STEPHEN M JOHNSON M.D.
NPI 1003859687
Internal Medicine - Pulmonary Disease in Bedford, VA

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment
94.07/100
CMS Quality Rating
1613 OAKWOOD ST, BEDFORD, VA 24523(540) 587-7810(434) 200-1657 Get Directions Write a Review

NPPES record last updated: October 2, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stephen M Johnson M.d. NPPES

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

STEPHEN M JOHNSON M.D. (NPI 1003859687) is an individual pulmonary disease provider in Bedford, Virginia, licensed in Virginia (0101037503) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Centra Health - Lynchburg Gen Hospital, and is a graduate of Duke University School Of Medicine (1978).

NPPES Registry Identity

NPI1003859687
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameSTEPHEN M JOHNSONCredential: M.D.
Location Address1613 OAKWOOD STBedford, VA 24523-1213
Mailing Address1613 Oakwood StBedford, VA 24523-1213 · (540) 587-7810
Fax(434) 200-1657
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1978
Enumeration DateJune 13, 2006
Last NPPES UpdateOctober 2, 2014
NPI 1003859687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in VA · 0101037503
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
1613 OAKWOOD ST, Bedford, VA 24523

Other Identifiers 8

Medicare UPIND27038VA
Medicaid1003859687VA
Medicaid010286638VA
Medicare PIN011786C80
Medicare PINP00411747VA
Medicare PIN011786C80VA
Other239950VA · Anthem
Medicare PIN00X289C01VA

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

Stephen M Johnson M.d. 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 ID7315942356
PECOS Enrollment IDI20060925000482
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 12

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,358 services87 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.
410 services210 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
138 services135 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
133 services131 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
93 services93 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
50 services49 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Centra Health - Lynchburg Gen Hospital

Acute Care Hospitals · Lynchburg, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490021
Location1901 Tate Springs RoadLynchburg, VA 24501 · Lynchburg City County
Emergency services Birthing friendly

Centra Bedford Memorial Hospital

Acute Care Hospitals · Bedford, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490088
Location1613 Oakwood StreetBedford, VA 24523 · Bedford County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24523 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

94.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.44
Promoting Interoperability94
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 34

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers24 claims24 services$35.35 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers27 claims60 services$1.10 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
4 suppliers21 claims21 services$13.21 avg. paid by Medicare
Aerosol mask, used with dme nebulizer A7015
DME-Other DME · category DE000N
2 suppliers17 claims21 services$0.87 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers71 claims71 services$84.80 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers76 claims216 services$33.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physical Therapist
1613 OAKWOOD ST
BEDFORD, VA 24523
Physician Assistant
1613 OAKWOOD ST
BEDFORD, VA 24523
Physical Medicine & Rehabilitation
1613 OAKWOOD ST
BEDFORD, VA 24523
Radiology (Diagnostic Radiology)
1613 OAKWOOD ST
BEDFORD, VA 24523
Nurse Anesthetist, Certified Registered
1613 OAKWOOD ST
BEDFORD, VA 24523
Day Training, Developmentally Disabled Services
1613 OAKWOOD ST
BEDFORD, VA 24523
Orthopaedic Surgery
1613 OAKWOOD ST, SUITE 101
BEDFORD, VA 24523
Pharmacy
1613 OAKWOOD ST
BEDFORD, VA 24523

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 Stephen Johnson's NPI number?

The NPI number for Stephen Johnson is 1003859687. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Stephen Johnson located?

Stephen Johnson practices at 1613 Oakwood St, Bedford, VA 24523. The listed phone number is (540) 587-7810.

What is Stephen Johnson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Stephen Johnson enrolled in Medicare?

Yes. Stephen 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.

Is Stephen Johnson affiliated with any hospitals?

According to CMS data, Stephen Johnson is affiliated with Centra Health - Lynchburg Gen Hospital and Centra Bedford Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Johnson was last updated on October 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.