CAITLIN JOHNSTON PA-C
NPI 1124400171
Physician Assistant in Oshkosh, WI

Active since June 26, 2015PECOS EnrolledAccepts Medicare Assignment
97.83/100
CMS Quality Rating
855 N WESTHAVEN DR, OSHKOSH, WI 54904(920) 303-8700(920) 456-7601 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Mar 29, 2017, Nov 11, 2016 (3 updates tracked since 2016).

About Caitlin Johnston Pa-c NPPES

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

CAITLIN JOHNSTON PA-C (NPI 1124400171) is an individual physician assistant in Oshkosh, Wisconsin, licensed in Wisconsin (7674) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Aurora Medical Ctr Oshkosh, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1124400171
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCAITLIN JOHNSTONCredential: PA-C
Location Address855 N WESTHAVEN DROshkosh, WI 54904-7668
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Fax(920) 456-7601
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2015
Enumeration DateJune 26, 2015
Last NPPES UpdateJanuary 25, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2024
NPI 1124400171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in WI · 7674 Licensed in OR · PA181482 Licensed in IL · 085005500
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

855 N WESTHAVEN DR, Oshkosh, WI 54904

Secondary Practice Location 1

Location 13181 SW Sam Jackson Park Rd # McL586Portland, OR 97239-3011 · Phone (503) 494-8534

Other Identifiers 2

OtherPA181482OR · Oregon Medical Board License
Medicaid100260949WI

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

Caitlin Johnston Pa-c 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 ID4284942673
PECOS Enrollment IDI20231219001362
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

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 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.
34 services32 patients

Hospital Affiliations CMS Care Compare

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

Aurora Medical Ctr Oshkosh

Acute Care Hospitals · Oshkosh, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520198
Location855 N Westhaven DriveOshkosh, WI 54904 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54904 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.

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.

97.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.97
Promoting Interoperability100
Improvement Activities40

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.

Audiologist-Hearing Aid Fitter
855 N WESTHAVEN DR, STE 200
OSHKOSH, WI 54904
Nurse Anesthetist, Certified Registered
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Pathology (Anatomic Pathology & Clinical Pathology)
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Emergency Medicine
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Emergency Medicine
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Surgery (Vascular Surgery)
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Nurse Practitioner
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Registered Nurse
855 N WESTHAVEN DR
OSHKOSH, WI 54904

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 Caitlin Johnston's NPI number?

The NPI number for Caitlin Johnston is 1124400171. It was assigned to this individual provider in the NPPES registry on June 26, 2015.

Where is Caitlin Johnston located?

Caitlin Johnston practices at 855 N Westhaven Dr, Oshkosh, WI 54904. The listed phone number is (920) 303-8700.

What is Caitlin Johnston's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Caitlin Johnston enrolled in Medicare?

Yes. Caitlin Johnston 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 Caitlin Johnston accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Caitlin Johnston 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 Caitlin Johnston affiliated with any hospitals?

According to CMS data, Caitlin Johnston is affiliated with Aurora Medical Ctr Oshkosh.

When was this NPI record last updated?

The NPPES record for Caitlin Johnston was last updated on January 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.