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DR. RICHARD OWEN JOHNSON MD
NPI 1063528362
Pediatrics in Mammoth Lakes, CA

Active since August 21, 2006PECOS Enrolled
85 SIERRA PARK ROAD, SUITE A, MAMMOTH LAKES, CA 93546(760) 924-4000(760) 924-4091 Get Directions Write a Review

NPPES record last updated: April 16, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Richard Owen Johnson Md NPPES

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

DR. RICHARD OWEN JOHNSON MD (NPI 1063528362) is an individual pediatrics provider in Mammoth Lakes, California, licensed in California (G29540) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063528362
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. RICHARD OWEN JOHNSONCredential: MD
Location Address85 SIERRA PARK ROAD, SUITE AMammoth Lakes, CA 93546
Mailing AddressPo Box 660Mammoth Lakes, CA 93546-0660 · (760) 924-4000 · Fax (760) 924-4091
Phone(760) 924-4000
Fax(760) 924-4091
Sole ProprietorNo
Enumeration DateAugust 21, 2006
Last NPPES UpdateApril 16, 2013
✔ NPI 1063528362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · G29540
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
85 SIERRA PARK ROAD, Mammoth Lakes, CA 93546
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Other Identifiers 2

Medicare UPINF79442
Medicaid00G295401CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Richard Owen 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 93546 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CANCER DETECTION PROGRAM
General Acute Care Hospital (Rural)
85 SIERRA PARK ROAD
MAMMOTH LAKES, CA 93546
Mono County (760) 934-3311
MR. GARY MYERS PT
Physical Therapist
85 SIERRA PARK ROAD
MAMMOTH LAKES, CA 93546
Mono County (760) 934-3311
SOUTHERN MONO HEALTH CARE DISTRICT
General Acute Care Hospital (Critical Access)
85 SIERRA PARK ROAD
MAMMOTH LAKES, CA 93546
Mono County (760) 872-6749
CANCER DETECTION PROGRAM
General Acute Care Hospital (Critical Access)
85 SIERRA PARK ROAD
MAMMOTH LAKES, CA 93546
Mono County (760) 934-3311
PACT OUT PATIENT
General Acute Care Hospital (Critical Access)
85 SIERRA PARK ROAD
MAMMOTH LAKES, CA 93546
Mono County (760) 934-3311
MARY BATHEN BISSELL M.D.
Pediatrics
85 SIERRA PARK ROAD
MAMMOTH LAKES, CA 93546
Mono County (760) 924-4012
DR. NANCY THOMAS AKALIN PH.D.
Psychologist (Clinical)
85 SIERRA PARK ROAD, MAMMOTH HOSPITAL
MAMMOTH LAKES, CA 93546
Mono County (760) 924-4000
DEANNA S DEAN BSN, RN, CNOR, RNASC
Registered Nurse (Registered Nurse First Assistant)
85 SIERRA PARK ROAD, PO BOX 660
MAMMOTH LAKES, CA 93546
Mono County (760) 934-3311

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 Richard Johnson's NPI number?

The NPI number for Richard Johnson is 1063528362. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Richard Johnson located?

Richard Johnson practices at 85 Sierra Park Road Suite A, Mammoth Lakes, CA 93546. The listed phone number is (760) 924-4000.

What is Richard Johnson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Richard Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Richard Johnson was last updated on April 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.