1. Home
  2. Directory
  3. Missouri
  4. Saint Louis
  5. Pediatrics
  6. NPI Profile

DR. MARK C JOHNSON MD
NPI 1497796957
Pediatrics - Pediatric Cardiology in Saint Louis, MO

Active since June 08, 2006PECOS Enrolled
79.29/100
CMS Quality Rating
1 CHILDRENS PL, DIV PED CARDIOLOGY, SAINT LOUIS, MO 63110(314) 454-6095(314) 454-2561 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Nov 15, 2021 and 3 more (6 updates tracked since 2016).

About Dr. Mark C Johnson Md NPPES

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

DR. MARK C JOHNSON MD (NPI 1497796957) is an individual pediatric cardiology provider in Saint Louis, Missouri, licensed in Missouri (102902) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497796957
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. MARK C JOHNSONCredential: MD
Location Address1 CHILDRENS PL, DIV PED CARDIOLOGYSaint Louis, MO 63110-1002
Mailing AddressPo Box 60352Saint Louis, MO 63160-0352 · (314) 454-6095 · Fax (314) 454-2561
Phone(314) 454-6095
Fax(314) 454-2561
Sole ProprietorNo
Enumeration DateJune 8, 2006
Last NPPES UpdateApril 25, 20246 updates tracked since enumeration
✔ NPI 1497796957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in MO · 102902
Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Also ListedPediatricsTaxonomy 208000000X · License 102902 (MO)
1 CHILDRENS PL, Saint Louis, MO 63110
Open in Google Maps ↗

Other Identifiers 1

Medicaid206911802MO

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. Mark C Johnson Md 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 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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

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.

ARIE BAKER MSW, LCSW
Social Worker (Clinical)
1 CHILDRENS PL, CAMPUS BOX 8116
SAINT LOUIS, MO 63110
St. Louis City (314) 747-6169
HANNAH EDELMAN MD, PHD
Psychiatry & Neurology (Neurology)
1 CHILDRENS PL
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6120
SUSAN CHEUNG WALSH AUD
Audiologist-Hearing Aid Fitter
1 CHILDRENS PL
SAINT LOUIS, MO 63110
St. Louis City (314) 454-4649
MS. JENNIFER MARIE JACOBI PNP
Nurse Practitioner (Pediatrics)
1 CHILDRENS PL, DEPT NEUROLOGICAL SURGERY, STE 4E
SAINT LOUIS, MO 63110
St. Louis City (314) 362-3577
MS. EMILY LINCOLN RN, NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
1 CHILDRENS PL
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6000
MS. MARISSA ROSE PEREZ-MAGNELLI PNP
Nurse Practitioner (Pediatrics)
1 CHILDRENS PL, DEPT NEUROLOGY, STE 2130
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6120
DR. WILLIAM L RIVES MD
Hospitalist
1 CHILDRENS PL, DIV PED HOSPITALIST MED
SAINT LOUIS, MO 63110
St. Louis City (314) 454-2076
DR. PETER M KILBRIDGE MD
Pediatrics
1 CHILDRENS PL, SUITE C
SAINT LOUIS, MO 63110
St. Louis City (314) 454-2479

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 Mark Johnson's NPI number?

The NPI number for Mark Johnson is 1497796957. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Mark Johnson located?

Mark Johnson practices at 1 Childrens Pl Div Ped Cardiology, Saint Louis, MO 63110. The listed phone number is (314) 454-6095.

What is Mark Johnson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Mark Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mark Johnson was last updated on April 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.