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DR. DAVID P JOHNSON MD
NPI 1235180084
Family Medicine in Milwaukee, WI

Active since May 15, 2006PECOS EnrolledAccepts Medicare Assignment
1121 E NORTH AVE, COLUMBIA-ST. MARY'S FAMILY PRACTICE, MILWAUKEE, WI 53212(414) 267-6500(414) 267-3894 Get Directions Write a Review

NPPES record last updated: January 31, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. David P Johnson Md NPPES

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

DR. DAVID P JOHNSON MD (NPI 1235180084) is an individual family medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (39070) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (1996).

NPPES Registry Identity

NPI1235180084
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DAVID P JOHNSONCredential: MD
Location Address1121 E NORTH AVE, COLUMBIA-ST. MARY'S FAMILY PRACTICEMilwaukee, WI 53212-3515
Mailing Address1121 E North Ave, Columbia-st. Mary's Family PracticeMilwaukee, WI 53212-3515 · (414) 267-6500 · Fax (414) 267-3894
Phone(414) 267-6500
Fax(414) 267-3894
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1996
Enumeration DateMay 15, 2006
Last NPPES UpdateJanuary 31, 2013
✔ NPI 1235180084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 39070
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1121 E NORTH AVE, Milwaukee, WI 53212
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Other Identifiers 5

Medicare UPING95677
Medicare PIN68086 0792WI
Other004000215WHumana
Medicare PIN009K 73-601WI
Medicaid1235180084WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) 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

Dr. David P 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 ID5799864989
PECOS Enrollment IDI20080429000618
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 2

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.
46 services29 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.
36 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53212 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers13 claims13 services$2.20 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.

MARGARET A SUMINSKI BS
Case Manager/Care Coordinator
1121 E NORTH AVE, COLUMBIA ST MARY'S FAMILY MEDICINE
MILWAUKEE, WI 53212
Milwaukee County (414) 267-6502
MICHELLE ARNESON
Family Medicine
1121 E NORTH AVE
MILWAUKEE, WI 53212
Milwaukee County (414) 267-6502
VENESHIA NACOLE' MCKINNEY-WHITSON M.D.
Family Medicine
1121 E NORTH AVE, COLUMBIA-ST MARY'S FAMILY MEDICINE
MILWAUKEE, WI 53212
Milwaukee County (414) 267-6502
MATHEW DONALD ENGMANN DO
Family Medicine
1121 E NORTH AVE
MILWAUKEE, WI 53212
Milwaukee County (414) 267-6502
ANALY VILLAFUERTE
Nurse Practitioner (Family)
1121 E NORTH AVE
MILWAUKEE, WI 53212
Milwaukee County (414) 267-6500
CHRISTINA E ELDREDGE MD
Family Medicine
1121 E NORTH AVE, COLUMBIA-ST. MARY'S FAMILY MEDICINE
MILWAUKEE, WI 53212
Milwaukee County (414) 267-6502
MS. SARAH CECELIA SANCHEZ M.D.
Family Medicine
1121 E NORTH AVE
MILWAUKEE, WI 53212
Milwaukee County (414) 267-6502
DR. ROBERT LYON MD
Family Medicine
1121 E NORTH AVE, COLUMBIA-ST. MARY'S FAMILY PRACTICE
MILWAUKEE, WI 53212
Milwaukee County (414) 267-6500

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 David Johnson's NPI number?

The NPI number for David Johnson is 1235180084. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is David Johnson located?

David Johnson practices at 1121 E North Ave Columbia-St. Mary's Family Practice, Milwaukee, WI 53212. The listed phone number is (414) 267-6500.

What is David Johnson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is David Johnson enrolled in Medicare?

Yes. David 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 David Johnson accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Network Health and UnitedHealthcare list David 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 David Johnson was last updated on January 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.