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TIMOTHY W JOHNSON PA
NPI 1033425145
Physician Assistant in Avon, IN

Active since August 26, 2010PECOS EnrolledAccepts Medicare Assignment
1111 RONALD REAGAN PKWY, AVON, IN 46123(317) 472-7317(317) 870-0499 Get Directions Write a Review

NPPES record last updated: August 26, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Timothy W Johnson Pa NPPES

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

TIMOTHY W JOHNSON PA (NPI 1033425145) is an individual physician assistant in Avon, Indiana, licensed in Indiana (10001198) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1033425145
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTIMOTHY W JOHNSONCredential: PA
Location Address1111 RONALD REAGAN PKWYAvon, IN 46123-7085
Mailing Address5446 Reliable PkwyChicago, IL 60686-0001 · (317) 472-7317 · Fax (317) 870-0499
Phone(317) 472-7317
Fax(317) 870-0499
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 26, 2010
✔ NPI 1033425145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IN · 10001198
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1111 RONALD REAGAN PKWY, Avon, IN 46123
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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

Timothy W Johnson 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 ID4789876194
PECOS Enrollment IDI20120201000153
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.

Hospital Affiliations CMS Care Compare

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

St Mary Medical Center

Acute Care Hospitals · Galesburg, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140064
Location3333 North SeminaryGalesburg, IL 61401 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46123 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 14

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers28 claims104 services$5.75 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers11 claims11 services$118.45 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers11 claims28 services$39.74 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers11 claims11 services$17.68 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers24 claims120 services$2.45 avg. paid by Medicare
Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046
DME-Other DME · category DE001N
3 suppliers11 claims11 services$10.16 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.

JILL BROGHAMMER DO
Emergency Medicine
1111 RONALD REAGAN PKWY
AVON, IN 46123
Hendricks County (317) 217-3000
KIMBERLY KEYES BARRETT PA-C
Physician Assistant
1111 RONALD REAGAN PKWY
AVON, IN 46123
Hendricks County (317) 217-3000
KOLBIE SARA MASON PA-C
Physician Assistant
1111 RONALD REAGAN PKWY
AVON, IN 46123
Hendricks County (317) 962-6300
JOANNA LEE HUNTER-SQUIRES M.D.
Surgery
1111 RONALD REAGAN PKWY
AVON, IN 46123
Hendricks County (317) 944-7874
MRS. LINDA JOYCE PEDERSEN PT
Physical Therapist
1111 RONALD REAGAN PKWY, SUITE MG214
AVON, IN 46123
Hendricks County (317) 217-3070
ELIZABETH MARIE SULLIVAN DO
Emergency Medicine
1111 RONALD REAGAN PKWY
AVON, IN 46123
Hendricks County (317) 217-3000
ADAM JONES PA-C
Physician Assistant
1111 RONALD REAGAN PKWY
AVON, IN 46123
Hendricks County (317) 217-3000
INDIANA UNIVERSITY HEALTH WEST HOSPITAL INC
General Acute Care Hospital
1111 RONALD REAGAN PKWY
AVON, IN 46123
Hendricks County (317) 217-3000

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 Timothy Johnson's NPI number?

The NPI number for Timothy Johnson is 1033425145. It was assigned to this individual provider in the NPPES registry on August 26, 2010.

Where is Timothy Johnson located?

Timothy Johnson practices at 1111 Ronald Reagan Pkwy, Avon, IN 46123. The listed phone number is (317) 472-7317.

What is Timothy Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Timothy Johnson enrolled in Medicare?

Yes. Timothy 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 Timothy Johnson affiliated with any hospitals?

According to CMS data, Timothy Johnson is affiliated with St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Timothy Johnson was last updated on August 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.