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DR. CHERYL KAREN JOHNSON MD
NPI 1164419693
Family Medicine in Houston, TX

Active since September 30, 2005PECOS EnrolledAccepts Medicare Assignment
12121 RICHMOND AVE, SUITE 226, HOUSTON, TX 77082(281) 597-0991(281) 597-0470 Get Directions Write a Review

NPPES record last updated: November 18, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Cheryl Karen Johnson Md NPPES

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

DR. CHERYL KAREN JOHNSON MD (NPI 1164419693) is an individual family medicine provider in Houston, Texas, licensed in Texas (K2046) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare West, and is a graduate of University Of Toledo College Of Medicine (1994).

NPPES Registry Identity

NPI1164419693
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CHERYL KAREN JOHNSONCredential: MD
Location Address12121 RICHMOND AVE, SUITE 226Houston, TX 77082-2432
Mailing Address12121 Richmond Ave, Suite 226Houston, TX 77082-2432 · (281) 597-0991 · Fax (281) 597-0470
Phone(281) 597-0991
Fax(281) 597-0470
Sole ProprietorYes
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 1994
Enumeration DateSeptember 30, 2005
Last NPPES UpdateNovember 18, 2015
✔ NPI 1164419693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · K2046
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

12121 RICHMOND AVE, Houston, TX 77082
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Other Identifiers 6

Medicare PIN8B4804TX
Medicaid125500205TX
Other7621494TX · Aetna
Medicare PINTXB143290TX
Medicare PIN322748YK8CTX
Medicare UPINK2046TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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. Cheryl Karen Johnson 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 ID2365431129
PECOS Enrollment IDI20040507001075
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 6

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.
54 services31 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
41 services41 patients
Administration and interpretation of patient-focused health risk assessment 96160
This procedure involves a detailed evaluation of your health to identify potential risks. It includes analyzing your medical history, lifestyle habits, and family health history. The results are interpreted to provide a personalized plan to improve your health and prevent future issues.
39 services39 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
39 services39 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
38 services38 patients
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.
18 services14 patients

Hospital Affiliations CMS Care Compare

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

Hca Houston Healthcare West

Acute Care Hospitals · Houston, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450644
Location12141 Richmond AveHouston, TX 77082 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77082 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

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.

STEPHEN E. GUILLIAMS, MD PA
Obstetrics & Gynecology
12121 RICHMOND AVE, SUITE 203
HOUSTON, TX 77082
Harris County (281) 558-5855
COASTAL-KIDNEY TREATMENT CENTERS PLLC
Internal Medicine (Nephrology)
12121 RICHMOND AVE, #214
HOUSTON, TX 77082
Harris County (281) 558-6555
DR. EDWARD H SAUER D.D.S.
Dentist (General Practice)
12121 RICHMOND AVE, SUITE 314
HOUSTON, TX 77082
Harris County (281) 870-9000
AMY TERMINA CSA
Specialist/Technologist, Other (Surgical Assistant)
12121 RICHMOND AVE, SUITE 201
HOUSTON, TX 77082
Harris County (832) 797-8405
TAWAKKOL SURGICAL, LLC
Clinic/Center (Ambulatory Surgical)
12121 RICHMOND AVE, SUITE 408
HOUSTON, TX 77082
Harris County (281) 293-8307
WEST HOUSTON MEDICAL CENTER
General Acute Care Hospital
12121 RICHMOND AVE, SUITE # 417
HOUSTON, TX 77082
Harris County (713) 582-8968
CUO PA
Internal Medicine
12121 RICHMOND AVE, SUITE 420
HOUSTON, TX 77082
Harris County (281) 496-5900
MISS DEBORAH LYNN BORGMAN R.N.FNP
Nurse Practitioner (Primary Care)
12121 RICHMOND AVE, SUITE 409
HOUSTON, TX 77082
Harris County (281) 493-4922

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 Cheryl Johnson's NPI number?

The NPI number for Cheryl Johnson is 1164419693. It was assigned to this individual provider in the NPPES registry on September 30, 2005.

Where is Cheryl Johnson located?

Cheryl Johnson practices at 12121 Richmond Ave Suite 226, Houston, TX 77082. The listed phone number is (281) 597-0991.

What is Cheryl Johnson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Cheryl Johnson enrolled in Medicare?

Yes. Cheryl 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 Cheryl Johnson accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Cheryl 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 Cheryl Johnson affiliated with any hospitals?

According to CMS data, Cheryl Johnson is affiliated with Hca Houston Healthcare West.

When was this NPI record last updated?

The NPPES record for Cheryl Johnson was last updated on November 18, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.