DR. CLARE JOHNSON M.D.
NPI 1134445216
Emergency Medicine in Los Banos, CA

Active since April 14, 2010PECOS EnrolledAccepts Medicare Assignment
94.62/100
CMS Quality Rating
520 W I ST, LOS BANOS, CA 93635(209) 826-0591 Get Directions Write a Review

NPPES record last updated: January 30, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Clare Johnson M.d. NPPES

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

DR. CLARE JOHNSON M.D. (NPI 1134445216) is an individual emergency medicine provider in Los Banos, California, licensed in California (134295) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS and is a graduate of University Of Virginia School Of Medicine (2010).

NPPES Registry Identity

NPI1134445216
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. CLARE JOHNSONCredential: M.D.
Location Address520 W I STLos Banos, CA 93635-3419
Mailing Address520 W I StLos Banos, CA 93635-3419 · (209) 826-0591
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2010
Enumeration DateApril 14, 2010
Last NPPES UpdateJanuary 30, 2017
NPI 1134445216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in CA · 134295 Licensed in GA · 69519
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
520 W I ST, Los Banos, CA 93635

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. Clare 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 ID446492722
PECOS Enrollment IDI20150411000072
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
147 services141 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
122 services102 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
49 services48 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
22 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93635 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
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.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

Other Providers at the Same Location NPPES 15

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

Pediatrics
520 W I ST
LOS BANOS, CA 93635
General Acute Care Hospital
520 W I ST
LOS BANOS, CA 93635
Anesthesiology
520 W I ST
LOS BANOS, CA 93635
General Acute Care Hospital
520 W I ST
LOS BANOS, CA 93635
Internal Medicine
520 W I ST
LOS BANOS, CA 93635
Emergency Medicine
520 W I ST
LOS BANOS, CA 93635
Anesthesiology
520 W I ST
LOS BANOS, CA 93635
Physician Assistant
520 W I ST
LOS BANOS, CA 93635

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 Clare Johnson's NPI number?

The NPI number for Clare Johnson is 1134445216. It was assigned to this individual provider in the NPPES registry on April 14, 2010.

Where is Clare Johnson located?

Clare Johnson practices at 520 W I St, Los Banos, CA 93635. The listed phone number is (209) 826-0591.

What is Clare Johnson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Clare Johnson enrolled in Medicare?

Yes. Clare 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 Clare Johnson accept?

Health plans from Molina Healthcare list Clare 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.

When was this NPI record last updated?

The NPPES record for Clare Johnson was last updated on January 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.