MATTHEW ALAN JOHANSEN M.D.
NPI 1265757769
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Cincinnati, OH

Q: What is Matthew Johansen's NPI number?

The NPI number for Matthew Johansen is 1265757769. It was assigned to this individual provider in the NPPES registry on March 29, 2010.

Q: What is Matthew Johansen's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Johansen was last updated on July 14, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 29, 2010PECOS EnrolledAccepts Medicare Assignment

90.38/100

CMS Quality Rating

6480 HARRISON AVE, CINCINNATI, OH 45247(513) 354-3700(513) 354-7651 Get Directions Write a Review

NPPES record last updated: July 14, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Matthew Alan Johansen M.d. NPPES

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

MATTHEW ALAN JOHANSEN M.D. (NPI 1265757769) is an individual adult reconstructive orthopaedic surgery provider in Cincinnati, Ohio, licensed in Ohio (35.129257) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS, is affiliated with Margaret Mary Community Hospital Inc, and is a graduate of Wright State University Boonshoft School Of Medicine (2010).

NPPES Registry Identity

NPI1265757769

Entity TypeIndividualMale

Primary Taxonomy207XS0114X

Provider Legal NameMATTHEW ALAN JOHANSENCredential: M.D.

Location Address6480 HARRISON AVECincinnati, OH 45247-7961

Mailing Address6480 Harrison Ave, Suite 201Cincinnati, OH 45247-7961 · (513) 354-3700 · Fax (513) 354-7651

Phone(513) 354-3700

Fax(513) 354-7651

Sole ProprietorNo

Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2010

Enumeration DateMarch 29, 2010

Last NPPES UpdateJuly 14, 2016

✔ NPI 1265757769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0114X

Licenses✔ Licensed in OH · 35.129257✔ Licensed in VA · 0101258243✔ Licensed in MD · D79334✔ Licensed in KY · TP268

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

6480 HARRISON AVE, Cincinnati, OH 45247

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Matthew Alan Johansen M.d. 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 ID7517279516

PECOS Enrollment IDI20160804000771, I20160810001273, I20170210001091

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 14

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

1,561 services219 patients

Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318

Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.

1,020 services13 patients

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.

403 services344 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

387 services251 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.

321 services265 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

252 services180 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

208 services145 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

186 services174 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

74 services71 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

68 services67 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

35 services35 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

27 services27 patients

X-ray of both hips, 3-4 views 73522

An X-ray of both hips with 3-4 views is a safe imaging procedure. It involves capturing multiple pictures of your hip joints from different angles. This helps in diagnosing conditions like arthritis or fractures. You'll need to stay still during the process for clear images.

19 services19 patients

Mri scan of leg joint without contrast 73721

An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.

18 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Margaret Mary Community Hospital Inc

Critical Access Hospitals · Batesville, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number151329

Location321 Mitchell AveBatesville, IN 47006 · Franklin County

Emergency services

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360134

Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County

Emergency services Birthing friendly

Christ Hospital

Acute Care Hospitals · Cincinnati, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360163

Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County

Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360179

Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County

Emergency services Birthing friendly

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360234

Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County

Emergency services Birthing friendly

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.

90.38/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.76

Promoting Interoperability

100

Improvement Activities

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.

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

2 suppliers36 claims36 services$41.11 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

JAMES M BRUTZ DPT

Physical Therapist

6480 HARRISON AVE
CINCINNATI, OH 45247

Hamilton County (513) 354-7777

DR. HALEEM N. CHAUDHARY MD

Orthopaedic Surgery

6480 HARRISON AVE, SUITE 100
CINCINNATI, OH 45247

Hamilton County (513) 354-3700

MEGAN MICHELLE WHITEHOUSE PA-C

Physician Assistant (Surgical)

6480 HARRISON AVE, STE. 303
CINCINNATI, OH 45247

Hamilton County (513) 541-5051

JODI LOUDER OTR

Occupational Therapy Assistant

6480 HARRISON AVE, SUITE 301
CINCINNATI, OH 45247

Hamilton County (513) 574-5400

TYLER M SCHMIDT PT, DPT

Physical Therapist

6480 HARRISON AVE
CINCINNATI, OH 45247

Hamilton County (513) 354-7777

DR. HENRY ALBERT STIENE M.D.

Internal Medicine (Sports Medicine)

6480 HARRISON AVE, SUITE 201
CINCINNATI, OH 45247

Hamilton County (513) 354-3700

DR. ROBERT RICHARD BURGER M.D.

Orthopaedic Surgery (Sports Medicine)

6480 HARRISON AVE, SUITE 201
CINCINNATI, OH 45247

Hamilton County (513) 354-3700

MRS. MELISSA L KONTSIS P.T.

Physical Therapist

6480 HARRISON AVE, SUITE 202
CINCINNATI, OH 45247

Hamilton County (513) 354-7777

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 Matthew Johansen's NPI number?

The NPI number for Matthew Johansen is 1265757769. It was assigned to this individual provider in the NPPES registry on March 29, 2010.

Where is Matthew Johansen located?

Matthew Johansen practices at 6480 Harrison Ave, Cincinnati, OH 45247. The listed phone number is (513) 354-3700.

What is Matthew Johansen's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Matthew Johansen enrolled in Medicare?

Yes. Matthew Johansen 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 Matthew Johansen accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 1 other insurer list Matthew Johansen 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 Matthew Johansen affiliated with any hospitals?

According to CMS data, Matthew Johansen is affiliated with Margaret Mary Community Hospital Inc, Good Samaritan Hospital, Christ Hospital, Bethesda North and Mercy Health - West Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Johansen was last updated on July 14, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.