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DAVID MICHAEL JOHNSON DO
NPI 1467981464
Family Medicine - Sports Medicine in Mishawaka, IN

Active since June 05, 2017PECOS EnrolledAccepts Medicare Assignment
611 E DOUGLAS RD STE 137, MISHAWAKA, IN 46545(574) 335-6214(574) 335-6215 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2023, Jul 5, 2023, May 16, 2021 and 3 more (6 updates tracked since 2017).

About David Michael Johnson Do NPPES

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

DAVID MICHAEL JOHNSON DO (NPI 1467981464) is an individual sports medicine provider in Mishawaka, Indiana, licensed in Indiana (02005551A) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Regional Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1467981464
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDAVID MICHAEL JOHNSONCredential: DO
Location Address611 E DOUGLAS RD STE 137Mishawaka, IN 46545-1464
Mailing Address707 Cedar St Ste 405South Bend, IN 46617-2059
Phone(574) 335-6214
Fax(574) 335-6215
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 5, 2017
Last NPPES UpdateNovember 8, 20236 updates tracked since enumeration
NPPES CertifiedNovember 8, 2023
✔ NPI 1467981464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in IN · 02005551A
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 02005551A (IN)
611 E DOUGLAS RD STE 137, Mishawaka, IN 46545
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Other Identifiers 1

Other02005551AIN · State License

Accepted Insurance

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

David Michael Johnson Do 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 ID6204105158
PECOS Enrollment IDI20210526001066
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 7

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
196 services39 patients
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.
93 services58 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.
43 services32 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
38 services27 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
37 services37 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
36 services36 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Joseph Regional Medical Center

Acute Care Hospitals · Mishawaka, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150012
Location5215 Holy Cross PkwyMishawaka, IN 46545 · St. Joseph County
Emergency services Birthing friendly

Saint Joseph Regional Medical Center - Plymouth

Acute Care Hospitals · Plymouth, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150076
Location1915 Lake AvePlymouth, IN 46563 · Marshall County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46545 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 3

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

ANNA C ROBERTS
Specialist/Technologist (Athletic Trainer)
611 E DOUGLAS RD STE 137
MISHAWAKA, IN 46545
St. Joseph County (574) 254-7717
CHRISTOPHER JORDAN MD
Family Medicine (Sports Medicine)
611 E DOUGLAS RD STE 137
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6214
JULIA MARIE SUZETTE STELTER DO
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 137
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6214

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 David Johnson's NPI number?

The NPI number for David Johnson is 1467981464. It was assigned to this individual provider in the NPPES registry on June 5, 2017.

Where is David Johnson located?

David Johnson practices at 611 E Douglas Rd Ste 137, Mishawaka, IN 46545. The listed phone number is (574) 335-6214.

What is David Johnson's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is David Johnson enrolled in Medicare?

Yes. David 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 David Johnson accept?

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

According to CMS data, David Johnson is affiliated with Saint Joseph Regional Medical Center and Saint Joseph Regional Medical Center - Plymouth.

When was this NPI record last updated?

The NPPES record for David Johnson was last updated on November 8, 2023. 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.