ZACKERY JOHNSON DO
NPI 1407430721
Emergency Medicine in Ronceverte, WV

Active since May 12, 2021PECOS Enrolled
1320 MAPLEWOOD AVE, RONCEVERTE, WV 24970(043) 647-4411 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 30, 2024, May 12, 2021 (2 updates tracked since 2021).

About Zackery Johnson Do NPPES

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

ZACKERY JOHNSON DO (NPI 1407430721) is an individual emergency medicine provider in Ronceverte, West Virginia, licensed in West Virginia (4395) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Camc Greenbrier Valley Medical Center, Inc, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1407430721
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameZACKERY JOHNSONCredential: DO
Location Address1320 MAPLEWOOD AVERonceverte, WV 24970-8016
Mailing Address400 Association Dr Ste 102Charleston, WV 25311-1298 · (304) 388-1724 · Fax (304) 388-1721
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 12, 2021
Last NPPES UpdateSeptember 30, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2024
NPI 1407430721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in WV · 4395 Licensed in PA · OT020569
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1320 MAPLEWOOD AVE, Ronceverte, WV 24970

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 (PECOS)

Zackery Johnson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123421922
PECOS Enrollment IDI20241031003627
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 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
88 services82 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
31 services31 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Camc Greenbrier Valley Medical Center, Inc

Acute Care Hospitals · Ronceverte, WV
2/5 CMS rating
OwnershipProprietary
CMS Certification Number510002
Location1320 Maplewood AvenueRonceverte, WV 24970 · Greenbrier County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24970 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

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.

Family Medicine
1320 MAPLEWOOD AVE
RONCEVERTE, WV 24970
Internal Medicine
1320 MAPLEWOOD AVE
RONCEVERTE, WV 24970
Nurse Anesthetist, Certified Registered
1320 MAPLEWOOD AVE
RONCEVERTE, WV 24970
Emergency Medicine
1320 MAPLEWOOD AVE
RONCEVERTE, WV 24970
Registered Nurse (Critical Care Medicine)
1320 MAPLEWOOD AVE
RONCEVERTE, WV 24970
Family Medicine
1320 MAPLEWOOD AVE
RONCEVERTE, WV 24970
Dietitian, Registered
1320 MAPLEWOOD AVE
RONCEVERTE, WV 24970
Obstetrics & Gynecology (Gynecology)
1320 MAPLEWOOD AVE
RONCEVERTE, WV 24970

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 Zackery Johnson's NPI number?

The NPI number for Zackery Johnson is 1407430721. It was assigned to this individual provider in the NPPES registry on May 12, 2021.

Where is Zackery Johnson located?

Zackery Johnson practices at 1320 Maplewood Ave, Ronceverte, WV 24970. The listed phone number is (043) 647-4411.

What is Zackery Johnson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Zackery Johnson enrolled in Medicare?

Yes. Zackery Johnson is registered in the Medicare PECOS enrollment system.

What insurance does Zackery Johnson accept?

Health plans from CareSource list Zackery 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 Zackery Johnson affiliated with any hospitals?

According to CMS data, Zackery Johnson is affiliated with Camc Greenbrier Valley Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Zackery Johnson was last updated on September 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.