DR. STACEY JOHNSTON MD
NPI 1144414368
Hospitalist in South Bend, IN

Active since August 30, 2007PECOS EnrolledAccepts Medicare Assignment
91.62/100
CMS Quality Rating
615 N MICHIGAN ST FL 1, SOUTH BEND, IN 46601(574) 647-3050(574) 647-1094 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 7, 2025, Oct 24, 2018, Aug 23, 2018 (3 updates tracked since 2018).

About Dr. Stacey Johnston Md NPPES

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

DR. STACEY JOHNSTON MD (NPI 1144414368) is an individual hospitalist provider in South Bend, Indiana, licensed in Florida (ME137361) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Jacksonville, and is a graduate of Emory University School Of Medicine (2002).

NPPES Registry Identity

NPI1144414368
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. STACEY JOHNSTONCredential: MD
Location Address615 N MICHIGAN ST FL 1South Bend, IN 46601-1033
Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380 · (574) 647-3437
Fax(574) 647-1094
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2002
Enumeration DateAugust 30, 2007
Last NPPES UpdateNovember 7, 20253 updates tracked since enumeration
NPPES CertifiedNovember 7, 2025
NPI 1144414368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in FL · ME137361
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedFamily MedicineTaxonomy 207Q00000X · License ME137361 (FL), 01096098A (IN), 001842 (GA)
615 N MICHIGAN ST FL 1, South Bend, IN 46601

Secondary Practice Location 1

Location 1820 Prudential Dr Ste 304Jacksonville, FL 32207 · Phone (904) 202-3860 · Fax (904) 202-3846

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. Stacey Johnston Md 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 ID5193861029
PECOS Enrollment IDI20251014002852
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
30 services19 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
20 services13 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46601 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

91.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.61
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%149 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 11

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

Nurse Practitioner (Neonatal)
615 N MICHIGAN ST FL 1
SOUTH BEND, IN 46601
Internal Medicine
615 N MICHIGAN ST FL 1
SOUTH BEND, IN 46601
Nurse Practitioner (Neonatal)
615 N MICHIGAN ST FL 1
SOUTH BEND, IN 46601
Nurse Practitioner (Family)
615 N MICHIGAN ST FL 1
SOUTH BEND, IN 46601
Internal Medicine
615 N MICHIGAN ST FL 1, 1ST FL HOSPITALIST STE
SOUTH BEND, IN 46601
Internal Medicine
615 N MICHIGAN ST FL 1
SOUTH BEND, IN 46601
Psychiatry & Neurology (Neurology)
615 N MICHIGAN ST FL 1
SOUTH BEND, IN 46601
Hospitalist
615 N MICHIGAN ST FL 1
SOUTH BEND, IN 46601

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 Stacey Johnston's NPI number?

The NPI number for Stacey Johnston is 1144414368. It was assigned to this individual provider in the NPPES registry on August 30, 2007.

Where is Stacey Johnston located?

Stacey Johnston practices at 615 N Michigan St Fl 1, South Bend, IN 46601. The listed phone number is (574) 647-3050.

What is Stacey Johnston's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Stacey Johnston enrolled in Medicare?

Yes. Stacey 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.

When was this NPI record last updated?

The NPPES record for Stacey Johnston was last updated on November 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.