Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HOLLY RENEE JOHNSON MD
NPI 1356963623
Surgery in Jamestown, NY

Q: What is Holly Johnson's NPI number?

The NPI number for Holly Johnson is 1356963623. It was assigned to this individual provider in the NPPES registry on May 10, 2020.

Q: What is Holly Johnson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Holly Johnson was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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 10, 2020PECOS Enrolled

15 S MAIN ST, JAMESTOWN, NY 14701(716) 483-1183(716) 664-4903 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 27, 2026, Jun 27, 2025, May 10, 2020 (3 updates tracked since 2020).

On this page

About Holly Renee Johnson Md NPPES

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

HOLLY RENEE JOHNSON MD (NPI 1356963623) is an individual surgery provider in Jamestown, New York, licensed in New York (327549) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1356963623

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameHOLLY RENEE JOHNSONCredential: MD

Location Address15 S MAIN STJamestown, NY 14701-6626

Mailing Address15 S Main St Ste 170Jamestown, NY 14701-6627

Phone(716) 483-1183

Fax(716) 664-4903

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMay 10, 2020

Last NPPES UpdateJuly 27, 20263 updates tracked since enumeration

NPPES CertifiedJuly 27, 2026

✔ NPI 1356963623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in NY · 327549

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

15 S MAIN ST, Jamestown, NY 14701

Open in Google Maps ↗

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

Holly Renee 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 ID1355851700

PECOS Enrollment IDI20250605003665

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.

Hospital Affiliations CMS Care Compare

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

Kaleida Health

Acute Care Hospitals · Buffalo, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330005

Location100 High StreetBuffalo, NY 14210 · Erie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14701 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

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.

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.

DREW GIBSON

Physical Therapy Assistant

15 S MAIN ST, SUITE 220
JAMESTOWN, NY 14701

Chautauqua County (716) 488-2322

DR. ROBERT BAILEY MD

Family Medicine

15 S MAIN ST, SUITE 250 - FAMILY PRACTICE
JAMESTOWN, NY 14701

Chautauqua County (716) 488-1878

LEANDRA NICOLE ST. PIERRE DPT, CSCS

Physical Therapist

15 S MAIN ST, SUITE 220
JAMESTOWN, NY 14701

Chautauqua County (716) 488-2322

SHIRLEY J SWENSON FNP

Nurse Practitioner (Family)

15 S MAIN ST, SUITE 160
JAMESTOWN, NY 14701

Chautauqua County (716) 484-7107

KAROLEE HUTCHINSON PTA

Physical Therapy Assistant

15 S MAIN ST, SUITE 220
JAMESTOWN, NY 14701

Chautauqua County (716) 488-2322

TIMOTHY BROWN

Surgery

15 S MAIN ST, SUITE 170
JAMESTOWN, NY 14701

Chautauqua County (716) 483-1183

SHADEN ALFALLAY

Internal Medicine

15 S MAIN ST, SUITE 150 INTERNAL MEDICINE
JAMESTOWN, NY 14701

Chautauqua County (716) 484-8610

DR. GEORGE L SO M.D.

Internal Medicine (Cardiovascular Disease)

15 S MAIN ST, SUITE 110 - CARDIOLOGY
JAMESTOWN, NY 14701

Chautauqua County (716) 483-2320

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 Holly Johnson's NPI number?

The NPI number for Holly Johnson is 1356963623. It was assigned to this individual provider in the NPPES registry on May 10, 2020.

Where is Holly Johnson located?

Holly Johnson practices at 15 S Main St, Jamestown, NY 14701. The listed phone number is (716) 483-1183.

What is Holly Johnson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Holly Johnson enrolled in Medicare?

Yes. Holly 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 Holly Johnson affiliated with any hospitals?

According to CMS data, Holly Johnson is affiliated with Kaleida Health.

When was this NPI record last updated?

The NPPES record for Holly Johnson was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.