DR. ANTON JOHNSON M.D.
NPI 1215040209
Nuclear Medicine in Springfield, IL
NPI Status: Active since August 16, 2006
Contact Information
800 E CARPENTER ST
DEPARTMENT OF RADIOLOGY
SPRINGFIELD, IL
ZIP 62702
Phone: (217) 544-6464
Fax: (217) 525-5671
- Individual
- Male
- Years of Experience 34
- Nuclear Medicine
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About ANTON JOHNSON
This page provides the complete NPI Profile along with additional information for Anton Johnson, a provider established in Springfield, Illinois with a medical specialization in Nuclear Medicine and more than 34 years of experience. He graduated from University Of Minnesota Medical School in 1992. The healthcare provider is registered in the NPI registry with number 1215040209 assigned on August 2006. The practitioner's primary taxonomy code is 207U00000X with license number 036095564 (IL). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1215040209
- Provider Name
- DR. ANTON JOHNSON M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 800 E CARPENTER ST DEPARTMENT OF RADIOLOGY SPRINGFIELD, IL 62702
- Location Phone
- (217) 544-6464
- Location Fax
- (217) 525-5671
- Mailing Address
- 111 OAKWOOD RD EAST PEORIA, IL 61611
- Mailing Phone
- (309) 740-4272
- Medical School Name
- UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
- Graduation Year
- 1992
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-16-2006
- Last Update Date
- 01-03-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nuclear Medicine
- Taxonomy Code
- 207U00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036095564
- License State
- IL
- Taxonomy Description
- A nuclear medicine specialist employs the properties of radioactive atoms and molecules in the diagnosis and treatment of disease and in research. Radiation detection and imaging instrument systems are used to detect disease as it changes the function and metabolism of normal cells, tissues and organs. A wide variety of diseases can be found in this way, usually before the structure of the organ involved by the disease can be seen to be abnormal by any other techniques. Early detection of coronary artery disease (including acute heart attack), early cancer detection and evaluation of the effect of tumor treatment, diagnosis of infection and inflammation anywhere in the body and early detection of blood clot in the lungs are all possible with these techniques. Unique forms of radioactive molecules can attack and kill cancer cells (e.g., lymphoma, thyroid cancer) or can relieve the severe pain of cancer that has spread to bone
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | 036-095564 (IL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 300076409 | OTHER (01) | IL | RR MEDICARE |
| 300073513 | OTHER (01) | IL | RR MEDICARE |
| 36095564 | MEDICAID (05) | IL |
Medicare Participation & PECOS Enrollment Status
Anton Johnson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Anton Johnson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 6901831908
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20050928000961
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Nuclear medicine studies of heart muscle at rest and with stress and spect
Nuclear medicine studies of kidney, blood flow, and function
Nuclear medicine study from skull base to mid-thigh with ct scan
Nuclear medicine study of bone and/or joint whole body
Nuclear medicine study of bone taken at different times
Nuclear medicine study of liver and bile duct system
Nuclear medicine study of liver and bile duct system with use of drugs
Nuclear medicine study of lung circulation
Nuclear medicine study of lymphatic system
Nuclear medicine study of parathyroid with spect
Nuclear medicine study of stomach to assess emptying
X-ray of chest, 1 view
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
This service was performed 31 times for 31 patientsNuclear medicine studies of the kidney, blood flow, and function involve using small amounts of radioactive materials to create images of your kidneys. This helps in assessing their structure and working condition, aiding in early diagnosis and treatment planning.
This service was performed 11 times for 11 patientsA nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.
This service was performed 110 times for 110 patientsA nuclear medicine study of bone and/or joint whole body involves injecting a small amount of radioactive material into your body. This material travels to your bones and emits energy. A special camera captures this energy, creating images of your bones to help identify any abnormalities.
This service was performed 59 times for 56 patientsA nuclear medicine bone study involves injecting a small amount of radioactive material into your body. This material collects in the bones and is detected by a special camera to create images. These images are taken at different times to track changes and help diagnose bone conditions.
This service was performed 20 times for 19 patientsA nuclear medicine study of the liver and bile duct system involves the use of a small amount of radioactive material to create detailed images. This helps doctors examine the liver's function and structure, and detect any abnormalities in the bile ducts.
This service was performed 26 times for 26 patientsA nuclear medicine study of the liver and bile duct system involves injecting a safe, radioactive substance into the body. This substance helps create images of these areas on a special camera. It's often combined with drug use to improve image clarity and aid in diagnosing various conditions.
This service was performed 16 times for 16 patientsA nuclear medicine study of lung circulation involves the use of a safe, radioactive substance to visualize lung function. It helps in diagnosing conditions like blood clots. The substance is injected and images are taken to study the blood flow in your lungs.
This service was performed 59 times for 58 patientsA nuclear medicine study of the lymphatic system involves injecting a safe, radioactive substance into your body. This substance travels through your lymphatic system and helps create images on a special camera. These images can help doctors diagnose conditions related to your immune system.
This service was performed 12 times for 11 patientsA nuclear medicine study of the parathyroid with SPECT is a diagnostic test that uses a small amount of radioactive material and a special camera to create images of your parathyroid glands. This test helps identify any abnormalities, aiding in accurate diagnosis and treatment.
This service was performed 11 times for 11 patientsA nuclear medicine study of the stomach assesses how quickly food leaves the stomach. A safe, radioactive substance is added to a meal. The radiation emitted is tracked, creating images that show the food's progress through the stomach. It's non-invasive and painless.
This service was performed 11 times for 11 patientsA chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
This service was performed 20 times for 20 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $31.86 for a new patient copayment and $24.31 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 62702 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $127.46
- Minimum New Patient Price $54.8
- Maximum New Patient Price $168.44
- Average New Patient Copayment $31.86
- Minimum New Patient Copayment $13.7
- Maximum New Patient Copayment $42.11
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $97.25
- Minimum Established Patient Price $17.16
- Maximum Established Patient Price $136.56
- Average Established Patient Copayment $24.31
- Minimum Established Patient Copayment $4.29
- Maximum Established Patient Copayment $34.14
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 30% | 66 |
| Final reports for procedures using fluoroscopy that document radiation exposure indices, or exposure time and number of fluorographic images (if radiation exposure indices are not available) | ||
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Anton Johnson is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| ST ANTHONYS MEMORIAL HOSPITAL | 503 N MAPLE STREET EFFINGHAM, IL 62401 | (217) 342-2121 | Acute Care Hospitals | |
| ST JOHNS HOSPITAL | 800 E CARPENTER ST SPRINGFIELD, IL 62769 | (217) 544-6464 | Acute Care Hospitals | |
| ST MARYS HOSPITAL | 1800 E LAKE SHORE DR DECATUR, IL 62521 | (217) 464-2966 | Acute Care Hospitals | |
| HSHS ST ELIZABETH'S HOSPITAL | ONE ST ELIZABETH BOULEVARD O FALLON, IL 62269 | (618) 234-2120 | Acute Care Hospitals | |
| SPARTA COMMUNITY HOSPITAL | 818 E BROADWAY SPARTA, IL 62286 | (618) 443-2177 | Critical Access Hospitals |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1215040209, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 41. The final step is to find the difference between that total and the next multiple of ten (50 - 41 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 41 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SPRINGFIELD, IL 62702
SPRINGFIELD, IL 62702
SPRINGFIELD, IL 62702
SPRINGFIELD, IL 62702
SPRINGFIELD, IL 62702
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215040209, enumerated as an "individual" on August 16, 2006.
The provider is located at 800 E CARPENTER ST DEPARTMENT OF RADIOLOGY SPRINGFIELD, IL 62702 and the phone number is (217) 544-6464.
Nuclear Medicine with taxonomy code 207U00000X.
The provider might be accepting Accepts: Railroad Medicare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
Anton Johnson is affiliated with: ST ANTHONYS MEMORIAL HOSPITAL, ST JOHNS HOSPITAL, ST MARYS HOSPITAL, HSHS ST ELIZABETH'S HOSPITAL and SPARTA COMMUNITY HOSPITAL.
