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DR. SUSAN SCHUCK JOHNSON M.D.
NPI 1174529275
Internal Medicine in Columbia, MO

Active since June 23, 2005PECOS Enrolled
900 W NIFONG STE 101, COLUMBIA, MO 65203(573) 499-9009(573) 499-4400 Get Directions Write a Review

NPPES record last updated: January 22, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Susan Schuck Johnson M.d. NPPES

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

DR. SUSAN SCHUCK JOHNSON M.D. (NPI 1174529275) is an individual internal medicine provider in Columbia, Missouri, licensed in Missouri (36736) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174529275
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SUSAN SCHUCK JOHNSONCredential: M.D.
Location Address900 W NIFONG STE 101Columbia, MO 65203
Mailing Address670 Mason Ridge Center Dr, Ste 300Saint Louis, MO 63141-8573 · (573) 499-9009 · Fax (573) 499-4400
Phone(573) 499-9009
Fax(573) 499-4400
Sole ProprietorNo
Enumeration DateJune 23, 2005
Last NPPES UpdateJanuary 22, 2016
✔ NPI 1174529275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MO · 36736
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
900 W NIFONG STE 101, Columbia, MO 65203
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Other Identifiers 10

Other0404040MS · United Healthcare
Other102600MO · Healthlink
Other669715MS · First Health
OtherA002MO · Tricare Ind
OtherAI3068MO · Mercy
Medicare PIN001013291MO
Other127771MO · Group Health Plans
Medicare UPINA13068MO
Other5422MS · Blue Cross Blue Shield
OtherP00187205MO · Railroad Medicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Susan Schuck Johnson M.d. 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 65203 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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 4

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

SARA REVELLE FNP
Nurse Practitioner (Family)
900 W NIFONG STE 101
COLUMBIA, MO 65203
Boone County (573) 499-9009
DR. MARIANNE R LOPEZ RHODES M.D.
Family Medicine
900 W NIFONG STE 101
COLUMBIA, MO 65203
Boone County (573) 499-4400
HOLLY M BOYER MD
Internal Medicine
900 W NIFONG STE 101, STE 104
COLUMBIA, MO 65203
Boone County (573) 499-9009
DR. RUBAB HASAN NAQVI M.D.
Family Medicine
900 W NIFONG STE 101
COLUMBIA, MO 65203
Boone County (573) 499-4400

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 Susan Johnson's NPI number?

The NPI number for Susan Johnson is 1174529275. It was assigned to this individual provider in the NPPES registry on June 23, 2005.

Where is Susan Johnson located?

Susan Johnson practices at 900 W Nifong Ste 101, Columbia, MO 65203. The listed phone number is (573) 499-9009.

What is Susan Johnson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Susan Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Susan Johnson was last updated on January 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.