ZACKERY JOHNSON DO
NPI 1407430721
Emergency Medicine in Ronceverte, WV

Q: 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.

Q: What is Zackery Johnson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Zackery Johnson was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

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: October 18, 2026.

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

On this page

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

Phone(043) 647-4411

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

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Zackery Johnson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Camc Greenbrier Valley Medical Center Inc

Same address

Cardiovascular Disease

1320 MAPLEWOOD AVE
Ronceverte, WV 24970

Reassigned Medicare billing, West Virginia enrollment
142 clinicians in this Medicare group

NPI 1588373872 (304) 647-6006

Camc Plateau Medical Center, Inc.

40 mi

Internal Medicine

430 MAIN ST W
Oak Hill, WV 25901

Reassigned Medicare billing, West Virginia enrollment
24 clinicians in this Medicare group

NPI 1083320501 (304) 469-8600

Oak Hill Emergency Physicians, LLC

40 mi

Emergency Medicine

430 MAIN STREET, EMERGENCY DEPARTMENT
Oak Hill, WV 25901

Reassigned Medicare billing, West Virginia enrollment
35 clinicians in this Medicare group

NPI 1891075057 (877) 693-5700

Greenbrier Emergency Services, Inc.

Reassigned Medicare billing, West Virginia enrollment
207 clinicians in this Medicare group

No phone listed

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 3

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

Raleigh General Hospital

Acute Care Hospitals · Beckley, WV

1/5 CMS rating

OwnershipProprietary

CMS Certification Number510070

Location1710 Harper RoadBeckley, WV 25801 · Raleigh County

Emergency services Birthing friendly

Camc Plateau Medical Center, Inc

Critical Access Hospitals · Oak Hill, WV

3/5 CMS rating

OwnershipProprietary

CMS Certification Number511317

Location430 Main Street, WestOak Hill, WV 25901 · Fayette County

Emergency services

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.

DR. STEVE ALVIN JOHNSON MD MBA

Family Medicine