STAN MICHAEL JOHNSON M.D.
NPI 1184610461
Pediatrics in Pikeville, KY

Q: What is Stan Johnson's NPI number?

The NPI number for Stan Johnson is 1184610461. It was assigned to this individual provider in the NPPES registry on September 22, 2005.

Q: What is Stan Johnson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Stan Johnson was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 22, 2005PECOS EnrolledAccepts Medicare Assignment

238 CASSIDY BLVD, PIKEVILLE, KY 41501(606) 430-2230(606) 437-2526 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 13, 2024, Jul 22, 2024 (2 updates tracked since 2024).

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About Stan Michael Johnson M.d. NPPES

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

STAN MICHAEL JOHNSON M.D. (NPI 1184610461) is an individual pediatrics provider in Pikeville, Kentucky, licensed in Kentucky (39306) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Pikeville, and is a graduate of University Of Kentucky College Of Medicine (2002).

NPPES Registry Identity

NPI1184610461

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameSTAN MICHAEL JOHNSONCredential: M.D.

Location Address238 CASSIDY BLVDPikeville, KY 41501-1426

Mailing AddressPo Box 432Pikeville, KY 41502-0432 · (606) 430-3500 · Fax (606) 437-2526

Phone(606) 430-2230

Fax(606) 437-2526

Sole ProprietorNo

Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2002

Enumeration DateSeptember 22, 2005

Last NPPES UpdateAugust 13, 20242 updates tracked since enumeration

NPPES CertifiedAugust 13, 2024

✔ NPI 1184610461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in KY · 39306

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

238 CASSIDY BLVD, Pikeville, KY 41501

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Secondary Practice Location 1

Location 1387 Town Mountain Rd, ste 202Pikeville, KY 41501-1640 · Phone (606) 437-1008 · Fax (606) 437-5040

Other Identifiers 1

Medicaid64099344KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stan Michael 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 ID1153545561

PECOS Enrollment IDI20140604001958

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.

Medicare Billing Reassignments

Medicare enrollment records show Stan Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pikeville Medical Center Inc.

0.1 mi

Clinic/Center

254 CASSIDY BLVD
Pikeville, KY 41501

Reassigned Medicare billing, Kentucky enrollment
579 clinicians in this Medicare group

NPI 1710207865 (606) 437-0123

Spero Health Of Kentucky, LLC

127 mi

Addiction Medicine

106 BELINDA BLVD STE 100
Danville, KY 40422

Reassigned Medicare billing, Kentucky enrollment
115 clinicians in this Medicare group

NPI 1982102109 (866) 755-4258

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41501 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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 19

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

KAMALA OJHA MD

Internal Medicine