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STACY DUANE JOHNSON DDS
NPI 1568511582
Dentist - General Practice in Greenwood, IN

Active since January 09, 2007PECOS Enrolled
3056 W STONES CROSSING RD, GREENWOOD, IN 46143(317) 535-7141(317) 535-7142 Get Directions Write a Review

NPPES record last updated: August 28, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stacy Duane Johnson Dds NPPES

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

STACY DUANE JOHNSON DDS (NPI 1568511582) is an individual general practice provider in Greenwood, Indiana, licensed in Indiana (12009239) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1568511582
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameSTACY DUANE JOHNSONCredential: DDS
Location Address3056 W STONES CROSSING RDGreenwood, IN 46143
Mailing Address3056 W Stones Crossing RdGreenwood, IN 46143 · (317) 535-7141 · Fax (317) 535-7142
Phone(317) 535-7141
Fax(317) 535-7142
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJanuary 9, 2007
Last NPPES UpdateAugust 28, 2007
✔ NPI 1568511582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IN · 12009239
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3056 W STONES CROSSING RD, Greenwood, IN 46143
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacy Duane Johnson Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719255611
PECOS Enrollment IDI20260414001405
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46143 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

STACY D JOHNSON DDS PC
Clinic/Center (Dental)
3056 W STONES CROSSING RD
GREENWOOD, IN 46143
Johnson County (317) 535-7141
SLEEP BETTER HEALTHCARE PC
Dentist
3056 W STONES CROSSING RD
GREENWOOD, IN 46143
Johnson County (317) 535-7141
HOOSIER FAMILY DENTAL
Clinic/Center (Dental)
3056 W STONES CROSSING RD
GREENWOOD, IN 46143
Johnson County (317) 535-7141
STACY D JOHNSON DDS PC
Durable Medical Equipment & Medical Supplies
3056 W STONES CROSSING RD
GREENWOOD, IN 46143
Johnson County (317) 535-7141
STACY D JOHNSON, DDS, PC
Clinic/Center (Dental)
3056 W STONES CROSSING RD
GREENWOOD, IN 46143
Johnson County (317) 535-7141

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 Stacy Johnson's NPI number?

The NPI number for Stacy Johnson is 1568511582. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Stacy Johnson located?

Stacy Johnson practices at 3056 W Stones Crossing Rd, Greenwood, IN 46143. The listed phone number is (317) 535-7141.

What is Stacy Johnson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Stacy Johnson enrolled in Medicare?

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

What insurance does Stacy Johnson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Indiana and 4 other insurers list Stacy 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 Stacy Johnson was last updated on August 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.