MR. MICHAEL JOHNSON NPI 1366702193
Physician Assistant in Alpena, MI

About MR. MICHAEL JOHNSON

Michael Johnson is a primary care provider established in Alpena, Michigan and his medical specialization is Physician Assistant with more than 11 years of experience. He graduated from Wayne State University School Of Medicine in 2012. The NPI number of Michael Johnson is 1366702193 and was assigned on May 2012. The practitioner's primary taxonomy code is 363A00000X. The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI
1366702193
Provider NameMR. MICHAEL JOHNSON
Location Address401 LONG RAPIDS PLZ ALPENA, MI 49707
Location Phone(989) 356-9333
Mailing Address1501 W CHISHOLM ST ALPENA, MI 49707
GenderMale
NPI Entity TypeIndividual
Medical School NameWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year2012
Is Sole Proprietor?No
Enumeration Date05-27-2012
Last Update Date08-22-2013

A primary care provider (PCP) like Mr. Michael Johnson sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc Michael Johnson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Michael Johnson is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Midmichigan Medical Center - Alpena.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 87.9, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.79 for a new patient copayment and $17.7 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code363A00000X
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy DescriptionA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Business Address

MR. MICHAEL JOHNSON
401 LONG RAPIDS PLZ
ALPENA, MI
ZIP 49707
Phone: (989) 356-9333
Fax: (989) 356-0804

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Mailing Address

MR. MICHAEL JOHNSON
1501 W CHISHOLM ST
ALPENA, MI
ZIP 49707
Phone: (989) 356-5241
Fax: (989) 356-8132


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID9537395470
PECOS Enrollment IDI20131122001171
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 49707 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$56.39 $172.8 $87.16
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.09 $43.2 $21.79
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$17.24 $140.86 $70.8
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.31 $35.21 $17.7

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 94.4
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 67
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% 72.8
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 87.9
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 14Repair of knee joint (HCPCS:27447)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Michael Johnson is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MIDMICHIGAN MEDICAL CENTER - ALPENA1501 W CHISHOLM ST
ALPENA, MI 49707
(989) 356-7390Acute Care Hospitals230036

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1366702193
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231261404118
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 1 + 4 + 0 + 4 + 1 + 1 + 8 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1366702193 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093724999 STEVEN E VORENKAMP MD
Individual
Orthopaedic Surgery401 LONG RAPIDS PLZ
ALPENA, MI 49707
(989) 356-9333
1235396961 JEFFREY PAUL DOMBROSKI MD
Individual
Specialist401 LONG RAPIDS PLZ
ALPENA, MI 49707
(989) 356-9333
1639170517 ERIC ROBERT CORNISH M.D.
Individual
Orthopaedic Surgery401 LONG RAPIDS PLZ
ALPENA, MI 49707
(989) 356-9333
1881992881DR. KIEL THOMAS BELTINCK D.O.
Individual
Orthopaedic Surgery401 LONG RAPIDS PLZ
ALPENA, MI 49707
(989) 356-9333
1801982814ALPENA REGIONAL MEDICAL CENTER
Organization
Durable Medical Equipment & Medical Supplies401 LONG RAPIDS PLZ
ALPENA, MI 49707
(989) 356-7390
1629146691MIDMICHIGAN MEDICAL CENTER-ALPENA
Organization
Orthopaedic Surgery401 LONG RAPIDS PLZ
ALPENA, MI 49707
(989) 356-9333
1992048284 KRISTALYN J MAUCH MD
Individual
Orthopaedic Surgery401 LONG RAPIDS PLZ
ALPENA, MI 49707
(989) 356-9333
1215568548 KELLY BATES P.A.
Individual
Physician Assistant401 LONG RAPIDS PLZ
ALPENA, MI 49707
(989) 356-9333

Frequently Asked Questions

What is Mr. Michael Johnson NPI number?

The NPI number assigned to Mr. Michael Johnson is 1366702193, registered as an "individual" on May 27, 2012

Where is Mr. Michael Johnson located?

The provider is located at 401 Long Rapids Plz Alpena, Mi 49707 and the phone number is (989) 356-9333

Which is Mr. Michael Johnson specialty?

The provider's speciality is Physician Assistant

How many years of experience does Mr. Michael Johnson have?

The provider has more than 11 years of experience. He graduated from Wayne State University School Of Medicine in 2012.

Is Mr. Michael Johnson registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Mr. Michael Johnson ?

Medicare beneficiaries should expect a typical cost of $87.16 with an average copayment of $21.79 for new patient appointments. Established patients should expect a typical charge of $70.8 and an average copayment of 17.7. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Mr. Michael Johnson ?

The most common procedures or services performed by this practitioner are: Repair of knee joint.

Is Mr. Michael Johnson affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: MIDMICHIGAN MEDICAL CENTER - ALPENA. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

The NPI record of Mr. Michael Johnson was last updated on May 27, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]