DR. GLENN RAY JOHNSON M.D.
NPI 1417950569
Orthopaedic Surgery in Decorah, IA

Active since May 23, 2005PECOS Enrolled
901 MONTGOMERY ST, DECORAH, IA 52101(563) 382-2911(563) 387-3102 Get Directions Write a Review

NPPES record last updated: January 22, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Glenn Ray Johnson M.d. NPPES

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

DR. GLENN RAY JOHNSON M.D. (NPI 1417950569) is an individual orthopaedic surgery provider in Decorah, Iowa, licensed in Iowa (215501) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417950569
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. GLENN RAY JOHNSONCredential: M.D.
Location Address901 MONTGOMERY STDecorah, IA 52101-2325
Mailing Address2215 Big Timber RdCalmar, IA 52132-7577
Fax(563) 387-3102
Sole ProprietorNo
Enumeration DateMay 23, 2005
Last NPPES UpdateJanuary 22, 2015
NPI 1417950569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in IA · 215501 Licensed in MN · 24542
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

901 MONTGOMERY ST, Decorah, IA 52101

Other Identifiers 2

Medicaid1417950569IA
Medicare PIN121280015IA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Glenn Ray Johnson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52101 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
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
901 MONTGOMERY ST
DECORAH, IA 52101
Physician Assistant
901 MONTGOMERY ST
DECORAH, IA 52101
Nurse Anesthetist, Certified Registered
901 MONTGOMERY ST
DECORAH, IA 52101
Nurse Anesthetist, Certified Registered
901 MONTGOMERY ST
DECORAH, IA 52101
Nurse Practitioner
901 MONTGOMERY ST
DECORAH, IA 52101
Specialist/Technologist (Athletic Trainer)
901 MONTGOMERY ST
DECORAH, IA 52101
Family Medicine
901 MONTGOMERY ST
DECORAH, IA 52101
Physician Assistant (Surgical)
901 MONTGOMERY ST
DECORAH, IA 52101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417950569, enumerated as an "individual" on May 23, 2005.

The provider is located at 901 MONTGOMERY ST DECORAH, IA 52101 and the phone number is (563) 382-2911.

Orthopaedic Surgery with taxonomy code 207X00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.