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MAVERICK JOHNSON MD
NPI 1154215416
Surgery in Galveston, TX

Active since June 03, 2025PECOS Enrolled
301 UNIVERSITY BLVD, GALVESTON, TX 77555(409) 747-1883(409) 747-8579 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Maverick Johnson Md NPPES

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

MAVERICK JOHNSON MD (NPI 1154215416) is an individual surgery provider in Galveston, Texas, licensed in Texas (BP10094184) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154215416
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMAVERICK JOHNSONCredential: MD
Location Address301 UNIVERSITY BLVDGalveston, TX 77555-5303
Mailing Address301 University BlvdGalveston, TX 77555-5303 · (409) 747-1883 · Fax (409) 747-8579
Phone(409) 747-1883
Fax(409) 747-8579
Sole ProprietorNo
Enumeration DateJune 3, 2025
NPPES CertifiedJune 3, 2025
✔ NPI 1154215416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TX · BP10094184
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

301 UNIVERSITY BLVD, Galveston, TX 77555
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maverick Johnson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77555 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
$88.24 typical visit price
range $57.19 – $173.07
Typical copayment $22.06 (range $14.29 – $43.26)
Most-billed visit code 99203
Established Patient
$71.32 typical visit price
range $18.45 – $141.36
Typical copayment $17.83 (range $4.61 – $35.34)
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.

AMY KATHERINE HAVERTY PNP
Nurse Practitioner (Pediatrics)
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Galveston County (409) 772-2222
EVA NOVAK BLIGHT NNP
Nurse Practitioner (Neonatal)
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Galveston County (409) 772-2222
DR. JENNIFER ANN MINNEMAN MD
Surgery (Trauma Surgery)
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Galveston County (409) 772-1011
DR. JAMES HAROLD PAVELA MD
Internal Medicine
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Galveston County (409) 772-7063
DIAA HAMOUDA MBBCH
Psychiatry & Neurology (Neurology)
301 UNIVERSITY BLVD, JSA 9.128
GALVESTON, TX 77555
Galveston County (409) 772-8031
SOMMER KIRSCH CAUSEY MD
Anesthesiology
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Galveston County (409) 772-1221
RANDA ABDELMASIH MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Galveston County (832) 505-2300
HEATHER PENTON
Anesthesiology
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Galveston County (409) 772-2222

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 Maverick Johnson's NPI number?

The NPI number for Maverick Johnson is 1154215416. It was assigned to this individual provider in the NPPES registry on June 3, 2025.

Where is Maverick Johnson located?

Maverick Johnson practices at 301 University Blvd, Galveston, TX 77555. The listed phone number is (409) 747-1883.

What is Maverick Johnson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Maverick Johnson enrolled in Medicare?

Yes. Maverick Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maverick Johnson was last updated on June 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.