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MARC ALEXANDER JOHNSON MD
NPI 1265451918
Internal Medicine in Charlotte, NC

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
1350 S KINGS DR, CHARLOTTE, NC 28207(704) 446-1242 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 49 more (52 updates tracked since 2016).

About Marc Alexander Johnson Md NPPES

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

MARC ALEXANDER JOHNSON MD (NPI 1265451918) is an individual internal medicine provider in Charlotte, North Carolina, licensed in North Carolina (2009-00106) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and is a graduate of Icahn School Of Medicine At Mount Sinai (1985).

NPPES Registry Identity

NPI1265451918
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMARC ALEXANDER JOHNSONCredential: MD
Location Address1350 S KINGS DRCharlotte, NC 28207-2134
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 446-1242
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1985
Enumeration DateJuly 19, 2006
Last NPPES UpdateJuly 15, 202452 updates tracked since enumeration
NPPES CertifiedApril 14, 2022
✔ NPI 1265451918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 2009-00106
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1350 S KINGS DR, Charlotte, NC 28207
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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

Marc Alexander 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 ID6204986490
PECOS Enrollment IDI20090609000658
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

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.
95 services61 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28207 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

KRISTINA JASMIN HARRELL MD
Pediatrics (Pediatric Hematology-Oncology)
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1422
WILLIAM LANE JR. MD
Internal Medicine
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-4490
LYNN AMY BOARDMAN MD
Obstetrics & Gynecology
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1544
MRS. ALKA H PATEL PHARMD
Pharmacist
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1405
PAULA JEANETTE LASTORIA FNP
Nurse Practitioner (Family)
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1255
GRANT BLANCHARD MD
Obstetrics & Gynecology
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1544
MRS. ASHLYNN BRISBEN OVERCASH NP
Nurse Practitioner
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-4490
STACEY HAYNES ARCHER CNM
Advanced Practice Midwife
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1544

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 Marc Johnson's NPI number?

The NPI number for Marc Johnson is 1265451918. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Marc Johnson located?

Marc Johnson practices at 1350 S Kings Dr, Charlotte, NC 28207. The listed phone number is (704) 446-1242.

What is Marc Johnson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Marc Johnson enrolled in Medicare?

Yes. Marc 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 Marc Johnson accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 2 other insurers list Marc 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.

Is Marc Johnson affiliated with any hospitals?

According to CMS data, Marc Johnson is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Marc Johnson was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.