HEIDI ANN JOHNSON MD
NPI 1194876318
Internal Medicine in Anderson, IN

Active since January 15, 2007PECOS EnrolledAccepts Medicare Assignment
4778 S SCATTERFIELD RD, ANDERSON, IN 46013(765) 646-6331 Get Directions Write a Review

NPPES record last updated: October 26, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 26, 2022, Jul 6, 2022, Feb 20, 2018 (3 updates tracked since 2018).

About Heidi Ann Johnson Md NPPES

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

HEIDI ANN JOHNSON MD (NPI 1194876318) is an individual internal medicine provider in Anderson, Indiana, licensed in Indiana (01048906A) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Anderson, and maintains a secondary practice location in Middletown.

NPPES Registry Identity

NPI1194876318
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameHEIDI ANN JOHNSONCredential: MD
Location Address4778 S SCATTERFIELD RDAnderson, IN 46013-2908
Mailing Address4778 S Scatterfield RdAnderson, IN 46013-2908
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1997
Enumeration DateJanuary 15, 2007
Last NPPES UpdateOctober 26, 20223 updates tracked since enumeration
NPPES CertifiedOctober 26, 2022
NPI 1194876318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IN · 01048906A
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.
4778 S SCATTERFIELD RD, Anderson, IN 46013

Other Names 1

Former Name (1)Heidi Ann Crosby Md

Secondary Practice Location 1

Location 1602 N 5th StMiddletown, IN 47356-1008 · Phone (765) 354-2062

Other Identifiers 2

Medicaid200295890AIN
Other000000313568IN · Bcbs

Accepted 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

Heidi Ann 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 ID8527250919
PECOS Enrollment IDI20101004000762
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 13

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 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.
133 services75 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
118 services90 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
116 services67 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.
76 services76 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
49 services31 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.
40 services40 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension St Vincent Anderson

Acute Care Hospitals · Anderson, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150088
Location2015 Jackson StAnderson, IN 46016 · Madison County
Emergency services Birthing friendly

Indiana University Health Ball Memorial Hospital

Acute Care Hospitals · Muncie, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150089
Location2401 University AveMuncie, IN 47303 · Delaware County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46013 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%4,043 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
48%273 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%113 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
73%578 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
86%578 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
36%578 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
33%578 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers22 claims52 services$4.69 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
1 supplier14 claims224 services$2.32 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
1 supplier16 claims800 services$0.21 avg. paid by Medicare
Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each A5056
DME-Orthotic Devices · category DF010N
1 supplier15 claims540 services$4.45 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
1 supplier14 claims700 services$0.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

Nurse Practitioner (Family)
4778 S SCATTERFIELD RD
ANDERSON, IN 46013
Emergency Medicine
4778 S SCATTERFIELD RD
ANDERSON, IN 46013
Nurse Practitioner (Family)
4778 S SCATTERFIELD RD
ANDERSON, IN 46013
Emergency Medicine
4778 S SCATTERFIELD RD
ANDERSON, IN 46013
Nurse Practitioner (Adult Health)
4778 S SCATTERFIELD RD
ANDERSON, IN 46013
Physician Assistant
4778 S SCATTERFIELD RD
ANDERSON, IN 46013
Pediatrics
4778 S SCATTERFIELD RD
ANDERSON, IN 46013
Nurse Practitioner (Acute Care)
4778 S SCATTERFIELD RD
ANDERSON, IN 46013

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 Heidi Johnson's NPI number?

The NPI number for Heidi Johnson is 1194876318. It was assigned to this individual provider in the NPPES registry on January 15, 2007. The provider is also known as Heidi Ann Crosby MD.

Where is Heidi Johnson located?

Heidi Johnson practices at 4778 S Scatterfield Rd, Anderson, IN 46013. The listed phone number is (765) 646-6331.

What is Heidi Johnson's specialty?

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

Is Heidi Johnson enrolled in Medicare?

Yes. Heidi 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 Heidi Johnson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Heidi 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 Heidi Johnson affiliated with any hospitals?

According to CMS data, Heidi Johnson is affiliated with Ascension St Vincent Anderson and Indiana University Health Ball Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Heidi Johnson was last updated on October 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.