DAVID A.L. JOHNSON M.D.
NPI 1093728677
Orthopaedic Surgery in Biddeford, ME

Active since August 14, 2006PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
10 WELLSPRING RD, BIDDEFORD, ME 04005(207) 283-1126 Get Directions Write a Review

NPPES record last updated: November 27, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David A.l. Johnson M.d. NPPES

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

DAVID A.L. JOHNSON M.D. (NPI 1093728677) is an individual orthopaedic surgery provider in Biddeford, Maine, licensed in Maine (017983) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of University Of Vermont College Of Medicine (1999).

NPPES Registry Identity

NPI1093728677
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDAVID A.L. JOHNSONCredential: M.D.
Location Address10 WELLSPRING RDBiddeford, ME 04005-9401
Mailing Address1 Medical Center DrBiddeford, ME 04005-9422 · (207) 282-9080 · Fax (207) 282-9180
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 1999
Enumeration DateAugust 14, 2006
Last NPPES UpdateNovember 27, 2012
NPI 1093728677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in ME · 017983
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

10 WELLSPRING RD, Biddeford, ME 04005

Other Identifiers 6

Medicaid1093728677ME
Medicaid433319099ME
Medicare PIN000907701ME
Other1093728677ME · Anthem
Other7318687ME · Aetna
OtherAA134371ME · Harvard Pilgrim Healthcare

Accepted Insurance

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

David A.l. 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 ID7214909852
PECOS Enrollment IDI20090113000304
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 14

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.

X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
152 services107 patients
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.
99 services76 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
61 services45 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.
50 services50 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
49 services45 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
46 services27 patients

Hospital Affiliations CMS Care Compare

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

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04005 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Physician Assistant (Surgical)
10 WELLSPRING RD
BIDDEFORD, ME 04005
Orthopaedic Surgery
10 WELLSPRING RD
BIDDEFORD, ME 04005

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 David Johnson's NPI number?

The NPI number for David Johnson is 1093728677. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is David Johnson located?

David Johnson practices at 10 Wellspring Rd, Biddeford, ME 04005. The listed phone number is (207) 283-1126.

What is David Johnson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is David Johnson enrolled in Medicare?

Yes. David 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.

What insurance does David Johnson accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list David Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is David Johnson affiliated with any hospitals?

According to CMS data, David Johnson is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for David Johnson was last updated on November 27, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.