DANIEL P JOHNSTON MS, PA-C
NPI 1487885596
Physician Assistant in Wausau, WI

Active since August 06, 2009PECOS EnrolledAccepts Medicare Assignment
85.41/100
CMS Quality Rating
225000 HUMMINGBIRD RD STE 100, WAUSAU, WI 54401(715) 359-6442(715) 393-0390 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 17, 2021, Jun 10, 2021 (2 updates tracked since 2021).

About Daniel P Johnston Ms, Pa-c NPPES

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

DANIEL P JOHNSTON MS, PA-C (NPI 1487885596) is an individual physician assistant in Wausau, Wisconsin, licensed in Wisconsin (2462-23) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1487885596
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDANIEL P JOHNSTONCredential: MS, PA-C
Location Address225000 HUMMINGBIRD RD STE 100Wausau, WI 54401-2950
Mailing Address225000 Hummingbird Rd Ste 100Wausau, WI 54401-2950 · (715) 359-6442 · Fax (715) 393-0390
Fax(715) 393-0390
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 6, 2009
Last NPPES UpdateJune 17, 20212 updates tracked since enumeration
NPPES CertifiedJune 17, 2021
NPI 1487885596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 2462-23
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

225000 HUMMINGBIRD RD STE 100, Wausau, WI 54401

Accepted 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

Daniel P Johnston Ms, Pa-c 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 ID1254486780
PECOS Enrollment IDI20090903000687
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 10

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
84 services65 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
53 services43 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.
48 services48 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.
25 services25 patients
Injection, methylprednisolone acetate, 40 mg J1030
Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.
25 services14 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
24 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54401 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability89
Improvement Activities40
Cost71.55

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.

Physical Therapist
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401
Physician Assistant
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401
Orthopaedic Surgery
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401
Orthopaedic Surgery
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401
Orthopaedic Surgery
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401
Family Medicine (Sports Medicine)
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401
Physical Medicine & Rehabilitation
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401
Physician Assistant
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487885596, enumerated as an "individual" on August 06, 2009.

The provider is located at 225000 HUMMINGBIRD RD STE 100 WAUSAU, WI 54401 and the phone number is (715) 359-6442.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Aspirus Health. Please consult your insurance carrier or call the provider to verify.