DR. ROY LEE JOHNSON III M.D.
NPI 1417168311
Emergency Medicine in Wright Patterson Afb, OH
About Dr. Roy Lee Johnson Iii M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ROY LEE JOHNSON III M.D. (NPI 1417168311) is an individual emergency medicine provider in Wright Patterson Afb, Ohio, licensed in Ohio (35.094004) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Kettering Health Greene Memorial, and maintains 12 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 12
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Roy Lee Johnson Iii M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
5Medicare enrollment records show Roy Johnson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Beavercreek, OH 45431
- Reassigned Medicare billing, Ohio enrollment
- 151 clinicians in this Medicare group
Columbus, OH 43215
- Reassigned Medicare billing, Ohio enrollment
- 474 clinicians in this Medicare group
Seaman, OH 45679
- Reassigned Medicare billing, Ohio enrollment
- 894 clinicians in this Medicare group
Belpre, OH 45714
- Reassigned Medicare billing, West Virginia enrollment
- 1,511 clinicians in this Medicare group
Washington, MO 63090
- Reassigned Medicare billing, Missouri enrollment
- 178 clinicians in this Medicare group
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 5
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kettering Health Greene Memorial
Acute Care Hospitals · Xenia, OHKettering Health Main Campus
Acute Care Hospitals · Kettering, OHKettering Health Dayton
Acute Care Hospitals · Dayton, OHKettering Health Miamisburg
Acute Care Hospitals · Miamisburg, OHSoin Medical Center
Acute Care Hospitals · Beaver Creek, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45433 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WRIGHT PATTERSON AFB, OH 45433
WRIGHT PATTERSON AFB, OH 45433
WRIGHT PATTERSON AFB, OH 45433
WRIGHT PATTERSON AFB, OH 45433
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 Roy Johnson's NPI number?
The NPI number for Roy Johnson is 1417168311. It was assigned to this individual provider in the NPPES registry on May 24, 2007.
Where is Roy Johnson located?
Roy Johnson practices at 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433. The listed phone number is (937) 257-0770.
What is Roy Johnson's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Roy Johnson enrolled in Medicare?
Yes. Roy Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Roy Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Roy Johnson reassigns Medicare benefits to 5 organizations: Emergency Medicine Specialists, Inc (Beavercreek, OH), Ohio Emergency Professionals Inc (Columbus, OH), Emergency Professional Services, Inc. (Seaman, OH), Charleston Area Medical Center Inc (Belpre, OH) and Mercy Hospitals East Communities (Washington, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roy Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Roy Johnson accept?
Health plans from AmeriHealth Caritas Next and Antidote Health Plan of Ohio, Inc. list Roy 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 Roy Johnson affiliated with any hospitals?
According to CMS data, Roy Johnson is affiliated with Kettering Health Greene Memorial, Kettering Health Main Campus, Kettering Health Dayton, Kettering Health Miamisburg and Soin Medical Center.
When was this NPI record last updated?
The NPPES record for Roy Johnson was last updated on May 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Roy Lee Johnson III, M.D. · NPI 1417168311
Emergency Medicine physician in Wright Patterson Afb, Ohio. Individual provider, active in the CMS NPPES registry since May 24, 2007.
## Identity
- **NPI:** 1417168311 (Entity type: Individual)
- **Enumerated:** May 24, 2007
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 35.094004 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 4881 SUGAR MAPLE DR, Wright Patterson Afb, OH 45433
- **Phone:** (937) 257-0770
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Emergency Medicine Specialists, Inc (NPI 1750650776, Beavercreek, OH); Ohio Emergency Professionals Inc (NPI 1982983425, Columbus, OH); Emergency Professional Services, Inc. (NPI 1093762353, Seaman, OH); Charleston Area Medical Center Inc (NPI 1588422547, Belpre, OH); Mercy Hospitals East Communities (NPI 1104912997, Washington, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** May 5, 2020
- **Other identifiers:** Medicaid 2987111 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1417168311) · Data from the CMS NPPES public registry.