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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ADAM H. JOHNSON M.D.
NPI 1497071260
Pediatrics in Locust Grove, VA

Active since April 19, 2010PECOS Enrolled
4376 GERMANNA HWY, LOCUST GROVE, VA 22508(540) 972-7798(540) 972-3536 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 30, 2026, Jul 31, 2021, Oct 13, 2020 and 1 more (4 updates tracked since 2019).

About Adam H. Johnson M.d. NPPES

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

ADAM H. JOHNSON M.D. (NPI 1497071260) is an individual pediatrics provider in Locust Grove, Virginia, licensed in Virginia (0101254142) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS and maintains a secondary practice location in Culpeper.

NPPES Registry Identity

NPI1497071260
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameADAM H. JOHNSONCredential: M.D.
Location Address4376 GERMANNA HWYLocust Grove, VA 22508-2008
Mailing AddressPo Box 749112Atlanta, GA 30374-9112
Phone(540) 972-7798
Fax(540) 972-3536
Sole ProprietorNo
Enumeration DateApril 19, 2010
Last NPPES UpdateSeptember 30, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2026
✔ NPI 1497071260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in VA · 0101254142
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4376 GERMANNA HWY, Locust Grove, VA 22508
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Secondary Practice Location 1

Location 116244 Bennett RdCulpeper, VA 22701-4630 · Phone (540) 825-5381 · Fax (540) 829-0945

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adam H. 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.

Medicare Billing Reassignment

Medicare enrollment records show Adam Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Virginia Physicians Group
47 mi
Neuromusculoskeletal Medicine, Sports Medicine
4105 LEWIS AND CLARK DR
Charlottesville, VA 22911
  • Reassigned Medicare billing, Virginia enrollment
  • 2,820 clinicians in this Medicare group
NPI 1033138250 (434) 295-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22508 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 9

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

LACEY J WHITE LEWIS PA
Physician Assistant
4376 GERMANNA HWY
LOCUST GROVE, VA 22508
Orange County (540) 972-7798
ANDREA M CRAWFORD P.A.
Physician Assistant
4376 GERMANNA HWY
LOCUST GROVE, VA 22508
Orange County (540) 972-7798
RASTRIYATA BHANDARI FNP
Nurse Practitioner (Family)
4376 GERMANNA HWY
LOCUST GROVE, VA 22508
Orange County (540) 972-7798
ANDREA M. JACKSON M.D.
Obstetrics & Gynecology
4376 GERMANNA HWY
LOCUST GROVE, VA 22508
Orange County (540) 972-7798
BENJAMIN C GARRISON II PA
Physician Assistant (Medical)
4376 GERMANNA HWY
LOCUST GROVE, VA 22508
Orange County (540) 972-7798
HERMAN G. STUBBE M.D.
Family Medicine
4376 GERMANNA HWY
LOCUST GROVE, VA 22508
Orange County (540) 972-7798
DR. MOHIT ANAND MD
Internal Medicine
4376 GERMANNA HWY
LOCUST GROVE, VA 22508
Orange County (540) 972-7798
JOHN M. BUSH M.D.
Internal Medicine (Adolescent Medicine)
4376 GERMANNA HWY
LOCUST GROVE, VA 22508
Orange County (540) 972-7798

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 Adam Johnson's NPI number?

The NPI number for Adam Johnson is 1497071260. It was assigned to this individual provider in the NPPES registry on April 19, 2010.

Where is Adam Johnson located?

Adam Johnson practices at 4376 Germanna Hwy, Locust Grove, VA 22508. The listed phone number is (540) 972-7798.

What is Adam Johnson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Adam Johnson enrolled in Medicare?

Yes. Adam Johnson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Adam Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Johnson reassigns Medicare benefits to University Of Virginia Physicians Group (Charlottesville, VA). The 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 Adam Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adam Johnson accept?

Health plans from Oscar Health list Adam 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.

When was this NPI record last updated?

The NPPES record for Adam Johnson was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.