DR. PAUL RONALD JOHNSON M.D.
NPI 1124381710
Orthopaedic Surgery in Pewaukee, WI

Active since June 19, 2012PECOS EnrolledAccepts Medicare Assignment
N15W28300 GOLF RD, PEWAUKEE, WI 53072(262) 303-5055(262) 303-5057 Get Directions Write a Review

NPPES record last updated: November 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 5, 2019, Aug 2, 2018 (2 updates tracked since 2018).

About Dr. Paul Ronald Johnson M.d. NPPES

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

DR. PAUL RONALD JOHNSON M.D. (NPI 1124381710) is an individual orthopaedic surgery provider in Pewaukee, Wisconsin, licensed in Wisconsin (69298) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Medical College Of Wisconsin (2012).

NPPES Registry Identity

NPI1124381710
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. PAUL RONALD JOHNSONCredential: M.D.
Location AddressN15W28300 GOLF RDPewaukee, WI 53072
Mailing AddressN15w28300 Golf RdPewaukee, WI 53072-4800 · (262) 303-5055 · Fax (262) 303-5027
Fax(262) 303-5057
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2012
Enumeration DateJune 19, 2012
Last NPPES UpdateNovember 5, 20192 updates tracked since enumeration
NPI 1124381710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in WI · 69298
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
N15W28300 GOLF RD, Pewaukee, WI 53072

Other Identifiers 1

Medicaid1124381710WI

Accepted 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

Dr. Paul Ronald Johnson M.d. 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 ID1052543923
PECOS Enrollment IDI20180730000904
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.

Areas of Expertise CMS Part B claims 18

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
198 services154 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
114 services97 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
109 services109 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
93 services62 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
58 services52 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
56 services56 patients

Hospital Affiliations CMS Care Compare 2

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Oconomowoc Memorial Hospital

Acute Care Hospitals · Oconomowoc, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520062
Location791 E Summit AveOconomowoc, WI 53066 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53072 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 20

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

Clinic/Center (Ambulatory Surgical)
N15W28300 GOLF RD
PEWAUKEE, WI 53072
Physical Therapist
N15W28300 GOLF RD
PEWAUKEE, WI 53072
Orthopaedic Surgery
N15W28300 GOLF RD
PEWAUKEE, WI 53072
Orthopaedic Surgery
N15W28300 GOLF RD
PEWAUKEE, WI 53072
Anesthesiology
N15W28300 GOLF RD
PEWAUKEE, WI 53072
Physical Therapist
N15W28300 GOLF RD
PEWAUKEE, WI 53072
Orthopaedic Surgery
N15W28300 GOLF RD
PEWAUKEE, WI 53072
Nurse Practitioner
N15W28300 GOLF RD
PEWAUKEE, WI 53072

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 Paul Johnson's NPI number?

The NPI number for Paul Johnson is 1124381710. It was assigned to this individual provider in the NPPES registry on June 19, 2012.

Where is Paul Johnson located?

Paul Johnson practices at N15w28300 Golf Rd, Pewaukee, WI 53072. The listed phone number is (262) 303-5055.

What is Paul Johnson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Paul Johnson enrolled in Medicare?

Yes. Paul 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.

What insurance does Paul Johnson accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list Paul Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Paul Johnson affiliated with any hospitals?

According to CMS data, Paul Johnson is affiliated with Waukesha Memorial Hospital and Oconomowoc Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Paul Johnson was last updated on November 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.