MR. THOMAS M JOHNSON PA-C
NPI 1063489623
Physician Assistant in Erie, PA

Active since March 02, 2006PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
204 W 26TH ST, ERIE, PA 16508(814) 864-4755(814) 864-5430 Get Directions Write a Review

NPPES record last updated: October 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 2, 2020, Jun 15, 2020 (2 updates tracked since 2020).

About Mr. Thomas M Johnson Pa-c NPPES

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

MR. THOMAS M JOHNSON PA-C (NPI 1063489623) is an individual physician assistant in Erie, Pennsylvania, licensed in Pennsylvania (MA051837) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Vincent Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1063489623
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. THOMAS M JOHNSONCredential: PA-C
Location Address204 W 26TH STErie, PA 16508-1806
Mailing Address204 W 26th StErie, PA 16508-1806 · (814) 864-4755 · Fax (814) 864-5430
Fax(814) 864-5430
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMarch 2, 2006
Last NPPES UpdateOctober 2, 20202 updates tracked since enumeration
NPPES CertifiedOctober 2, 2020
NPI 1063489623 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 PA · MA051837
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.
204 W 26TH ST, Erie, PA 16508

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

Mr. Thomas M Johnson Pa-c 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 ID4789644113
PECOS Enrollment IDI20041012000169
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 4

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 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.
586 services544 patients
Outpatient heart rehabilitation with electrocardiogram (ecg) monitoring, quality health care professional services 93798
Outpatient heart rehabilitation involves regular visits to a clinic for heart health improvement after a cardiac event. During these sessions, an electrocardiogram (ECG) monitors heart activity, while healthcare professionals provide personalized care and education on lifestyle changes, ensuring a safe recovery and reducing future heart risks.
200 services41 patients
Professional services for outpatient pulmonary rehabilitation, per session 94625
Outpatient pulmonary rehabilitation is a program designed to improve lung function and quality of life for individuals with lung conditions. Each session may include exercises, education, and support tailored to your needs, all under professional supervision.
163 services11 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
36 services36 patients

Hospital Affiliations CMS Care Compare

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

Saint Vincent Hospital

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390009
Location232 West 25th StreetErie, PA 16544 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16508 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 19

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
11 suppliers126 claims126 services$37.42 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
10 suppliers222 claims222 services$90.89 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
9 suppliers222 claims595 services$34.65 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
13 suppliers147 claims796 services$18.06 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
10 suppliers93 claims496 services$14.50 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
17 suppliers234 claims234 services$54.21 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.

Internal Medicine (Pulmonary Disease)
204 W 26TH ST
ERIE, PA 16508
Nurse Practitioner (Acute Care)
204 W 26TH ST
ERIE, PA 16508
Nurse Practitioner
204 W 26TH ST
ERIE, PA 16508
Internal Medicine (Critical Care Medicine)
204 W 26TH ST
ERIE, PA 16508
Orthopaedic Surgery
204 W 26TH ST
ERIE, PA 16508
Internal Medicine (Sleep Medicine)
204 W 26TH ST
ERIE, PA 16508
Internal Medicine (Pulmonary Disease)
204 W 26TH ST
ERIE, PA 16508
Internal Medicine (Pulmonary Disease)
204 W 26TH ST
ERIE, PA 16508

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 Thomas Johnson's NPI number?

The NPI number for Thomas Johnson is 1063489623. It was assigned to this individual provider in the NPPES registry on March 2, 2006.

Where is Thomas Johnson located?

Thomas Johnson practices at 204 W 26th St, Erie, PA 16508. The listed phone number is (814) 864-4755.

What is Thomas Johnson's specialty?

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

Is Thomas Johnson enrolled in Medicare?

Yes. Thomas 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 Thomas Johnson affiliated with any hospitals?

According to CMS data, Thomas Johnson is affiliated with Saint Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Johnson was last updated on October 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.