NPI number for Douglas Johnson is 1003816471. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Douglas Johnson located?

Douglas Johnson practices at 1 Elizabeth Pl 4th Floor, Dayton, OH 45408. The listed phone number is (937) 221-7001.

What is Douglas Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Douglas Johnson enrolled in Medicare?

Yes. Douglas 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.

What insurance does Douglas Johnson accept?

Health plans from CareSource and MedMutual list Douglas Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Douglas Johnson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.