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DR. SCOTT RAYMOND JOHNSON MD
NPI 1104896133
Surgery in Lewiston, ME

Active since January 24, 2006PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
12 HIGH ST STE 401, LEWISTON, ME 04240(207) 795-5767(207) 795-2732 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Jan 15, 2018, Nov 28, 2017 (3 updates tracked since 2017).

About Dr. Scott Raymond Johnson Md NPPES

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

DR. SCOTT RAYMOND JOHNSON MD (NPI 1104896133) is an individual surgery provider in Lewiston, Maine, licensed in Maine (MD21930) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Central Maine Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1104896133
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. SCOTT RAYMOND JOHNSONCredential: MD
Location Address12 HIGH ST STE 401Lewiston, ME 04240-7690
Mailing Address12 High StLewiston, ME 04240-7676 · (207) 795-5767 · Fax (207) 795-2732
Phone(207) 795-5767
Fax(207) 795-2732
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1992
Enumeration DateJanuary 24, 2006
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
✔ NPI 1104896133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in ME · MD21930
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedTransplant SurgeryTaxonomy 204F00000X · License 216275 (MA)
12 HIGH ST STE 401, Lewiston, ME 04240
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Secondary Practice Locations 4

Location 1420 Franklin StRumford, ME 04276-2104 · Phone (207) 369-1106 · Fax (207) 369-1180
Location 2110 Francis St, LMOB 7Boston, MA 02215-5501 · Phone (617) 632-9824 · Fax (617) 632-9820
Location 312 High St Ste 401Lewiston, ME 04240-7690 · Phone (207) 795-5767 · Fax (207) 795-2732
Location 425 Hospital DrBridgton, ME 04009-1167 · Phone (207) 647-4234 · Fax (207) 647-6260

Other Identifiers 3

Other0184144MA · Masshealth
OtherJ25610MA · Blue Cross
Other216275MA · Tufts Health Plan

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

Dr. Scott Raymond 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 ID1153398664
PECOS Enrollment IDI20180116000085
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.

Hospital Affiliations CMS Care Compare

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

Central Maine Medical Center

Acute Care Hospitals · Lewiston, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200024
Location300 Main StreetLewiston, ME 04240 · Androscoggin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04240 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
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 10

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

DAVID S LEWIS M.D.
Surgery
12 HIGH ST STE 401
LEWISTON, ME 04240
Androscoggin County (207) 795-5767
GEORGE RANDOLPH TUCHSEN MD
Surgery
12 HIGH ST STE 401
LEWISTON, ME 04240
Androscoggin County (207) 795-5767
ALYSSA MAE GUNVILLE PA
Physician Assistant (Surgical)
12 HIGH ST STE 401
LEWISTON, ME 04240
Androscoggin County (207) 795-5767
DR. THOMAS JAMES BORO JR. M.D.
Surgery
12 HIGH ST STE 401
LEWISTON, ME 04240
Androscoggin County (207) 795-5767
AIMEE LYNN MCKEEN AGACNP
Nurse Practitioner (Acute Care)
12 HIGH ST STE 401
LEWISTON, ME 04240
Androscoggin County (207) 795-5767
CHRISTINA ANN TUCHSEN AGAC-NP
Nurse Practitioner (Acute Care)
12 HIGH ST STE 401
LEWISTON, ME 04240
Androscoggin County (207) 795-2494
HEATHER S CARPENTER NP
Nurse Practitioner
12 HIGH ST STE 401
LEWISTON, ME 04240
Androscoggin County (207) 795-5767
DANIELLE MEADER PA-C
Physician Assistant
12 HIGH ST STE 401
LEWISTON, ME 04240
Androscoggin County (207) 795-5710

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 Scott Johnson's NPI number?

The NPI number for Scott Johnson is 1104896133. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Where is Scott Johnson located?

Scott Johnson practices at 12 High St Ste 401, Lewiston, ME 04240. The listed phone number is (207) 795-5767.

What is Scott Johnson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Scott Johnson enrolled in Medicare?

Yes. Scott 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.

Is Scott Johnson affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Scott Johnson was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.