DR. DARLENE G. JOHNSON M.D.
NPI 1104851815
General Practice in Oklahoma City, OK
NPI Status: Active since July 11, 2006
Contact Information
9220 S PENNSYLVANIA AVE
SUITE B
OKLAHOMA CITY, OK
ZIP 73159
Phone: (405) 692-1331
Fax: (405) 692-0082
- Individual
- Female
- General Practice
- PECOS Enrolled
- Medicare Quality Reporting
About DARLENE JOHNSON
This page provides the complete NPI Profile along with additional information for Darlene Johnson, a primary care provider established in Oklahoma City, Oklahoma with a medical specialization in General Practice. The healthcare provider is registered in the NPI registry with number 1104851815 assigned on July 2006. The practitioner's primary taxonomy code is 208D00000X with license number 16599 (OK). The provider is registered as an individual and her NPI record was last updated 10 years ago.
- NPI
- 1104851815
- Provider Name
- DR. DARLENE G. JOHNSON M.D.
- Other Name
- DR. DARLENE GUINETTE JOHNSON M.D.
- Other Name Type
- Other Name (5)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 9220 S PENNSYLVANIA AVE SUITE B OKLAHOMA CITY, OK 73159
- Location Phone
- (405) 692-1331
- Location Fax
- (405) 692-0082
- Mailing Address
- 9220 S PENNSYLVANIA AVE SUITE B OKLAHOMA CITY, OK 73159
- Mailing Phone
- (405) 692-1331
- Mailing Fax
- (405) 692-0082
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-11-2006
- Last Update Date
- 01-14-2016
- Code Navigator
A primary care provider (PCP) like Darlene Johnson sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 16599
- License State
- OK
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| D39239 | MEDICARE UPIN (02) | OK | |
| $$$$$$$$$ | MEDICARE PIN (08) | OK | |
| 731382009 | OTHER (01) | OK | BCBS |
Medicare Participation & PECOS Enrollment Status
Darlene Johnson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE001N)
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap (HCPCS:A7034)
2 DME suppliers used 12 Medicare Claims 12 Services Paid
DME-Other DME (DE017N)
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service (HCPCS:K0553)
1 DME suppliers used 12 Medicare Claims 12 Services Paid
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Pneumococcal Vaccination Status for Older Adults | 99% | 76 |
| Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
Reviews for DR. DARLENE G. JOHNSON M.D.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104851815, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
OKLAHOMA CITY, OK 73159
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104851815, enumerated as an "individual" on July 11, 2006.
The provider is located at 9220 S PENNSYLVANIA AVE SUITE B OKLAHOMA CITY, OK 73159 and the phone number is (405) 692-1331.
General Practice with taxonomy code 208D00000X.
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.
