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DR. CARL R JOHNSON M.D.
NPI 1275525701
Internal Medicine in Mattoon, IL

Active since August 19, 2005PECOS Enrolled
500 HEALTH CENTER DR, SUITE 104, MATTOON, IL 61938(217) 258-4080(217) 258-4084 Get Directions Write a Review

NPPES record last updated: January 27, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Carl R Johnson M.d. NPPES

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

DR. CARL R JOHNSON M.D. (NPI 1275525701) is an individual internal medicine provider in Mattoon, Illinois, licensed in Illinois (036057126) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275525701
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. CARL R JOHNSONCredential: M.D.
Location Address500 HEALTH CENTER DR, SUITE 104Mattoon, IL 61938-9258
Mailing AddressPo Box 372Mattoon, IL 61938-0372 · (217) 258-4080 · Fax (217) 258-4084
Phone(217) 258-4080
Fax(217) 258-4084
Sole ProprietorYes
Enumeration DateAugust 19, 2005
Last NPPES UpdateJanuary 27, 2015
✔ NPI 1275525701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036057126
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.
500 HEALTH CENTER DR, Mattoon, IL 61938
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Other Identifiers 6

Other170490IL · Personalcare Hmo
Medicare ID-Type Unspecified110086286IL · Palmetto Gba Railroad Med
Other0001520105IL · Blue Cross Blue Shield
Medicare ID-Type Unspecified646591IL · Wps Medicare
Medicare UPIND14285IL
Medicaid036057126IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carl R Johnson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61938 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 4

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

Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$4.76 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers13 claims51 services$9.30 avg. paid by Medicare
Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each A4424
DME-Orthotic Devices · category DF010N
1 supplier12 claims220 services$4.59 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
1 supplier14 claims14 services$46.33 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 3

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

UROLOGY ASSOCIATES, S.C.
Physician Assistant
500 HEALTH CENTER DR, SUITE 305
MATTOON, IL 61938
Coles County (217) 258-4186
DR. ROGER KENT RIVES MD
Urology
500 HEALTH CENTER DR, SUITE 305
MATTOON, IL 61938
Coles County (217) 258-4186
GAYLIN LACK M.D.
Orthopaedic Surgery
500 HEALTH CENTER DR, SUITE 101
MATTOON, IL 61938
Coles County (217) 238-3435

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 Carl Johnson's NPI number?

The NPI number for Carl Johnson is 1275525701. It was assigned to this individual provider in the NPPES registry on August 19, 2005.

Where is Carl Johnson located?

Carl Johnson practices at 500 Health Center Dr Suite 104, Mattoon, IL 61938. The listed phone number is (217) 258-4080.

What is Carl Johnson's specialty?

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

Is Carl Johnson enrolled in Medicare?

Yes. Carl Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carl Johnson was last updated on January 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.