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RON MICHAEL JOHNSON MD
NPI 1093771081
Surgery - Plastic and Reconstructive Surgery in Kettering, OH

Active since April 26, 2006PECOS EnrolledAccepts Medicare Assignment
77.04/100
CMS Quality Rating
580 LINCOLN PARK BLVD, SUITE 255, KETTERING, OH 45429(937) 949-8457(937) 949-8695 Get Directions Write a Review

NPPES record last updated: November 22, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 22, 2022, Dec 20, 2018 (2 updates tracked since 2018).

About Ron Michael Johnson Md NPPES

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

RON MICHAEL JOHNSON MD (NPI 1093771081) is an individual plastic and reconstructive surgery provider in Kettering, Ohio, licensed in Ohio (35059517) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and maintains a secondary practice location in Dayton.

NPPES Registry Identity

NPI1093771081
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameRON MICHAEL JOHNSONCredential: MD
Location Address580 LINCOLN PARK BLVD, SUITE 255Kettering, OH 45429-3474
Mailing Address580 Lincoln Park Blvd, Suite 255Kettering, OH 45429-3474 · (937) 949-8457 · Fax (937) 949-8695
Phone(937) 949-8457
Fax(937) 949-8695
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1988
Enumeration DateApril 26, 2006
Last NPPES UpdateNovember 22, 20222 updates tracked since enumeration
NPPES CertifiedNovember 22, 2022
✔ NPI 1093771081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in OH · 35059517
Definition
A surgeon who specializes in plastic and reconstructive surgery.
580 LINCOLN PARK BLVD, Kettering, OH 45429
Open in Google Maps ↗

Secondary Practice Location 1

Location 130 E Apple St, Suite 6257Dayton, OH 45409-2939 · Phone (937) 208-3999 · Fax (937) 208-3682

Other Identifiers 1

Medicaid0878699OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Ron Michael Johnson Md 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 ID4789604745
PECOS Enrollment IDI20051206000219
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 Ron Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advanced Breast & Cosmetic Surgery Inc
Same address
Plastic Surgery
580 LINCOLN PARK BLVD STE 255
Kettering, OH 45429
  • Reassigned Medicare billing, Ohio enrollment
  • 4 clinicians in this Medicare group
NPI 1811098452 (937) 949-8457

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 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
81 services27 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.
43 services24 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
43 services41 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.
40 services25 patients
Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271
This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.
32 services17 patients
Preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less 15002
This procedure involves preparing a specific area of the body (trunk, arms, or legs) for a skin graft. The area is cleaned and any dead tissue is removed to ensure a successful graft. The procedure covers an area of 100.0 sq cm or 1% of a child's body.
25 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360174
Location3130 North County Road 25ATroy, OH 45373 · Miami County
Emergency services Birthing friendly

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.

77.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.82
Promoting Interoperability100
Improvement Activities40
Cost48.67

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
4 suppliers11 claims1,130 services$0.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

INTERVENTIONAL PATHOLOGY OF OHIO LLC
Pathology (Anatomic Pathology & Clinical Pathology)
580 LINCOLN PARK BLVD, 344
KETTERING, OH 45429
Montgomery County (937) 825-0274
HANS ZWART, M.D. AND ASSOCIATES, INC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
580 LINCOLN PARK BLVD, SUITE 322
KETTERING, OH 45429
Montgomery County (937) 297-6800
MICHAEL T LA NOU PA
Physician Assistant
580 LINCOLN PARK BLVD, SUITE 322
KETTERING, OH 45429
Montgomery County (937) 297-6800
MR. DOUGLAS TIDWELL CCP
Perfusionist
580 LINCOLN PARK BLVD, SUITE 322
KETTERING, OH 45429
Montgomery County (937) 297-6800
MR. AARON JOSEPH SIEFKER CCP
Perfusionist
580 LINCOLN PARK BLVD, SUITE 322
KETTERING, OH 45429
Montgomery County (937) 297-6800
TODD L HICKS MD
Surgery (Plastic and Reconstructive Surgery)
580 LINCOLN PARK BLVD, STE 300
DAYTON, OH 45429
Montgomery County (937) 396-8001
PREMIER HEALTH SPECIALISTS INC
Surgery (Plastic and Reconstructive Surgery)
580 LINCOLN PARK BLVD, SUITE 300
KETTERING, OH 45429
Montgomery County (937) 396-8001
MS. SHARON HALTER CCP
Perfusionist
580 LINCOLN PARK BLVD, SUITE 322
KETTERING, OH 45429
Montgomery County (937) 297-6800

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 Ron Johnson's NPI number?

The NPI number for Ron Johnson is 1093771081. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Ron Johnson located?

Ron Johnson practices at 580 Lincoln Park Blvd Suite 255, Kettering, OH 45429. The listed phone number is (937) 949-8457.

What is Ron Johnson's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Ron Johnson enrolled in Medicare?

Yes. Ron 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.

Which organization bills Medicare for Ron Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ron Johnson reassigns Medicare benefits to Advanced Breast & Cosmetic Surgery Inc (Kettering, OH). 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 Ron Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ron Johnson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Ron 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 Ron Johnson affiliated with any hospitals?

According to CMS data, Ron Johnson is affiliated with Miami Valley Hospital, Kettering Health Dayton and Upper Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Ron Johnson was last updated on November 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.