DR. JERRY LAMAR JOHNSTON D.D.S.
NPI 1124148689
Dentist in Ruston, LA

Active since March 29, 2007PECOS Enrolled
306 E REYNOLDS DR, RUSTON, LA 71270(318) 255-6780(318) 255-6778 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jerry Lamar Johnston D.d.s. NPPES

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

DR. JERRY LAMAR JOHNSTON D.D.S. (NPI 1124148689) is an individual dentist in Ruston, Louisiana, licensed in Louisiana (3839) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124148689
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JERRY LAMAR JOHNSTONCredential: D.D.S.
Location Address306 E REYNOLDS DRRuston, LA 71270-2846
Mailing Address306 E Reynolds DrRuston, LA 71270-2846 · (318) 255-6780 · Fax (318) 255-6778
Fax(318) 255-6778
Sole ProprietorNo
Enumeration DateMarch 29, 2007
Last NPPES UpdateNovember 2, 2022
NPPES CertifiedNovember 2, 2022
✔ NPI 1124148689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in LA · 3839
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
306 E REYNOLDS DR, Ruston, LA 71270

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jerry Lamar Johnston D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jerry Johnston reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dentist
306 E REYNOLDS DR
Ruston, LA 71270
  • Reassigned Medicare billing, Louisiana enrollment
  • 2 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71270 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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 4

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

Dentist
306 E REYNOLDS DR, SUITE 1
RUSTON, LA 71270
Dentist
306 E REYNOLDS DR
RUSTON, LA 71270
Dentist
306 E REYNOLDS DR, SUITE 1
RUSTON, LA 71270
Dentist (General Practice)
306 E REYNOLDS DR, SUITE B
RUSTON, LA 71270

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 Jerry Johnston's NPI number?

The NPI number for Jerry Johnston is 1124148689. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Jerry Johnston located?

Jerry Johnston practices at 306 E Reynolds Dr, Ruston, LA 71270. The listed phone number is (318) 255-6780.

What is Jerry Johnston's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jerry Johnston enrolled in Medicare?

Yes. Jerry Johnston is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jerry Johnston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Johnston reassigns Medicare benefits to Johnston And Murphy Dental Care LLC (Ruston, LA). 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 Jerry Johnston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jerry Johnston was last updated on November 2, 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.