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DR. TEDDY R JOHNSON DPM
NPI 1073576062
Podiatrist - Foot & Ankle Surgery in Wytheville, VA

Active since April 10, 2006PECOS Enrolled
680 W MONROE ST, WYTHEVILLE, VA 24382(276) 228-2212(276) 228-7835 Get Directions Write a Review

NPPES record last updated: October 25, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Teddy R Johnson Dpm NPPES

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

DR. TEDDY R JOHNSON DPM (NPI 1073576062) is an individual foot & ankle surgery provider in Wytheville, Virginia, licensed in Virginia (0103000769) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073576062
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. TEDDY R JOHNSONCredential: DPM
Location Address680 W MONROE STWytheville, VA 24382-2240
Mailing Address680 W Monroe StWytheville, VA 24382-2240 · (276) 228-2212 · Fax (276) 228-7835
Phone(276) 228-2212
Fax(276) 228-7835
Sole ProprietorNo
Enumeration DateApril 10, 2006
Last NPPES UpdateOctober 25, 2007
✔ NPI 1073576062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in VA · 0103000769
680 W MONROE ST, Wytheville, VA 24382
Open in Google Maps ↗

Other Identifiers 7

Other324208VA · Anthem
Other101908VA · Anthem
Other9020630VA · Cigna
Medicare UPINT21741VA
Other5442037VA · Aetna
Other324212VA · Anthem
Other101911VA · Anthem

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Teddy R Johnson Dpm 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.

Medicare Billing Reassignment

Medicare enrollment records show Teddy Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Soutwest Podiatry, P.C.
24 mi
Foot & Ankle Surgery
680 W MONROE ST
Wytheville, VA 24382
  • Reassigned Medicare billing, Virginia enrollment
  • 6 clinicians in this Medicare group
NPI 1942256490 (276) 228-2212

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

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.

Reported Quality Measures

Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
6%260 patients1/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
22%2,280 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%662 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
30%986 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
20%1,702 patients1/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
16%1,483 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 17% · 440 patients
Patients tobacco: 50% · 429 patients
25%36 patients2/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
55%1,702 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
5%1,702 patients1/55-star benchmark: 59%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 2% · 744 patients
3%744 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

BRETT BURTON DPM
Podiatrist (Foot & Ankle Surgery)
680 W MONROE ST
WYTHEVILLE, VA 24382
Wythe County (762) 282-2122
DR. JANET E. BECHTEL DPM
Podiatrist (Foot & Ankle Surgery)
680 W MONROE ST
WYTHEVILLE, VA 24382
Wythe County (276) 228-2212
SOUTWEST PODIATRY, P.C.
Podiatrist (Foot & Ankle Surgery)
680 W MONROE ST
WYTHEVILLE, VA 24382
Wythe County (276) 228-2212
DR. HEATHER B PEARMAN DPM
Podiatrist (Foot & Ankle Surgery)
680 W MONROE ST
WYTHEVILLE, VA 24382
Wythe County (276) 228-2212

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 Teddy Johnson's NPI number?

The NPI number for Teddy Johnson is 1073576062. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Teddy Johnson located?

Teddy Johnson practices at 680 W Monroe St, Wytheville, VA 24382. The listed phone number is (276) 228-2212.

What is Teddy Johnson's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Teddy Johnson enrolled in Medicare?

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

Which organization bills Medicare for Teddy Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teddy Johnson reassigns Medicare benefits to Soutwest Podiatry, P.C. (Wytheville, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Teddy Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Teddy Johnson was last updated on October 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.