DR. JOHN A JOHANSEN MD
NPI 1205087277
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Gahanna, OH

Active since October 08, 2008PECOS EnrolledAccepts Medicare Assignment
86.55/100
CMS Quality Rating
605 CRESCENT PL, GAHANNA, OH 43230(614) 545-7900(614) 545-7901 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 21, 2025, Mar 13, 2025, Jan 10, 2025 and 4 more (7 updates tracked since 2020).

About Dr. John A Johansen Md NPPES

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

DR. JOHN A JOHANSEN MD (NPI 1205087277) is an individual adult reconstructive orthopaedic surgery provider in Gahanna, Ohio, licensed in Ohio (35.095784) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, is affiliated with Mount Carmel St Ann's, and is a graduate of University Of Cincinnati College Of Medicine (2004).

NPPES Registry Identity

NPI1205087277
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NameDR. JOHN A JOHANSENCredential: MD
Location Address605 CRESCENT PLGahanna, OH 43230-3086
Mailing Address340 Polaris PkwyWesterville, OH 43082-7971 · (614) 545-7900 · Fax (614) 545-7901
Fax(614) 545-7901
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2004
Enumeration DateOctober 8, 2008
Last NPPES UpdateMay 21, 20257 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
NPI 1205087277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
License Licensed in OH · 35.095784
Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 35.095784 (OH)
605 CRESCENT PL, Gahanna, OH 43230

Other Identifiers 1

Medicaid3141675OH

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

Dr. John A Johansen 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 ID5193870392
PECOS Enrollment IDI20100901000100
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 16

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,651 services262 patients
Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318
Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.
780 services11 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
386 services273 patients
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.
344 services230 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
265 services209 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
153 services153 patients

Hospital Affiliations CMS Care Compare 5

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

Mount Carmel St Ann's

Acute Care Hospitals · Westerville, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360012
Location500 South Cleveland AvenueWesterville, OH 43081 · Franklin County
Emergency services Birthing friendly

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · Franklin County
Emergency services Birthing friendly

Mount Carmel New Albany Surgical Hospital

Acute Care Hospitals · New Albany, OH
OwnershipProprietary
CMS Certification Number360266
Location7333 Smith's Mill RoadNew Albany, OH 43054 · Franklin County

Diley Ridge Medical Center

Acute Care Hospitals · Canal Winchester, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360358
Location7911 Diley RoadCanal Winchester, OH 43110 · Franklin County
Emergency services

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.

86.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.58
Promoting Interoperability98
Improvement Activities40
Cost75.27

Referred Medical Equipment & Supplies CMS DME claims

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

Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf L1833
DME-Orthotic Devices · category DF011N
1 supplier13 claims13 services$375.60 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 20

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

Orthopaedic Surgery
605 CRESCENT PL
GAHANNA, OH 43230
Physical Therapist
605 CRESCENT PL
GAHANNA, OH 43230
Orthopaedic Surgery (Sports Medicine)
605 CRESCENT PL
GAHANNA, OH 43230
Physical Therapist
605 CRESCENT PL
GAHANNA, OH 43230
Physical Therapist
605 CRESCENT PL
GAHANNA, OH 43230
Physician Assistant
605 CRESCENT PL
GAHANNA, OH 43230
Physical Therapist
605 CRESCENT PL
GAHANNA, OH 43230
Physical Therapist
605 CRESCENT PL
GAHANNA, OH 43230

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 John Johansen's NPI number?

The NPI number for John Johansen is 1205087277. It was assigned to this individual provider in the NPPES registry on October 8, 2008.

Where is John Johansen located?

John Johansen practices at 605 Crescent Pl, Gahanna, OH 43230. The listed phone number is (614) 545-7900.

What is John Johansen's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is John Johansen enrolled in Medicare?

Yes. John Johansen 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 John Johansen accept?

Health plans from Antidote Health Plan of Ohio, Inc., MedMutual and Oscar Health Insurance list John Johansen 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 John Johansen affiliated with any hospitals?

According to CMS data, John Johansen is affiliated with Mount Carmel St Ann's, Grant Medical Center, Mount Carmel East & West, Mount Carmel New Albany Surgical Hospital and Diley Ridge Medical Center.

When was this NPI record last updated?

The NPPES record for John Johansen was last updated on May 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.