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DR. GREGORY A JOHNSON MD
NPI 1578529863
Family Medicine in Kaukauna, WI

Active since April 25, 2006PECOS Enrolled
305 EAST 12TH STREET, KAUKAUNA, WI 54130(920) 766-4656(920) 766-4659 Get Directions Write a Review

NPPES record last updated: June 11, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Gregory A Johnson Md NPPES

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

DR. GREGORY A JOHNSON MD (NPI 1578529863) is an individual family medicine provider in Kaukauna, Wisconsin, licensed in Wisconsin (28536) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578529863
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GREGORY A JOHNSONCredential: MD
Location Address305 EAST 12TH STREETKaukauna, WI 54130
Mailing Address305 East 12th StreetKaukauna, WI 54130 · (920) 766-4656 · Fax (920) 766-4659
Phone(920) 766-4656
Fax(920) 766-4659
Sole ProprietorNo
Enumeration DateApril 25, 2006
Last NPPES UpdateJune 11, 2010
✔ NPI 1578529863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WI · 28536✔ Licensed in WI · 0028536
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
305 EAST 12TH STREET, Kaukauna, WI 54130
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Other Identifiers 4

Medicare UPINE16109WI
Medicare ID-Type Unspecified45044 0004WI
Medicaid31483400WI
Medicare UPINE16109

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gregory A 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 Billing Reassignments

2

Medicare enrollment records show Gregory Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kaukauna Clinic, S.C.
Same address
Family Medicine
305 E 12TH ST
Kaukauna, WI 54130
  • Reassigned Medicare billing, Wisconsin enrollment
  • 12 clinicians in this Medicare group
NPI 1457317273 (920) 766-4656
Mosaic Family Health, Inc
6.7 mi
Family Medicine
100 N ONEIDA ST
Appleton, WI 54911
  • Reassigned Medicare billing, Wisconsin enrollment
  • 26 clinicians in this Medicare group
NPI 1548653389 (920) 832-2783

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54130 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers13 claims40 services$6.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Gregory Johnson's NPI number?

The NPI number for Gregory Johnson is 1578529863. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Gregory Johnson located?

Gregory Johnson practices at 305 East 12th Street, Kaukauna, WI 54130. The listed phone number is (920) 766-4656.

What is Gregory Johnson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gregory Johnson enrolled in Medicare?

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

Which organizations bill Medicare for Gregory Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gregory Johnson reassigns Medicare benefits to 2 organizations: Kaukauna Clinic, S.C. (Kaukauna, WI) and Mosaic Family Health, Inc (Appleton, WI). 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 Gregory Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gregory Johnson was last updated on June 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.