SCOTT JOHNSON DMD
NPI 1255712055
Dentist - Endodontics in Orem, UT

Active since June 17, 2015Opted out of Medicare · through Aug 9, 2027

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 18, 2023, Dec 19, 2017 (2 updates tracked since 2017).

About Scott Johnson Dmd NPPES

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

SCOTT JOHNSON DMD (NPI 1255712055) is an individual endodontics provider in Orem, Utah, licensed in Utah (13065309-9923) and active in the NPI registry since June 2015. He has opted out of Medicare through August 9, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1255712055
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameSCOTT JOHNSONCredential: DMD
Location Address478 W 800 NOrem, UT 84057-3728
Mailing Address478 W 800 NOrem, UT 84057-3728 · (801) 227-0511
Sole ProprietorYes
Enumeration DateJune 17, 2015
Last NPPES UpdateJuly 18, 20232 updates tracked since enumeration
NPPES CertifiedJuly 18, 2023
NPI 1255712055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Licenses Licensed in UT · 13065309-9923 Licensed in AZ · D009841
Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

478 W 800 N, Orem, UT 84057

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Scott Johnson Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 9, 2017 through August 9, 2027.

Opt-Out Effective DateAugust 9, 2017
Opt-Out In Effect ThroughAugust 9, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84057 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

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 Scott Johnson's NPI number?

The NPI number for Scott Johnson is 1255712055. It was assigned to this individual provider in the NPPES registry on June 17, 2015.

Where is Scott Johnson located?

Scott Johnson practices at 478 W 800 N, Orem, UT 84057. The listed phone number is (801) 227-0511.

What is Scott Johnson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Scott Johnson enrolled in Medicare?

No. Scott Johnson has opted out of Medicare through August 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Scott Johnson accept?

Health plans from Ambetter from Arizona Complete Health, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 9 other insurers list Scott 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 Scott Johnson was last updated on July 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.