DR. ROBERT MARSHALL JOHNSON D.P.M. NPI 1376531889
Podiatrist - Foot Surgery in Fort Worth, TX
About DR. ROBERT MARSHALL JOHNSON D.P.M.
Robert Johnson is a provider established in Fort Worth, Texas and his medical specialization is Podiatrist with a focus in foot surgery with more than 43 years of experience. The NPI number of this provider is 1376531889 and was assigned on October 2005. The practitioner's primary taxonomy code is 213ES0131X with license number 0722 (TX). The provider is registered as an individual and his NPI record was last updated 16 years ago.
| NPI | 1376531889 |
| Provider Name | DR. ROBERT MARSHALL JOHNSON D.P.M. |
| Location Address | 4763 BARWICK DR SUITE 101 FORT WORTH, TX 76132 |
| Location Phone | (817) 370-2895 |
| Mailing Address | 4763 BARWICK DR SUITE 101 FORT WORTH, TX 76132 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 1980 |
| Is Sole Proprietor? | N/A |
| Enumeration Date | 10-10-2005 |
| Last Update Date | 07-08-2007 |
Robert 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) and a Home Health Agency (HHA).
Robert 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.
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 99.15, 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 provider also has detailed performance information the following quality measures: provide 24/7 access to mips eligible clinicians or groups who have real-time access to patient's medical record, provide patients electronic access to their health information and security risk analysis.
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 Code | 213ES0131X |
| Classification | Podiatrist |
| Type | Podiatric Medicine & Surgery Service Providers |
| Specialization | Foot Surgery |
| License No. | 0722 |
| License State | TX |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
4763 BARWICK DR
SUITE 101
FORT WORTH, TX
ZIP 76132
Phone: (817) 370-2895
Fax: (817) 370-6278
Mailing Address
4763 BARWICK DR
SUITE 101
FORT WORTH, TX
ZIP 76132
Phone: (817) 370-2895
Fax: (817) 370-6278
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 ID | 5698802320 |
| PECOS Enrollment ID | I20100428000621 |
| 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 Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | No |
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% | N/A | |
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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. |
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| Promoting Interoperability (PI) | 25% | 99 | |
|
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. |
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| 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. |
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| Cost | 20% | N/A | |
|
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. |
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| MIPS Final Score | - | 99.15 | |
| 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. | |||
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
| - Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following:- Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care);- Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/orProvision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
| Provide Patients Electronic Access to Their Health Information | 99% | 675 |
| For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient-authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified electronic health record technology (CEHRT). | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified electronic health record technology (CEHRT) in accordance with requirements in 45 CFR 164.312(a)(2)(iv) and 164.306(d)(3), implement security updates as necessary, and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
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.
- 177Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
- 104Removal of 2 to 4 thickened skin growths (HCPCS:11056)
- 41Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 00RD16 | MEDICARE ID-TYPE UNSPECIFIED (04) | |
| T14062 | MEDICARE UPIN (02) |
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. | |||||||||
| 1 | 3 | 7 | 6 | 5 | 3 | 1 | 8 | 8 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 14 | 6 | 10 | 3 | 2 | 8 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 4 + 6 + 1 + 0 + 3 + 2 + 8 + 1 + 6 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1376531889 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1326015439 | MRS. VICTORIA MARIA FLEMING SEVERNS Individual | Speech-Language Pathologist | 4763 BARWICK DR OVERTON SPEECH AND LANGUAGE CENTER FORT WORTH, TX 76132 (817) 294-8408 |
| 1922067602 | MRS. VALERIE LEIGH JOHNSTON MS CCC SLP Individual | Speech-Language Pathologist | 4763 BARWICK DR #103 OVERTON SPEECH AND LANGUAGE CENTER FORTH WORTH, TX 76132 (817) 294-8408 |
| 1619159134 | OVERTON SPEECH AND LANGUAGE CENTER Organization | Speech-Language Pathologist | 4763 BARWICK DR SUITE 103 FORT WORTH, TX 76132 (817) 294-8408 |
| 1538600382 | DR. FREDERICK L SPRADLEY D.D.S. AND M.S.D. Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 4763 BARWICK DR SUITE 107 FORT WORTH, TX 76132 (817) 294-5021 |
| 1003938333 | FRED L. SPRADLEY, D.D.S., M.S.D., P.A. Organization | Dentist (Orthodontics and Dentofacial Orthopedics) | 4763 BARWICK DR SUITE 107 FORT WORTH, TX 76132 (817) 294-5021 |
Frequently Asked Questions
What is Dr. Robert Johnson D.P.M. NPI number?
The NPI number assigned to this healthcare provider is 1376531889, registered as an "individual" on October 10, 2005
Where is Dr. Robert Johnson D.P.M. located?
The provider is located at 4763 Barwick Dr Suite 101 Fort Worth, Tx 76132 and the phone number is (817) 370-2895
Which is Dr. Robert Johnson D.P.M. specialty?
The provider's speciality is Podiatrist with a focus in Foot Surgery
How many years of experience does Dr. Robert Johnson D.P.M. have?
The provider has more than 43 years of experience.
What insurance does Dr. Robert Johnson D.P.M. accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Dr. Robert Johnson D.P.M. registered in PECOS?
Yes, as of May 11, 2023 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) and a Home Health Agency (HHA).
What are Dr. Robert Johnson D.P.M. Quality Ratings?
The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information. The provider obtained a high score in the following performance measures: Provide Patients Electronic Access to Their Health Information. The quality ratings are based on unbiased reviews and reported submissions to Medicare's Quality Payment Program.
What are some of the services provided by Dr. Robert Johnson D.P.M.?
The most common procedures or services performed by this practitioner are: Removal of tissue from 6 or more finger or toe nails, Removal of 2 to 4 thickened skin growths and Injections of tendon sheath, ligament, or muscle membrane.
How do I update my NPI information?
The NPI record of Dr. Robert Johnson D.P.M. was last updated on October 10, 2005. 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]
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