Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CAMERON DAVID JOHNSON DO
NPI 1063917987
Emergency Medicine in Cloquet, MN

Q: What is Cameron Johnson's NPI number?

The NPI number for Cameron Johnson is 1063917987. It was assigned to this individual provider in the NPPES registry on March 25, 2018.

Q: What is Cameron Johnson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Cameron Johnson was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.

Active since March 25, 2018PECOS Enrolled

512 SKYLINE BLVD, CLOQUET, MN 55720(218) 879-4641 Get Directions Write a Review

NPPES record last updated: October 27, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 27, 2026, Jul 9, 2021, Mar 25, 2018 (3 updates tracked since 2018).

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About Cameron David Johnson Do NPPES

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

CAMERON DAVID JOHNSON DO (NPI 1063917987) is an individual emergency medicine provider in Cloquet, Minnesota, licensed in Minnesota (69336) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and maintains a secondary practice location in Duluth.

NPPES Registry Identity

NPI1063917987

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameCAMERON DAVID JOHNSONCredential: DO

Location Address512 SKYLINE BLVDCloquet, MN 55720-3787

Mailing Address512 Skyline BlvdCloquet, MN 55720-3787 · (218) 879-4641

Phone(218) 879-4641

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMarch 25, 2018

Last NPPES UpdateOctober 27, 20263 updates tracked since enumeration

NPPES CertifiedOctober 27, 2026

✔ NPI 1063917987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in MN · 69336

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

512 SKYLINE BLVD, Cloquet, MN 55720

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Secondary Practice Location 1

Location 11012 E 2nd StDuluth, MN 55805-2200 · Phone (218) 249-5555

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cameron David Johnson Do 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 ID2264861418

PECOS Enrollment IDI20210722000858

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.

Medicare Billing Reassignments

Medicare enrollment records show Cameron Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Memorial Hospital Association

Same address

Critical Access

512 SKYLINE BLVD
Cloquet, MN 55720

Reassigned Medicare billing, Minnesota enrollment
93 clinicians in this Medicare group

NPI 1003869082 (218) 879-4641

St. Luke's Hospital Of Duluth

0.1 mi

Clinic/Center

707 HIGHWAY 33 S STE 19
Cloquet, MN 55720

Reassigned Medicare billing, Minnesota enrollment
513 clinicians in this Medicare group

NPI 1528937463 (218) 879-4641

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

117 services111 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

98 services95 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

40 services39 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

St Lukes Hospital

Acute Care Hospitals · Duluth, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240047

Location915 East 1st StreetDuluth, MN 55805 · St. Louis County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55720 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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 20

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

COMMUNITY MEMORIAL HOSPITAL ASSOCIATION

General Acute Care Hospital (Critical Access)