1. Home
  2. Directory
  3. Utah
  4. Salt Lake City
  5. Internal Medicine
  6. NPI Profile

MARK ROLFE JOHNSON MD
NPI 1043202393
Internal Medicine in Salt Lake City, UT

Active since August 22, 2005PECOS Enrolled
32 W 200 S # 410, SALT LAKE CITY, UT 84101(801) 960-4890(801) 960-4890 Get Directions Write a Review

NPPES record last updated: April 23, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 23, 2020, Jan 15, 2020 (2 updates tracked since 2020).

About Mark Rolfe Johnson Md NPPES

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

MARK ROLFE JOHNSON MD (NPI 1043202393) is an individual internal medicine provider in Salt Lake City, Utah, licensed in Utah (184901-1205) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Sandy.

NPPES Registry Identity

NPI1043202393
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMARK ROLFE JOHNSONCredential: MD
Location Address32 W 200 S # 410Salt Lake City, UT 84101-1603
Mailing Address113 Pleasant Valley Dr Ste 210Boerne, TX 78006-5683 · (830) 267-4575 · Fax (830) 214-2576
Phone(801) 960-4890
Fax(801) 960-4890
Sole ProprietorNo
Enumeration DateAugust 22, 2005
Last NPPES UpdateApril 23, 20202 updates tracked since enumeration
NPPES CertifiedApril 23, 2020
✔ NPI 1043202393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in UT · 184901-1205
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
32 W 200 S # 410, Salt Lake City, UT 84101
Open in Google Maps ↗

Secondary Practice Location 1

Location 11899 E Siesta DrSandy, UT 84093-6241 · Phone (801) 631-8210

Other Identifiers 1

Medicaid1001176UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Rolfe 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84101 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$14.44 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers24 claims24 services$63.30 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$31.15 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Mark Johnson's NPI number?

The NPI number for Mark Johnson is 1043202393. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Where is Mark Johnson located?

Mark Johnson practices at 32 W 200 S # 410, Salt Lake City, UT 84101. The listed phone number is (801) 960-4890.

What is Mark Johnson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mark Johnson enrolled in Medicare?

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

What insurance does Mark Johnson accept?

Health plans from Molina Healthcare list Mark 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 Mark Johnson was last updated on April 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.