MARY MARGARET JOHNSON MD
NPI 1053400291
Internal Medicine in Marshall, MI

Active since October 12, 2006PECOS EnrolledAccepts Medicare Assignment
92.5/100
CMS Quality Rating
200 N MADISON ST, MARSHALL, MI 49068(269) 781-4271 Get Directions Write a Review

NPPES record last updated: December 12, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Margaret Johnson Md NPPES

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

MARY MARGARET JOHNSON MD (NPI 1053400291) is an individual internal medicine provider in Marshall, Michigan, licensed in Michigan (4301050976) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Oaklawn Hospital, and is a graduate of University Of Michigan Medical School (1984).

NPPES Registry Identity

NPI1053400291
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARY MARGARET JOHNSONCredential: MD
Location Address200 N MADISON STMarshall, MI 49068-1143
Mailing Address200 N Madison StMarshall, MI 49068-1143 · (269) 781-4271
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1984
Enumeration DateOctober 12, 2006
Last NPPES UpdateDecember 12, 2014
NPI 1053400291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MI · 4301050976
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.

200 N MADISON ST, Marshall, MI 49068

Other Identifiers 2

Medicare PIN0A37669MI
Medicaid2791817MI

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

Mary Margaret Johnson Md 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 ID6709945579
PECOS Enrollment IDI20081107000566
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 5

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.
230 services114 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
153 services68 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
138 services131 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
69 services67 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
48 services47 patients

Hospital Affiliations CMS Care Compare

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

Oaklawn Hospital

Acute Care Hospitals · Marshall, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230217
Location200 N MadisonMarshall, MI 49068 · Calhoun County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49068 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

92.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.31
Improvement Activities40
Cost93.5

Referred Medical Equipment & Supplies CMS DME claims

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$907.68 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.

Nurse Practitioner
200 N MADISON ST
MARSHALL, MI 49068
Radiology (Diagnostic Radiology)
200 N MADISON ST
MARSHALL, MI 49068
Nurse Anesthetist, Certified Registered
200 N MADISON ST
MARSHALL, MI 49068
Pharmacy (Institutional Pharmacy)
200 N MADISON ST
MARSHALL, MI 49068
Psychiatric Unit
200 N MADISON ST
MARSHALL, MI 49068
Pharmacist
200 N MADISON ST
MARSHALL, MI 49068
Obstetrics & Gynecology
200 N MADISON ST
MARSHALL, MI 49068
Nurse Anesthetist, Certified Registered
200 N MADISON ST
MARSHALL, MI 49068

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 Mary Johnson's NPI number?

The NPI number for Mary Johnson is 1053400291. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Mary Johnson located?

Mary Johnson practices at 200 N Madison St, Marshall, MI 49068. The listed phone number is (269) 781-4271.

What is Mary Johnson's specialty?

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

Is Mary Johnson enrolled in Medicare?

Yes. Mary 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 Mary Johnson affiliated with any hospitals?

According to CMS data, Mary Johnson is affiliated with Oaklawn Hospital.

When was this NPI record last updated?

The NPPES record for Mary Johnson was last updated on December 12, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.