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DR. BETHELEN J JOHNSON M.D.
NPI 1063515856
Obstetrics & Gynecology in Davis, CA

Active since September 07, 2006PECOS EnrolledAccepts Medicare Assignment
2020 SUTTER PL, #203, DAVIS, CA 95616(530) 750-5880(530) 750-5881 Get Directions Write a Review

NPPES record last updated: July 31, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Bethelen J Johnson M.d. NPPES

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

DR. BETHELEN J JOHNSON M.D. (NPI 1063515856) is an individual obstetrics & gynecology provider in Davis, California, licensed in California (A63157) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (1995).

NPPES Registry Identity

NPI1063515856
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. BETHELEN J JOHNSONCredential: M.D.
Location Address2020 SUTTER PL, #203Davis, CA 95616-6201
Mailing Address10470 Old Placerville Rd, Suite 100Sacramento, CA 95827-2539 · (800) 470-0071
Phone(530) 750-5880
Fax(530) 750-5881
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 1995
Enumeration DateSeptember 7, 2006
Last NPPES UpdateJuly 31, 2015
✔ NPI 1063515856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · A63157
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2020 SUTTER PL, Davis, CA 95616
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Other Identifiers 4

Medicaid00A631570CA
Medicare UPING87192
Medicare ID-Type Unspecified00A631571
Medicare PIN00A631572CA

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

Dr. Bethelen J Johnson 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 ID9436218104
PECOS Enrollment IDI20081110000695
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 95616 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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.

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.

ALICE M VAN ALSTINE MD
Family Medicine
2020 SUTTER PL, #101
DAVIS, CA 95616
Yolo County (530) 750-5900
SCOTT MCINTOSH PORTER M.D.
Orthopaedic Surgery
2020 SUTTER PL, SUITE 104
DAVIS, CA 95616
Yolo County (530) 750-5900
ARFAN DIN DO
Family Medicine
2020 SUTTER PL, #101
DAVIS, CA 95616
Yolo County (530) 750-5900
ANNE MARIE BISSON PA
Physician Assistant
2020 SUTTER PL, SUITE 100
DAVIS, CA 95616
Yolo County (530) 750-5830
JAMES W. EUSEBIO M.D.
Pediatrics
2020 SUTTER PL, SUITE 201
DAVIS, CA 95616
Yolo County (530) 750-5959
JESSICA LYNN WITTY NAGEL CNM
Advanced Practice Midwife
2020 SUTTER PL, SUITE 203
DAVIS, CA 95616
Yolo County (530) 750-5880
DR. JUSTINE NATASHA LAUBLY M.D.
Family Medicine
2020 SUTTER PL, STE. 101
DAVIS, CA 95616
Yolo County (530) 750-5900
DR. STUART F. HOBBS M.D.
Family Medicine
2020 SUTTER PL, SUITE 101
DAVIS, CA 95616
Yolo County (530) 750-5900

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 Bethelen Johnson's NPI number?

The NPI number for Bethelen Johnson is 1063515856. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Bethelen Johnson located?

Bethelen Johnson practices at 2020 Sutter Pl #203, Davis, CA 95616. The listed phone number is (530) 750-5880.

What is Bethelen Johnson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Bethelen Johnson enrolled in Medicare?

Yes. Bethelen 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.

When was this NPI record last updated?

The NPPES record for Bethelen Johnson was last updated on July 31, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.