THOMAS L JOHNSON MD
NPI 1265693360
Family Medicine in Norway, ME

Active since June 20, 2008PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating

NPPES record last updated: September 29, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Thomas L Johnson Md NPPES

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

THOMAS L JOHNSON MD (NPI 1265693360) is an individual family medicine provider in Norway, Maine, licensed in Maine (MD20761) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Stephens Memorial Hospital, and is a graduate of Boston University School Of Medicine (2008).

NPPES Registry Identity

NPI1265693360
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHOMAS L JOHNSONCredential: MD
Location Address8 PIKES HLNorway, ME 04268-5340
Mailing Address300 Southborough Dr, Suite 201South Portland, ME 04106-6914 · (207) 661-2000
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2008
Enumeration DateJune 20, 2008
Last NPPES UpdateSeptember 29, 2016
NPI 1265693360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in ME · MD20761
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.

8 PIKES HL, Norway, ME 04268

Other Identifiers 2

Medicare PINE400266407ME
Medicare PINE400266411ME

Accepted 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

Thomas L 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 ID6709060916
PECOS Enrollment IDI20151229002538
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.

Hospital Affiliations CMS Care Compare

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

Stephens Memorial Hospital

Critical Access Hospitals · Norway, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201315
Location181 Main StreetNorway, ME 04268 · Oxford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04268 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers14 claims40 services$5.43 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
3 suppliers18 claims540 services$7.01 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims5,832 services$0.39 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier15 claims15 services$18.39 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier28 claims28 services$94.55 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers11 claims12 services$185.02 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.

Family Medicine
8 PIKES HL
NORWAY, ME 04268
Family Medicine
8 PIKES HL
NORWAY, ME 04268
Nurse Practitioner (Family)
8 PIKES HL
NORWAY, ME 04268
Social Worker (Clinical)
8 PIKES HL
NORWAY, ME 04268
Family Medicine
8 PIKES HL
NORWAY, ME 04268
Family Medicine
8 PIKES HL
NORWAY, ME 04268
Nurse Practitioner
8 PIKES HL
NORWAY, ME 04268
Nurse Practitioner (Family)
8 PIKES HL
NORWAY, ME 04268

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 Thomas Johnson's NPI number?

The NPI number for Thomas Johnson is 1265693360. It was assigned to this individual provider in the NPPES registry on June 20, 2008.

Where is Thomas Johnson located?

Thomas Johnson practices at 8 Pikes Hl, Norway, ME 04268. The listed phone number is (207) 743-9292.

What is Thomas Johnson's specialty?

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

Is Thomas Johnson enrolled in Medicare?

Yes. Thomas 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 Thomas Johnson accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Thomas 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 Thomas Johnson affiliated with any hospitals?

According to CMS data, Thomas Johnson is affiliated with Stephens Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Johnson was last updated on September 29, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.