MARK E JOHNSON MD
NPI 1568454502
Internal Medicine - Cardiovascular Disease in St Cloud, MN

Active since August 16, 2005PECOS EnrolledAccepts Medicare Assignment
1200 SIXTH AVE N, CENTRACARE CLINIC, ST CLOUD, MN 56303(320) 252-5131(320) 255-5714 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark E Johnson Md NPPES

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

MARK E JOHNSON MD (NPI 1568454502) is an individual cardiovascular disease provider in St Cloud, Minnesota, licensed in Minnesota (33783) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with St Cloud Hospital, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (1982).

NPPES Registry Identity

NPI1568454502
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMARK E JOHNSONCredential: MD
Location Address1200 SIXTH AVE N, CENTRACARE CLINICSt Cloud, MN 56303-2735
Mailing Address1200 Sixth Ave N, Centracare ClinicSt Cloud, MN 56303-2735 · (320) 252-5131 · Fax (320) 240-2118
Fax(320) 255-5714
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 1982
Enumeration DateAugust 16, 2005
Last NPPES UpdateAugust 26, 2024
NPI 1568454502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in MN · 33783
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1200 SIXTH AVE N, St Cloud, MN 56303

Other Identifiers 10

Other600885Araz Group Americas Ppo
OtherHP25456Health Partners
Other110104487Rr Medicare
Other110904U Care
Other2114001First Health Plan
Other6D71JOBlue Cross Blue Shield
Other986014Preferred One
Other2529937Medica Health Plans
Medicaid686002800MN
Other686002800Medical Assistance

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

Mark E 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 ID2466592191
PECOS Enrollment IDI20091210000497
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 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.

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.
30 services26 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.
30 services28 patients
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.
29 services20 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

St Cloud Hospital

Acute Care Hospitals · Saint Cloud, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240036
Location1406 6th Ave NorthSaint Cloud, MN 56303 · Stearns County
Emergency services Birthing friendly

Astera Health

Critical Access Hospitals · Wadena, MN
OwnershipVoluntary non-profit - Other
CMS Certification Number241354
Location421 11th Street NWWadena, MN 56482 · Wadena County
Emergency services Birthing friendly

St Gabriels Hospital

Critical Access Hospitals · Little Falls, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241370
Location815 Southeast Second StreetLittle Falls, MN 56345 · Morrison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56303 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 20

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

Internal Medicine (Cardiovascular Disease)
1200 SIXTH AVE N, CENTRACARE CLINIC
ST CLOUD, MN 56303
Internal Medicine (Sleep Medicine)
1200 SIXTH AVE N, CENTRA CARE CLINIC
ST CLOUD, MN 56303
Hospitalist
1200 SIXTH AVE N, CENTRACARE CLINIC
ST CLOUD, MN 56303
Physician Assistant
1200 SIXTH AVE N
ST CLOUD, MN 56303
Dietitian, Registered
1200 SIXTH AVE N, CENTRACARE CLINIC
ST CLOUD, MN 56303
Hospitalist
1200 SIXTH AVE N, CENTRACARE CLINIC
ST CLOUD, MN 56303
Hospitalist
1200 SIXTH AVE N
ST CLOUD, MN 56303
Neurological Surgery
1200 SIXTH AVE N, CENTRACARE CLINIC RIVER CAMPUS/NEROSURGERY
ST CLOUD, MN 56303

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 1568454502. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Mark Johnson located?

Mark Johnson practices at 1200 Sixth Ave N Centracare Clinic, St Cloud, MN 56303. The listed phone number is (320) 252-5131.

What is Mark Johnson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Mark Johnson enrolled in Medicare?

Yes. Mark 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 Mark Johnson accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Mark 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 Mark Johnson affiliated with any hospitals?

According to CMS data, Mark Johnson is affiliated with St Cloud Hospital, Astera Health and St Gabriels Hospital.

When was this NPI record last updated?

The NPPES record for Mark Johnson was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.