ROBERT G JOHNSON MD
NPI 1114021722
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Ocean Springs, MS

Q: What is Robert Johnson's NPI number?

The NPI number for Robert Johnson is 1114021722. It was assigned to this individual provider in the NPPES registry on September 12, 2006.

Q: What is Robert Johnson's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Johnson was last updated on August 17, 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.

Active since September 12, 2006PECOS EnrolledAccepts Medicare Assignment

3603 BIENVILLE BLVD STE 103, OCEAN SPRINGS, MS 39564(228) 762-3000(228) 818-4151 Get Directions Write a Review

NPPES record last updated: August 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 17, 2022, Dec 21, 2015 (2 updates tracked since 2015).

On this page

About Robert G Johnson Md NPPES

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

ROBERT G JOHNSON MD (NPI 1114021722) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Ocean Springs, Mississippi, licensed in Missouri (1999138149) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Singing River Gulfport, and maintains a secondary practice location in Pascagoula.

NPPES Registry Identity

NPI1114021722

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameROBERT G JOHNSONCredential: MD

Location Address3603 BIENVILLE BLVD STE 103Ocean Springs, MS 39564-5736

Mailing Address2101 Highway 90Gautier, MS 39553-5340 · (228) 497-7576 · Fax (228) 497-8869

Phone(228) 762-3000

Fax(228) 818-4151

Sole ProprietorNo

Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1978

Enumeration DateSeptember 12, 2006

Last NPPES UpdateAugust 17, 20222 updates tracked since enumeration

NPPES CertifiedAugust 17, 2022

✔ NPI 1114021722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in MO · 1999138149

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

3603 BIENVILLE BLVD STE 103, Ocean Springs, MS 39564

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Secondary Practice Location 1

Location 14300 Hospital St Ste 106Pascagoula, MS 39581-5306 · Phone (228) 762-3000 · Fax (228) 762-3026

Other Identifiers 1

Medicaid07084205MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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

Robert G 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 ID5597848887

PECOS Enrollment IDI20120319000239

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.

Singing River Gulfport

Acute Care Hospitals · Gulfport, MS

1/5 CMS rating

OwnershipProprietary

CMS Certification Number250123

Location15200 Community RoadGulfport, MS 39503 · Harrison County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39564 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

$159.18 typical visit price

range $51.65 – $159.18

Typical copayment $39.79 (range $12.91 – $39.79)

Most-billed visit code 99205

Established Patient

$64.96 typical visit price

range $16.15 – $129.61

Typical copayment $16.24 (range $4.03 – $32.40)

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.

Other Providers at the Same Location NPPES 5

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

DR. RISHI ASHOK ROY M.D.

Surgery (Vascular Surgery)