BENJAMIN SCOTT JOHNSON MD
NPI 1508420647
Otolaryngology in Oshkosh, WI

Active since April 24, 2019PECOS EnrolledAccepts Medicare Assignment
515 S WASHBURN ST STE 200, OSHKOSH, WI 54904(920) 969-1768(920) 267-5222 Get Directions Write a Review

NPPES record last updated: July 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 5, 2024, Apr 24, 2019 (2 updates tracked since 2019).

About Benjamin Scott Johnson Md NPPES

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

BENJAMIN SCOTT JOHNSON MD (NPI 1508420647) is an individual otolaryngology provider in Oshkosh, Wisconsin, licensed in Wisconsin (84229) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Ascension Ne Wisconsin - St Elizabeth Campus, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1508420647
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameBENJAMIN SCOTT JOHNSONCredential: MD
Location Address515 S WASHBURN ST STE 200Oshkosh, WI 54904-7975
Mailing Address119 E Bell StNeenah, WI 54956-4993 · (920) 969-1768 · Fax (920) 267-5222
Fax(920) 267-5222
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2019
Enumeration DateApril 24, 2019
Last NPPES UpdateJuly 5, 20242 updates tracked since enumeration
NPPES CertifiedJuly 3, 2024
NPI 1508420647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in WI · 84229
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

515 S WASHBURN ST STE 200, Oshkosh, WI 54904

Secondary Practice Locations 3

Location 1119 E Bell StNeenah, WI 54956-4993 · Phone (920) 969-1768 · Fax (920) 267-5222
Location 2225 Memorial DrBerlin, WI 54923-1243 · Phone (920) 969-1768 · Fax (920) 267-5222
Location 3444 N Westhill BlvdAppleton, WI 54914-5715 · Phone (920) 969-1768 · Fax (920) 267-5222

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

Benjamin Scott 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 ID7315483070
PECOS Enrollment IDI20240718002348
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 3

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.

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.
15 services15 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.
13 services13 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Ascension NE Wisconsin - St Elizabeth Campus

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520009
Location1506 S Oneida StAppleton, WI 54915 · Outagamie County
Emergency services Birthing friendly

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520045
Location130 2nd StNeenah, WI 54956 · Winnebago County
Emergency services Birthing friendly

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520160
Location1818 N Meade StAppleton, WI 54911 · Outagamie County
Emergency services Birthing friendly

Aurora Medical Ctr Oshkosh

Acute Care Hospitals · Oshkosh, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520198
Location855 N Westhaven DriveOshkosh, WI 54904 · Winnebago County
Emergency services Birthing friendly

Berlin Memorial Hospital

Critical Access Hospitals · Berlin, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521355
Location225 Memorial DriveBerlin, WI 54923 · Green Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54904 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
515 S WASHBURN ST STE 200
OSHKOSH, WI 54904
Audiologist
515 S WASHBURN ST STE 200
OSHKOSH, WI 54904
Audiologist
515 S WASHBURN ST STE 200
OSHKOSH, WI 54904
Audiologist
515 S WASHBURN ST STE 200
OSHKOSH, WI 54904
Audiologist
515 S WASHBURN ST STE 200
OSHKOSH, WI 54904

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 Benjamin Johnson's NPI number?

The NPI number for Benjamin Johnson is 1508420647. It was assigned to this individual provider in the NPPES registry on April 24, 2019.

Where is Benjamin Johnson located?

Benjamin Johnson practices at 515 S Washburn St Ste 200, Oshkosh, WI 54904. The listed phone number is (920) 969-1768.

What is Benjamin Johnson's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Benjamin Johnson enrolled in Medicare?

Yes. Benjamin 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 Benjamin Johnson accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Benjamin 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 Benjamin Johnson affiliated with any hospitals?

According to CMS data, Benjamin Johnson is affiliated with Ascension NE Wisconsin - St Elizabeth Campus, Thedacare Regional Med Ctr - Neenah, Thedacare Regional Medical Center - Appleton Inc, Aurora Medical Ctr Oshkosh and Berlin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Benjamin Johnson was last updated on July 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.