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NICHOLE KAY JOHNSON MD
NPI 1386852051
Internal Medicine in Plano, TX

Active since May 18, 2007Opted out of Medicare · through Aug 20, 2026
0/100
CMS Quality Rating
4001 W 15TH ST, STE 100, PLANO, TX 75093(214) 463-7671(214) 473-7680 Get Directions Write a Review

NPPES record last updated: August 11, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nichole Kay Johnson Md NPPES

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

NICHOLE KAY JOHNSON MD (NPI 1386852051) is an individual internal medicine provider in Plano, Texas, licensed in Texas (M6638) and active in the NPI registry since May 2007. She has opted out of Medicare through August 20, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1386852051
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameNICHOLE KAY JOHNSONCredential: MD
Location Address4001 W 15TH ST, STE 100Plano, TX 75093-5841
Mailing Address4001 W 15th St, Ste 100Plano, TX 75093-5841 · (214) 463-7671 · Fax (214) 473-7680
Phone(214) 463-7671
Fax(214) 473-7680
Sole ProprietorNo
Enumeration DateMay 18, 2007
Last NPPES UpdateAugust 11, 2016
✔ NPI 1386852051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · M6638
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License M6638 (TX)
4001 W 15TH ST, Plano, TX 75093
Open in Google Maps ↗

Other Identifiers 7

Medicaid199018602TX
Medicare PINP01025981TX
Other8CZ856TX · Bcbstx
Medicare PIN8K6078TX
Medicare PINTXB132520TX
Other8G0899TX · Bcbs
Medicaid199018601TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Nichole Kay Johnson Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 20, 2024 through August 20, 2026.

Opt-Out Effective DateAugust 20, 2024
Opt-Out In Effect ThroughAugust 20, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 9

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.

Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval G0277
Hyperbaric oxygen therapy involves breathing pure oxygen in a pressurized room or tube. You'll be in a full body chamber for 30-minute intervals. This high-pressure environment allows your lungs to gather more oxygen, which can promote healing and fight infection.
1,516 services22 patients
Management of oxygen chamber therapy 99183
Oxygen chamber therapy involves breathing pure oxygen in a pressurized room or tube. It's used to treat various conditions like wounds that won't heal due to diabetes or radiation injury. In this therapy, your body's tissues get more oxygen to promote healing and fight infection.
379 services22 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
347 services102 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
69 services43 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
59 services52 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
55 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75093 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
4 suppliers13 claims112 services$9.34 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.

SHARA HILARY CUMMINGS DPT
Physical Therapist
4001 W 15TH ST
PLANO, TX 75093
Collin County (972) 979-6577
MRS. MARGIE CAROL CREWS ACNP
Nurse Practitioner (Acute Care)
4001 W 15TH ST, SUITE 180
PLANO, TX 75093
Collin County (972) 867-5300
RICHARD G BUCH MD PA
Specialist
4001 W 15TH ST, SUITE 290
PLANO, TX 75093
Collin County (469) 443-0925
MRS NEUROSURGICAL CLINIC
Specialist
4001 W 15TH ST, SUITE 260
PLANO, TX 75093
Collin County (214) 778-2530
DR. JAMES J HUDGINS M.D.
Surgery
4001 W 15TH ST, STE 335
PLANO, TX 75093
Collin County (972) 596-5225
JOHN FREDERICK WITTENBERG M.D.
Internal Medicine
4001 W 15TH ST, SUITE 245
PLANO, TX 75093
Collin County (972) 596-5222
DEANAH A JIBRIL, DO, PA
Obstetrics & Gynecology
4001 W 15TH ST, SUITE 375
PLANO, TX 75093
Collin County (972) 867-4880
GINGER M HOWERTON RN-CNS
Clinical Nurse Specialist (Adult Health)
4001 W 15TH ST, SUITE 100
PLANO, TX 75093
Collin County (214) 473-7570

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 Nichole Johnson's NPI number?

The NPI number for Nichole Johnson is 1386852051. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Where is Nichole Johnson located?

Nichole Johnson practices at 4001 W 15th St Ste 100, Plano, TX 75093. The listed phone number is (214) 463-7671.

What is Nichole Johnson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nichole Johnson enrolled in Medicare?

No. Nichole Johnson has opted out of Medicare through August 20, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Nichole Johnson accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Health Maintenance Organization of Florida and Sendero Health Plans, Local Nonprofit list Nichole 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.

When was this NPI record last updated?

The NPPES record for Nichole Johnson was last updated on August 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.