DR. JOE H JOHNSON M.D.
NPI 1326082033
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Macon, GA

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment
90.48/100
CMS Quality Rating
575 1ST ST, MACON, GA 31201(478) 743-9762(478) 746-6612 Get Directions Write a Review

NPPES record last updated: October 2, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Joe H Johnson M.d. NPPES

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

DR. JOE H JOHNSON M.D. (NPI 1326082033) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Macon, Georgia, licensed in Georgia (025621) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Sgmc Health, and is a graduate of Medical College Of Georgia School Of Medicine (1982).

NPPES Registry Identity

NPI1326082033
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. JOE H JOHNSONCredential: M.D.
Location Address575 1ST STMacon, GA 31201-2825
Mailing Address575 1st StMacon, GA 31201-2825 · (478) 743-9762 · Fax (478) 746-6612
Fax(478) 746-6612
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1982
Enumeration DateJune 15, 2006
Last NPPES UpdateOctober 2, 2012
NPI 1326082033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License Licensed in GA · 025621
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
575 1ST ST, Macon, GA 31201

Other Identifiers 6

Other770002553GA · Railroad
Medicare UPINE19617GA
Medicare ID-Type Unspecified33BDBGBGA
Medicaid00391058FGA
Other2501248GA · Blue Cross Hmo
Other5569443GA · Blue Cross Ppo

Accepted 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

Dr. Joe H 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 ID8022919505
PECOS Enrollment IDI20040622000832
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.

Exclusion of appendage of left upper chamber of heart performed during other procedure on chest 33268
This is a procedure done on the heart's left upper chamber (atrium). The small pouch-like appendage is sealed off during another chest procedure. This is done to reduce the risk of blood clots forming and causing strokes.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Sgmc Health

Acute Care Hospitals · Valdosta, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110122
Location2501 North Patterson Street, PO Box 1727Valdosta, GA 31602 · Lowndes County
Emergency services Birthing friendly

Sgmc Health Lanier

Critical Access Hospitals · Lakeland, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111326
Location116 West Thigpen AvenueLakeland, GA 31635 · Lanier County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31201 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
$164.04 typical visit price
range $53.31 – $164.04
Typical copayment $41.01 (range $13.32 – $41.01)
Most-billed visit code 99205
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
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.

90.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.5
Promoting Interoperability95.74
Improvement Activities40

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.

Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465
DME-Other DME · category DE005N
1 supplier12 claims12 services$917.09 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
2 suppliers24 claims24 services$106.39 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$35.00 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$32.89 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 20

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

Surgery
575 1ST ST
MACON, GA 31201
Thoracic Surgery (Cardiothoracic Vascular Surgery)
575 1ST ST
MACON, GA 31201
Surgery (Vascular Surgery)
575 1ST ST
MACON, GA 31201
Thoracic Surgery (Cardiothoracic Vascular Surgery)
575 1ST ST
MACON, GA 31201
Nurse Practitioner (Family)
575 1ST ST
MACON, GA 31201
Nurse Practitioner (Family)
575 1ST ST
MACON, GA 31201
Nurse Practitioner (Family)
575 1ST ST
MACON, GA 31201
Thoracic Surgery (Cardiothoracic Vascular Surgery)
575 1ST ST
MACON, GA 31201

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 Joe Johnson's NPI number?

The NPI number for Joe Johnson is 1326082033. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Joe Johnson located?

Joe Johnson practices at 575 1st St, Macon, GA 31201. The listed phone number is (478) 743-9762.

What is Joe Johnson's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Joe Johnson enrolled in Medicare?

Yes. Joe 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 Joe Johnson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Joe 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 Joe Johnson affiliated with any hospitals?

According to CMS data, Joe Johnson is affiliated with Sgmc Health and Sgmc Health Lanier.

When was this NPI record last updated?

The NPPES record for Joe Johnson was last updated on October 2, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.