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DR. PHILIP JAMES JOHNSON MD
NPI 1306975263
Family Medicine in Ft Wayne, IN

Active since March 05, 2007PECOS EnrolledAccepts Medicare Assignment
2418 LAKE AVE, FT WAYNE, IN 46805(260) 422-4757(260) 422-8375 Get Directions Write a Review

NPPES record last updated: January 31, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Philip James Johnson Md NPPES

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

DR. PHILIP JAMES JOHNSON MD (NPI 1306975263) is an individual family medicine provider in Ft Wayne, Indiana, licensed in Indiana (01023461) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and is a graduate of Indiana University School Of Medicine (1970).

NPPES Registry Identity

NPI1306975263
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PHILIP JAMES JOHNSONCredential: MD
Location Address2418 LAKE AVEFt Wayne, IN 46805
Mailing Address2418 Lake AveFt Wayne, IN 46805 · (260) 422-4757 · Fax (260) 422-8375
Phone(260) 422-4757
Fax(260) 422-8375
Sole ProprietorYes
Medical School CMSIndiana University School Of MedicineGraduated 1970
Enumeration DateMarch 5, 2007
Last NPPES UpdateJanuary 31, 2008
✔ NPI 1306975263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01023461
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.
2418 LAKE AVE, Ft Wayne, IN 46805
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Other Identifiers 4

Other000000083093IN · Pin Bcbs
Medicare UPINC24160IN
Medicare PIN047580IN
Other4062678IN · Aetna

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

Dr. Philip James Johnson Md 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 ID9234203597
PECOS Enrollment IDI20080805000034
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 2

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
29 services13 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
29 services13 patients

Hospital Affiliations CMS Care Compare

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

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46805 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
66%41 patients3/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
16%983 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%523 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
16%134 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
6%137 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

ABSOLUTE PAIN MANAGEMENT, LLC
Anesthesiology
2418 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 422-4757
ARIA MEDICAL GROUP LLC
Family Medicine
2418 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 422-4757
PHILIP J JOHNSON MD INC
Family Medicine
2418 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 422-4757

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 Philip Johnson's NPI number?

The NPI number for Philip Johnson is 1306975263. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Philip Johnson located?

Philip Johnson practices at 2418 Lake Ave, Ft Wayne, IN 46805. The listed phone number is (260) 422-4757.

What is Philip Johnson's specialty?

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

Is Philip Johnson enrolled in Medicare?

Yes. Philip 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.

Is Philip Johnson affiliated with any hospitals?

According to CMS data, Philip Johnson is affiliated with Parkview Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Philip Johnson was last updated on January 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.