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TRAVIS JOHNSON MD
NPI 1013405778
Pediatrics in West Liberty, KY

Active since April 27, 2018PECOS Enrolled
1219 W MAIN ST, WEST LIBERTY, KY 41472(606) 743-4808(606) 743-4716 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 16, 2024, Aug 1, 2024, Jun 24, 2021 and 1 more (4 updates tracked since 2018).

About Travis Johnson Md NPPES

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

TRAVIS JOHNSON MD (NPI 1013405778) is an individual pediatrics provider in West Liberty, Kentucky, licensed in Kentucky (55502) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1013405778
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameTRAVIS JOHNSONCredential: MD
Location Address1219 W MAIN STWest Liberty, KY 41472-2161
Mailing AddressPo Box 690Beattyville, KY 41311-0690 · (606) 464-0151 · Fax (606) 464-0152
Phone(606) 743-4808
Fax(606) 743-4716
Sole ProprietorNo
Enumeration DateApril 27, 2018
Last NPPES UpdateAugust 16, 20244 updates tracked since enumeration
NPPES CertifiedAugust 16, 2024
✔ NPI 1013405778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in KY · 55502
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1219 W MAIN ST, West Liberty, KY 41472
Open in Google Maps ↗

Secondary Practice Location 1

Location 11484 Lakeside DrJackson, KY 41339-6555 · Phone (606) 666-9950 · Fax (606) 666-9136

Other Identifiers 1

Medicaid7100747240KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Travis Johnson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Billing Reassignment

Medicare enrollment records show Travis Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Juniper Health Inc
Same address
Federally Qualified Health Center (FQHC)
1219 W MAIN ST
West Liberty, KY 41472
  • Reassigned Medicare billing, Kentucky enrollment
  • 22 clinicians in this Medicare group
NPI 1447791512 (606) 743-4808

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41472 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Other Providers at the Same Location NPPES 4

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

TAMI OSBORNE APRN
Nurse Practitioner (Psychiatric/Mental Health)
1219 W MAIN ST
WEST LIBERTY, KY 41472
Morgan County (606) 743-4808
JUNIPER HEALTH INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1219 W MAIN ST
WEST LIBERTY, KY 41472
Morgan County (606) 743-4808
ML CANTRELL PSYCHOTHERAPEUTIC SERVICES, PLLC
Psychologist (Clinical)
1219 W MAIN ST
WEST LIBERTY, KY 41472
Morgan County (606) 743-2407
SANDRA K MCCLURE APRN
Nurse Practitioner (Family)
1219 W MAIN ST
WEST LIBERTY, KY 41472
Morgan County (606) 743-4808

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 Travis Johnson's NPI number?

The NPI number for Travis Johnson is 1013405778. It was assigned to this individual provider in the NPPES registry on April 27, 2018.

Where is Travis Johnson located?

Travis Johnson practices at 1219 W Main St, West Liberty, KY 41472. The listed phone number is (606) 743-4808.

What is Travis Johnson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Travis Johnson enrolled in Medicare?

Yes. Travis Johnson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Travis Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Travis Johnson reassigns Medicare benefits to Juniper Health Inc (West Liberty, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Travis Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Travis Johnson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter of Tennessee list Travis 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 Travis Johnson was last updated on August 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.