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DR. DALE ALAN JOHNSON MD
NPI 1447211404
Family Medicine in Oconomowoc, WI

Active since March 30, 2006PECOS EnrolledAccepts Medicare Assignment
820 SUMMIT AVE, PROHEALTH CARE MEDICAL ASSOCIATES FP, OCONOMOWOC, WI 53066(262) 567-0223(262) 567-6380 Get Directions Write a Review

NPPES record last updated: January 12, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Dale Alan Johnson Md NPPES

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

DR. DALE ALAN JOHNSON MD (NPI 1447211404) is an individual family medicine provider in Oconomowoc, Wisconsin, licensed in Wisconsin (22410) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1978).

NPPES Registry Identity

NPI1447211404
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DALE ALAN JOHNSONCredential: MD
Location Address820 SUMMIT AVE, PROHEALTH CARE MEDICAL ASSOCIATES FPOconomowoc, WI 53066-3973
Mailing Address820 Summit Ave, Prohealth Care Medical Associates FpOconomowoc, WI 53066-3973 · (262) 567-0223 · Fax (262) 567-6380
Phone(262) 567-0223
Fax(262) 567-6380
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1978
Enumeration DateMarch 30, 2006
Last NPPES UpdateJanuary 12, 2012
✔ NPI 1447211404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 22410
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
820 SUMMIT AVE, Oconomowoc, WI 53066
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Other Identifiers 2

Medicare UPINB53883
Medicare ID-Type Unspecified68048WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Dale Alan Johnson Md 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.

PECOS PAC ID7315008547
PECOS Enrollment IDI20081206000090
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 8

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.

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.
230 services161 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
198 services198 patients
Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
140 services14 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.
127 services93 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
17 services15 patients
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402
An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Oconomowoc Memorial Hospital

Acute Care Hospitals · Oconomowoc, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520062
Location791 E Summit AveOconomowoc, WI 53066 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53066 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers36 claims104 services$5.85 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers15 claims20 services$1.04 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers12 claims72 services$16.82 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers14 claims14 services$48.81 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers16 claims96 services$1.70 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers36 claims36 services$80.15 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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDP OF WISCONSIN, SC
Clinic/Center (Dental)
820 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (312) 800-1270
JOSEPH M SETNICAR DDS
Dentist
820 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 567-4466
DR. KRISTEN ANN VENTO D.O.
Family Medicine
820 SUMMIT AVE, PROHEALTH CARE MEDICAL ASSOCIATES
OCONOMOWOC, WI 53066
Waukesha County (262) 567-0223
JAMES S LEAMAN DDS
Dentist
820 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 567-4466
STACIE A PIACSEK DDS
Dentist
820 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 567-4466
PROHEALTH MEDICAL GROUP INC
Family Medicine
820 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 567-0223
DRS. LEAMAN, SETNICAR & PIACSEK, S.C.
Dentist (General Practice)
820 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 567-4466

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 Dale Johnson's NPI number?

The NPI number for Dale Johnson is 1447211404. It was assigned to this individual provider in the NPPES registry on March 30, 2006.

Where is Dale Johnson located?

Dale Johnson practices at 820 Summit Ave Prohealth Care Medical Associates Fp, Oconomowoc, WI 53066. The listed phone number is (262) 567-0223.

What is Dale Johnson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dale Johnson enrolled in Medicare?

Yes. Dale 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.

What insurance does Dale Johnson accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list Dale 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 Dale Johnson affiliated with any hospitals?

According to CMS data, Dale Johnson is affiliated with Waukesha Memorial Hospital and Oconomowoc Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Dale Johnson was last updated on January 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.