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

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: August 02, 2026.

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

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 from Home State Health, Ambetter Health 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

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.

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 18

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

KAMALA OJHA MD
Internal Medicine
238 CASSIDY BLVD
PIKEVILLE, KY 41501
Pike County (606) 430-2230
CASSIE RENEE RATLIFF APRN, FNP-C
Nurse Practitioner (Family)
238 CASSIDY BLVD
PIKEVILLE, KY 41501
Pike County (606) 430-2230
SHYLAH NAPIER
Pediatrics
238 CASSIDY BLVD
PIKEVILLE, KY 41501
Pike County (606) 430-3500
JAMIE D NEWSOME ARNP
Nurse Practitioner
238 CASSIDY BLVD
PIKEVILLE, KY 41501
Pike County (606) 430-2230
JANEY LYNN WATTS DO
Family Medicine
238 CASSIDY BLVD
PIKEVILLE, KY 41501
Pike County (606) 430-2230
CATHERINE D. HUFFMAN PSY D
Psychologist (Clinical)
238 CASSIDY BLVD
PIKEVILLE, KY 41501
Pike County (606) 430-2230
DR. AARONDA D WELLS MD
Pediatrics
238 CASSIDY BLVD
PIKEVILLE, KY 41501
Pike County (606) 430-2230
STEPHANIE DANIELLE BAKER APRN
Nurse Practitioner
238 CASSIDY BLVD
PIKEVILLE, KY 41501
Pike County (606) 430-2230

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 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.

Where is Stan Johnson located?

Stan Johnson practices at 238 Cassidy Blvd, Pikeville, KY 41501. The listed phone number is (606) 430-2230.

What is Stan Johnson's specialty?

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

Is Stan Johnson enrolled in Medicare?

Yes. Stan 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 Stan Johnson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Stan 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.

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 23 months 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.