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DR. JAY A JOHANNIGMAN MD
NPI 1548257405
Surgery - Surgical Critical Care in Charlottesville, VA

Active since October 05, 2005PECOS EnrolledAccepts Medicare Assignment
1215 LEE ST, CHARLOTTESVILLE, VA 22908(434) 924-3627 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 22, 2024, Jan 17, 2022, Mar 19, 2021 and 1 more (4 updates tracked since 2018).

About Dr. Jay A Johannigman Md NPPES

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

DR. JAY A JOHANNIGMAN MD (NPI 1548257405) is an individual surgical critical care provider in Charlottesville, Virginia, licensed in Virginia (0101269358) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Methodist Mansfield Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1548257405
Entity TypeIndividualMale
Primary Taxonomy2086S0102X
Provider Legal NameDR. JAY A JOHANNIGMANCredential: MD
Location Address1215 LEE STCharlottesville, VA 22908-4504
Mailing Address340 Normandy AveSan Antonio, TX 78209-4541 · (513) 325-2771
Phone(434) 924-3627
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateOctober 5, 2005
Last NPPES UpdateAugust 22, 20244 updates tracked since enumeration
NPPES CertifiedAugust 22, 2024
✔ NPI 1548257405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
Licenses✔ Licensed in VA · 0101269358✔ Licensed in OH · 35-057183
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License S8193 (TX), 35.057183 (OH), M-16154 (ID)
1215 LEE ST, Charlottesville, VA 22908
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Secondary Practice Locations 2

Location 13551 Roger Brooke DrSan Antonio, TX 78234-4504 · Phone (210) 916-7500
Location 2999 N Curtis Rd Ste 415Boise, ID 83706-1334 · Phone (208) 302-2600 · Fax (208) 302-2625

Other Identifiers 3

Medicaid0705017OH
Medicaid0617236OH
Medicaid64860240KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jay A Johannigman 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 ID7719953165
PECOS Enrollment IDI20250314002000
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 Reassignments

3

Medicare enrollment records show Jay Johannigman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Virginia Physicians Group
0.9 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
Medhealth
1,094 mi
Family Medicine
1441 N BECKLEY AVE
Dallas, TX 75203
  • Reassigned Medicare billing, Texas enrollment
  • 562 clinicians in this Medicare group
NPI 1912957200 (214) 884-4700
Acute Care Surgery Medical Group, Inc.
2,314 mi
Surgery
2801 K STREET SUITE 440
Sacramento, CA 95816
  • Reassigned Medicare billing, Colorado enrollment
  • 43 clinicians in this Medicare group
NPI 1700069549 (916) 441-0400

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

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
105 services66 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
50 services50 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
41 services30 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
30 services30 patients

Hospital Affiliations CMS Care Compare

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

Methodist Mansfield Medical Center

Acute Care Hospitals · Mansfield, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670023
Location2700 E Broad StreetMansfield, TX 76063 · Tarrant County
Emergency services Birthing friendly

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.

NORMA BRANHAM R.N., N.P.
Nurse Practitioner
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2047
FARNAZ M GAZONI MD
Anesthesiology
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2283
MARGARET K. SANDE M.D.
Emergency Medicine
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2231
KATHERINE T, FORKIN M.D.
Anesthesiology
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2283
AMBER N. INOFUENTES M.D.
Hospitalist
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 243-4288
JOY R MILLER PNP
Nurse Practitioner (Pediatrics)
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 243-2617
DR. DARREN GUFFEY M.D.
Dermatology
1215 LEE ST, BOX 800744
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-1931
SETH MORRISON MD
Pediatrics (Pediatric Gastroenterology)
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-3627

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 Jay Johannigman's NPI number?

The NPI number for Jay Johannigman is 1548257405. It was assigned to this individual provider in the NPPES registry on October 5, 2005.

Where is Jay Johannigman located?

Jay Johannigman practices at 1215 Lee St, Charlottesville, VA 22908. The listed phone number is (434) 924-3627.

What is Jay Johannigman's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Jay Johannigman enrolled in Medicare?

Yes. Jay Johannigman 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.

Which organizations bill Medicare for Jay Johannigman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jay Johannigman reassigns Medicare benefits to 3 organizations: University Of Virginia Physicians Group (Charlottesville, VA), Medhealth (Dallas, TX) and Acute Care Surgery Medical Group, Inc. (Sacramento, CA). Each 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 Jay Johannigman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jay Johannigman accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Jay Johannigman 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 Jay Johannigman affiliated with any hospitals?

According to CMS data, Jay Johannigman is affiliated with Methodist Mansfield Medical Center.

When was this NPI record last updated?

The NPPES record for Jay Johannigman was last updated on August 22, 2024. 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.