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PHILIP C JOHNSON III M.D.
NPI 1063430445
Internal Medicine in Houston, TX

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
6410 FANNIN ST, 600, HOUSTON, TX 77030(832) 325-7100(713) 500-6722 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 4, 2023, Aug 8, 2016 (2 updates tracked since 2016).

About Philip C Johnson Iii M.d. NPPES

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

PHILIP C JOHNSON III M.D. (NPI 1063430445) is an individual internal medicine provider in Houston, Texas, licensed in Texas (F4124) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Baylor College Of Medicine (1979).

NPPES Registry Identity

NPI1063430445
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePHILIP C JOHNSON IIICredential: M.D.
Location Address6410 FANNIN ST, 600Houston, TX 77030-3000
Mailing AddressPo Box 301448Dallas, TX 75303-1448 · (713) 500-3500
Phone(832) 325-7100
Fax(713) 500-6722
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 1979
Enumeration DateJuly 17, 2006
Last NPPES UpdateDecember 4, 20232 updates tracked since enumeration
NPPES CertifiedDecember 4, 2023
✔ NPI 1063430445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · F4124
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.
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License F4124 (TX)
6410 FANNIN ST, Houston, TX 77030
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Other Identifiers 2

Medicaid134462404TX
Other81411JTX · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Philip C Johnson Iii 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 ID9133255219
PECOS Enrollment IDI20100327000634
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 7

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.

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.
371 services198 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
50 services31 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
28 services22 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
21 services21 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
19 services19 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Harris Health System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450289
Location2525 Holly HallHouston, TX 77054 · Harris County
Emergency services Birthing friendly

Memorial Hermann Memorial City Hospital

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450610
Location921 GessnerHouston, TX 77024 · Harris County
Emergency services Birthing friendly

Memorial Hermann Northeast Hospital

Acute Care Hospitals · Humble, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450684
Location18951 Memorial NorthHumble, TX 77338 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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

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
10 suppliers20 claims68 services$5.94 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.

EUGENIO A AGUILAR III MD PA
Clinic/Center (Ambulatory Surgical)
6410 FANNIN ST, SUITE 927
HOUSTON, TX 77030
Harris County (713) 797-0085
BELANIE G PEAVY ACNP
Nurse Practitioner (Acute Care)
6410 FANNIN ST, SUITE 1400
HOUSTON, TX 77030
Harris County (832) 325-7125
DR. NIVEDITA THAKUR M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
6410 FANNIN ST, UTPB 732
HOUSTON, TX 77030
Harris County (713) 500-7113
AMBER CHEN-GOODSPEED
Student in an Organized Health Care Education/Training Program
6410 FANNIN ST
HOUSTON, TX 77030
Harris County (832) 462-3983
OLASUNKANMI ADEYINKA M.D.
Family Medicine
6410 FANNIN ST, 250
HOUSTON, TX 77030
Harris County (832) 325-6500
KEVIN P LALLY M.D.
Surgery (Pediatric Surgery)
6410 FANNIN ST, 1400
HOUSTON, TX 77030
Harris County (832) 325-7234
DIANE M NOVY PH.D.
Psychologist
6410 FANNIN ST, 230
HOUSTON, TX 77030
Harris County (713) 704-3961
RAFAEL C BOTERO M.D.
Internal Medicine (Hepatology)
6410 FANNIN ST, 370
HOUSTON, TX 77030
Harris County (713) 704-6800

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 Philip Johnson's NPI number?

The NPI number for Philip Johnson is 1063430445. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Philip Johnson located?

Philip Johnson practices at 6410 Fannin St 600, Houston, TX 77030. The listed phone number is (832) 325-7100.

What is Philip Johnson's specialty?

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

Is Philip Johnson enrolled in Medicare?

Yes. Philip 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.

What insurance does Philip Johnson accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Philip 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.

Is Philip Johnson affiliated with any hospitals?

According to CMS data, Philip Johnson is affiliated with Memorial Hermann - Texas Medical Center, Memorial Hermann Hospital System, Harris Health System, Memorial Hermann Memorial City Hospital and Memorial Hermann Northeast Hospital.

When was this NPI record last updated?

The NPPES record for Philip Johnson was last updated on December 4, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.