MATTHEW BENJAMIN JOHNSTON DO
NPI 1265844690
Family Medicine in Circleville, OH

Q: What is Matthew Johnston's NPI number?

The NPI number for Matthew Johnston is 1265844690. It was assigned to this individual provider in the NPPES registry on May 20, 2014.

Q: What is Matthew Johnston's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Matthew Johnston was last updated on October 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 20, 2014PECOS EnrolledAccepts Medicare Assignment

210 SHARON RD STE D, CIRCLEVILLE, OH 43113(740) 420-8422(740) 420-6270 Get Directions Write a Review

NPPES record last updated: October 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2022, Jan 19, 2022, Sep 20, 2021 and 2 more (5 updates tracked since 2018).

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About Matthew Benjamin Johnston Do NPPES

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

MATTHEW BENJAMIN JOHNSTON DO (NPI 1265844690) is an individual family medicine provider in Circleville, Ohio, licensed in Ohio (34.012316) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and maintains a secondary practice location in Dublin.

NPPES Registry Identity

NPI1265844690

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMATTHEW BENJAMIN JOHNSTONCredential: DO

Location Address210 SHARON RD STE DCircleville, OH 43113-1498

Mailing AddressPo Box 7527Dublin, OH 43017-0727

Phone(740) 420-8422

Fax(740) 420-6270

Sole ProprietorNo

Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2014

Enumeration DateMay 20, 2014

Last NPPES UpdateOctober 10, 20225 updates tracked since enumeration

NPPES CertifiedOctober 10, 2022

✔ NPI 1265844690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OH · 34.012316

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.

210 SHARON RD STE D, Circleville, OH 43113

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Secondary Practice Location 1

Location 16905 Hospital Dr Ste 130Dublin, OH 43016-9600 · Phone (614) 923-0300 · Fax (614) 923-0400

Other Identifiers 1

Medicaid0466217OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.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 Benjamin Johnston 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 ID2062711336

PECOS Enrollment IDI20170721002504

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.

58 services31 patients

Hospital Affiliations CMS Care Compare 2

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360006

Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County

Emergency services Birthing friendly

Berger Hospital

Acute Care Hospitals · Circleville, OH

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number360170

Location600 North Pickaway StreetCircleville, OH 43113 · Pickaway County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43113 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

6 suppliers18 claims20 services$5.72 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 suppliers13 claims13 services$170.89 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 7

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

HANNAH BOOKWALTER SMITH APRN.CNP

Nurse Practitioner