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THOMAS GREGORY JOHNSON M.D.
NPI 1285627604
Family Medicine in Oakland, MD

Active since August 31, 2005PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
311 N 4TH ST, OAKLAND, MD 21550(301) 334-8171(301) 334-1807 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 18, 2022, Aug 4, 2021, Jan 13, 2021 and 1 more (4 updates tracked since 2020).

About Thomas Gregory Johnson M.d. NPPES

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

THOMAS GREGORY JOHNSON M.D. (NPI 1285627604) is an individual family medicine provider in Oakland, Maryland, licensed in Maryland (D15333) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Garrett Regional Medical Center, and is a graduate of University Of Pittsburgh School Of Medicine (1972).

NPPES Registry Identity

NPI1285627604
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHOMAS GREGORY JOHNSONCredential: M.D.
Location Address311 N 4TH STOakland, MD 21550-1371
Mailing Address311 N 4th StOakland, MD 21550-1371 · (301) 334-8171 · Fax (301) 334-1807
Phone(301) 334-8171
Fax(301) 334-1807
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1972
Enumeration DateAugust 31, 2005
Last NPPES UpdateApril 18, 20224 updates tracked since enumeration
NPPES CertifiedApril 18, 2022
✔ NPI 1285627604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MD · D15333
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.
311 N 4TH ST, Oakland, MD 21550
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Other Identifiers 2

Medicaid0049023000WV
Medicaid410201100MD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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 Gregory Johnson 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 ID2567445307
PECOS Enrollment IDI20040611000408
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 7

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
1,402 services929 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
440 services428 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
162 services160 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
160 services158 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
92 services89 patients
Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244
A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.
60 services59 patients

Hospital Affiliations CMS Care Compare 3

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

Garrett Regional Medical Center

Acute Care Hospitals · Oakland, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210017
Location251 North Fourth StreetOakland, MD 21550 · Garrett County
Emergency services Birthing friendly

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

Mon Health Medical Center

Acute Care Hospitals · Morgantown, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510024
Location1200 Jd Anderson DriveMorgantown, WV 26505 · Monongalia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21550 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 17

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
8 suppliers76 claims228 services$5.88 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers12 claims12 services$2.95 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers31 claims39 services$1.07 avg. paid by Medicare
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
3 suppliers12 claims24 services$52.94 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers12 claims12 services$89.85 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers18 claims30 services$32.56 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.

DONA MARIE ALVAREZ M.D.
Orthopaedic Surgery
311 N 4TH ST, SUITE 3
OAKLAND, MD 21550
Garrett County (301) 334-1034
ROBERT AUBREY GORALSKI M.D.
Family Medicine
311 N 4TH ST
OAKLAND, MD 21550
Garrett County (301) 334-8171
GARRETT MEDICAL GROUP, PA
Clinical Medical Laboratory
311 N 4TH ST
OAKLAND, MD 21550
Garrett County (301) 334-8171
TRINITY FAMILY CARE SERVICES LLC
Counselor (Professional)
311 N 4TH ST, SUITE 1
OAKLAND, MD 21550
Garrett County (301) 334-7855
MARY KATHERINE KRETCHMAN PA-C
Physician Assistant
311 N 4TH ST
OAKLAND, MD 21550
Garrett County (301) 334-7855
DR. RICHARD ALLEN PORTER D.O.
Family Medicine
311 N 4TH ST, SUITE 1
OAKLAND, MD 21550
Garrett County (301) 334-7855
DANIEL L MOON CRNP
Nurse Practitioner (Family)
311 N 4TH ST, SUITE 101
OAKLAND, MD 21550
Garrett County (301) 334-8171
ELYZABETH RUTA SAVAGE GORALSKI CRNP
Nurse Practitioner (Family)
311 N 4TH ST
OAKLAND, MD 21550
Garrett County (301) 334-8171

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 1285627604. It was assigned to this individual provider in the NPPES registry on August 31, 2005.

Where is Thomas Johnson located?

Thomas Johnson practices at 311 N 4th St, Oakland, MD 21550. The listed phone number is (301) 334-8171.

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 CareSource and Highmark Blue Cross Blue Shield West Virginia 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 Garrett Regional Medical Center, West Virginia University Hospitals, Inc and Mon Health Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Johnson was last updated on April 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.