QUENTIN WANDYKE JOHNSON MD
NPI 1124257886
Family Medicine in Rome, NY
About Quentin Wandyke Johnson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
QUENTIN WANDYKE JOHNSON MD (NPI 1124257886) is an individual family medicine provider in Rome, New York, licensed in New York (MD296906) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Quentin Wandyke Johnson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
6Medicare enrollment records show Quentin Johnson reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Utica, NY 13501
- Reassigned Medicare billing, New York enrollment
- 7 clinicians in this Medicare group
Utica, NY 13502
- Reassigned Medicare billing, New York enrollment
- 657 clinicians in this Medicare group
White Plains, NY 10601
- Reassigned Medicare billing, New York enrollment
- 167 clinicians in this Medicare group
New York, NY 10025
- Reassigned Medicare billing, New York enrollment
- 179 clinicians in this Medicare group
Frederick, MD 21701
- Reassigned Medicare billing, New York enrollment
- 158 clinicians in this Medicare group
Las Vegas, NV 89144
- Reassigned Medicare billing, New York enrollment
- 178 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.
Areas of Expertise CMS Part B claims 5
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13440 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Quentin Johnson's NPI number?
The NPI number for Quentin Johnson is 1124257886. It was assigned to this individual provider in the NPPES registry on July 2, 2009.
Where is Quentin Johnson located?
Quentin Johnson practices at 6514 State Route 26, Rome, NY 13440. The listed phone number is (315) 339-5232.
What is Quentin Johnson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Quentin Johnson enrolled in Medicare?
Yes. Quentin Johnson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Quentin Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Quentin Johnson reassigns Medicare benefits to 6 organizations: Primary Care Metabolic Disorders Medical Practice, PLLC (Utica, NY), Mvhs Inc (Utica, NY), Hospitalist Healthcare Services PLLC (White Plains, NY), New York General Medical Services PC (New York, NY), Cs Pacs 3 Northeast, LLC (Frederick, MD) and 1 more organization, listed in the Medicare section above. Each 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 Quentin Johnson'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 Quentin Johnson was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Quentin Wandyke Johnson, MD · NPI 1124257886
Family Medicine physician in Rome, New York. Individual provider, active in the CMS NPPES registry since July 2, 2009.
## Identity
- **NPI:** 1124257886 (Entity type: Individual)
- **Enumerated:** July 2, 2009
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD296906 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 6514 STATE ROUTE 26, Rome, NY 13440-8079
- **Phone:** (315) 339-5232 · **Fax:** (315) 339-3698
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Primary Care Metabolic Disorders Medical Practice, PLLC (NPI 1942833835, Utica, NY); Mvhs Inc (NPI 1770690737, Utica, NY); Hospitalist Healthcare Services PLLC (NPI 1275962011, White Plains, NY); New York General Medical Services PC (NPI 1700315538, New York, NY); Cs Pacs 3 Northeast, LLC (NPI 1093598898, Frederick, MD); and 1 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1124257886) · Data from the CMS NPPES public registry.