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DR. ANDRE LYNDON B JOHNSON DO
NPI 1245811280
Family Medicine in Highlands Ranch, CO

Active since April 20, 2021PECOS EnrolledAccepts Medicare Assignment
9137 RIDGELINE BLVD STE 100, HIGHLANDS RANCH, CO 80129(303) 649-3140(303) 649-3154 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 13, 2025, Apr 20, 2021 (2 updates tracked since 2021).

About Dr. Andre Lyndon B Johnson Do NPPES

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

DR. ANDRE LYNDON B JOHNSON DO (NPI 1245811280) is an individual family medicine provider in Highlands Ranch, Colorado, licensed in Colorado (DR.73490) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Westminster, and is a graduate of Alabama College Of Osteopathic Medicine (2021).

NPPES Registry Identity

NPI1245811280
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ANDRE LYNDON B JOHNSONCredential: DO
Location Address9137 RIDGELINE BLVD STE 100Highlands Ranch, CO 80129-2397
Mailing Address9137 Ridgeline Blvd Ste 100Highlands Ranch, CO 80129-2397 · (303) 649-3140 · Fax (303) 649-3154
Phone(303) 649-3140
Fax(303) 649-3154
Sole ProprietorNo
Medical School CMSAlabama College Of Osteopathic MedicineGraduated 2021
Enumeration DateApril 20, 2021
Last NPPES UpdateFebruary 13, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2025
✔ NPI 1245811280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CO · DR.73490
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License TL0008743 (CO)
9137 RIDGELINE BLVD STE 100, Highlands Ranch, CO 80129
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Secondary Practice Location 1

Location 114300 Orchard Pkwy Fl 1Westminster, CO 80023-9206 · Phone (303) 430-5560

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

Dr. Andre Lyndon B Johnson Do 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 ID6901207893
PECOS Enrollment IDI20250109000006
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 Reassignment

Medicare enrollment records show Andre Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Portercare Adventist Health System
Same address
Family Medicine
9137 RIDGELINE BLVD STE 100
Highlands Ranch, CO 80129
  • Reassigned Medicare billing, Colorado enrollment
  • 733 clinicians in this Medicare group
NPI 1548872062 (303) 649-3140

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80129 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Other Providers at the Same Location NPPES 5

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

COURTNEY GREENUP NURSE PRACTITIONER
Nurse Practitioner
9137 RIDGELINE BLVD STE 100
HIGHLANDS RANCH, CO 80129
Douglas County (303) 649-3140
DR. MARY OLIVIA ALEXANDER MD
Family Medicine
9137 RIDGELINE BLVD STE 100
HIGHLANDS RANCH, CO 80129
Douglas County (303) 649-3140
PORTERCARE ADVENTIST HEALTH SYSTEM
Family Medicine
9137 RIDGELINE BLVD STE 100
HIGHLANDS RANCH, CO 80129
Douglas County (303) 649-3140
ADVENTHEALTH PRIMARY CARE RMR
Family Medicine
9137 RIDGELINE BLVD STE 100
HIGHLANDS RANCH, CO 80129
Douglas County (303) 649-3140
DR. MOODY MIHYU MD
Family Medicine
9137 RIDGELINE BLVD STE 100
HIGHLANDS RANCH, CO 80129
Douglas County (303) 649-3140

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 Andre Johnson's NPI number?

The NPI number for Andre Johnson is 1245811280. It was assigned to this individual provider in the NPPES registry on April 20, 2021.

Where is Andre Johnson located?

Andre Johnson practices at 9137 Ridgeline Blvd Ste 100, Highlands Ranch, CO 80129. The listed phone number is (303) 649-3140.

What is Andre Johnson's specialty?

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

Is Andre Johnson enrolled in Medicare?

Yes. Andre 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 organization bills Medicare for Andre Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andre Johnson reassigns Medicare benefits to Portercare Adventist Health System (Highlands Ranch, CO). The 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 Andre Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andre Johnson was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.