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JAMES L JOHNSON II M.D.
NPI 1215926985
Surgery in Cody, WY

Active since October 17, 2005PECOS EnrolledAccepts Medicare Assignment
125 W YELLOWSTONE AVE, CODY, WY 82414(307) 527-7129(307) 587-7394 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 21, 2020, Feb 9, 2016 (2 updates tracked since 2016).

About James L Johnson Ii M.d. NPPES

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

JAMES L JOHNSON II M.D. (NPI 1215926985) is an individual surgery provider in Cody, Wyoming, licensed in Wyoming (6172A) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Creighton University School Of Medicine (1992).

NPPES Registry Identity

NPI1215926985
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJAMES L JOHNSON IICredential: M.D.
Location Address125 W YELLOWSTONE AVECody, WY 82414-8723
Mailing Address2820 Central Ave Ste ABillings, MT 59102-8624 · (406) 896-2478 · Fax (406) 896-2491
Phone(307) 527-7129
Fax(307) 587-7394
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 1992
Enumeration DateOctober 17, 2005
Last NPPES UpdateOctober 21, 20202 updates tracked since enumeration
NPPES CertifiedOctober 21, 2020
✔ NPI 1215926985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in WY · 6172A
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
125 W YELLOWSTONE AVE, Cody, WY 82414
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Secondary Practice Locations 2

Location 12820 Central Ave Ste ABillings, MT 59102-8624 · Phone (406) 252-8346 · Fax (406) 656-8303
Location 2822 Stoneridge Dr Ste 2Bozeman, MT 59718-7047 · Phone (406) 922-8346 · Fax (406) 922-5161

Other Identifiers 5

Medicaid0157896MT
Other020049170WY · Railroad Medicare
Other95016MT · Blue Cross Blue Shield Mt
Medicaid113459100WY
Other308210WY · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross Blue Shield of Wyoming, Mountain Health CO-OP 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

James L Johnson Ii 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 ID7416904370
PECOS Enrollment IDI20050404000849, I20060314000411
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

2

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

Rocky Mountain Vein Clinic, P.C.
Same address
Vascular Surgery
125 W YELLOWSTONE AVE
Cody, WY 82414
  • Reassigned Medicare billing, Montana and Wyoming enrollments
  • Medicare enrollment name: Rocky Mountain Vein Clinic PC
  • 6 clinicians in this Medicare group
NPI 1326089137 (307) 527-7129
Rocky Mountain Vein Clinic Great Falls Inc
230 mi
Surgery
1400 29TH ST S STE 201
Great Falls, MT 59405
  • Reassigned Medicare billing, Montana enrollment
  • 4 clinicians in this Medicare group
NPI 1528413093 (406) 727-8346

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

Areas of Expertise CMS Part B claims 5

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.

Chemical destruction of first incompetent vein of arm or leg using imaging guidance 36482
This procedure involves using a chemical to close off a malfunctioning vein in your arm or leg. Imaging guidance is used to accurately locate the vein. This helps improve blood flow by rerouting it through healthier veins.
118 services76 patients
Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance 36475
This procedure involves using radiofrequency energy, a type of heat energy, to close off an unhealthy vein in your arm or leg. Imaging guidance helps ensure precise targeting of the vein. This helps improve blood flow by rerouting it through healthier veins.
97 services63 patients
Injection of chemical agent into single incompetent vein of leg using ultrasound guidance 36465
This procedure involves injecting a chemical agent into a non-functioning vein in your leg. Ultrasound technology is used to accurately locate the vein. The chemical helps to close off the vein, rerouting blood flow to healthier veins.
46 services37 patients
Chemical destruction of subsequent incompetent veins of arm or leg using imaging guidance 36483
This procedure involves using a chemical to close off unhealthy veins in your arm or leg. Imaging guidance helps ensure the chemical is accurately delivered to the problematic veins. This can improve blood flow and alleviate discomfort.
46 services36 patients
Destruction of subsequent incompetent veins of arm or leg using radiofrequency and imaging guidance 36476
This procedure involves using radiofrequency, a type of energy wave, to close off veins in your arm or leg that aren't working properly. Imaging guidance helps ensure accuracy. The goal is to redirect blood flow to healthier veins, improving circulation.
35 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82414 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
$87.12 typical visit price
range $56.42 – $170.72
Typical copayment $21.78 (range $14.10 – $42.68)
Most-billed visit code 99203
Established Patient
$70.32 typical visit price
range $18.19 – $139.32
Typical copayment $17.58 (range $4.54 – $34.83)
Most-billed visit code 99213
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

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
91%159 patients3/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
24%159 patients1/55-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.
5%37 patients1/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
84%73 patients4/55-star benchmark: 95%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
53%138 patients3/55-star benchmark: 100%
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…
100%37 patients5/55-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…
14%37 patients1/55-star benchmark: 59%
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.

Other Providers at the Same Location NPPES

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

ROCKY MOUNTAIN VEIN CLINIC, P.C.
Surgery (Vascular Surgery)
125 W YELLOWSTONE AVE
CODY, WY 82414
Park County (307) 527-7129

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 James Johnson's NPI number?

The NPI number for James Johnson is 1215926985. It was assigned to this individual provider in the NPPES registry on October 17, 2005.

Where is James Johnson located?

James Johnson practices at 125 W Yellowstone Ave, Cody, WY 82414. The listed phone number is (307) 527-7129.

What is James Johnson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is James Johnson enrolled in Medicare?

Yes. James 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.

Which organizations bill Medicare for James Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Johnson reassigns Medicare benefits to 2 organizations: Rocky Mountain Vein Clinic, P.C. (Cody, WY) and Rocky Mountain Vein Clinic Great Falls Inc (Great Falls, MT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Johnson accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan and 1 other insurer list James 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 James Johnson was last updated on October 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.