JEFFREY W JOHNSON MD
NPI 1285692400
Internal Medicine in Provo, UT

Q: What is Jeffrey Johnson's NPI number?

The NPI number for Jeffrey Johnson is 1285692400. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Q: What is Jeffrey Johnson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Johnson was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 04, 2006PECOS Enrolled

1055 N 500 W STE 212, PROVO, UT 84604(801) 374-2362(801) 429-8196 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 22, 2020, Nov 7, 2018 (2 updates tracked since 2018).

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About Jeffrey W Johnson Md NPPES

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

JEFFREY W JOHNSON MD (NPI 1285692400) is an individual internal medicine provider in Provo, Utah, licensed in Utah (1716591205) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285692400

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameJEFFREY W JOHNSONCredential: MD

Location Address1055 N 500 W STE 212Provo, UT 84604-3305

Mailing Address1055 N 500 W, Attn: CredentialingProvo, UT 84604-3305 · (801) 354-8225 · Fax (801) 418-0941

Phone(801) 374-2362

Fax(801) 429-8196

Sole ProprietorNo

Enumeration DateMay 4, 2006

Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration

NPPES CertifiedApril 22, 2020

✔ NPI 1285692400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in UT · 1716591205

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.

1055 N 500 W STE 212, Provo, UT 84604

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Other Identifiers 6

Other110037853UT · Palmetto Gba

Other04-00467UT · United Healthcare

Other2556UT · Dmba

OtherQM0000000053UT · Altius

Other107006671101UT · Ihc Healthplans

Other16205UT · Pehp

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey W Johnson Md 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.

Medicare Billing Reassignments

Medicare enrollment records show Jeffrey Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ihc Health Services, Inc.

Same address

General Acute Care Hospital

1034 N 500 W
Provo, UT 84604

Reassigned Medicare billing, Utah enrollment
1,729 clinicians in this Medicare group

NPI 1114025491 (801) 357-7850

Revere Health PC

5.6 mi

Multi-Specialty

1055 N 500 W
Provo, UT 84604

Reassigned Medicare billing, Utah enrollment
414 clinicians in this Medicare group

NPI 1093764805 (801) 429-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

16 suppliers35 claims111 services$5.50 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

4 suppliers22 claims22 services$18.13 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

6 suppliers49 claims49 services$85.21 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers13 claims13 services$32.74 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 9

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

MERILEE JACOBSON FNP

Nurse Practitioner (Family)