DEREK DWAYNE JOHANSON MD
NPI 1598329237
Hospitalist in Great Falls, MT

Q: What is Derek Johanson's NPI number?

The NPI number for Derek Johanson is 1598329237. It was assigned to this individual provider in the NPPES registry on April 29, 2019.

Q: What is Derek Johanson's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Derek Johanson was last updated on April 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 29, 2019PECOS EnrolledAccepts Medicare Assignment

80.46/100

CMS Quality Rating

1101 26TH ST S, GREAT FALLS, MT 59405(406) 731-8888(406) 731-8318 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 4, 2024, May 10, 2023, Apr 29, 2019 (3 updates tracked since 2019).

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About Derek Dwayne Johanson Md NPPES

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

DEREK DWAYNE JOHANSON MD (NPI 1598329237) is an individual hospitalist provider in Great Falls, Montana, licensed in Montana (128563) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Benefis Hospitals Inc, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1598329237

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDEREK DWAYNE JOHANSONCredential: MD

Location Address1101 26TH ST SGreat Falls, MT 59405-5161

Mailing AddressPo Box 6010, Bmg AdminGreat Falls, MT 59406-6010 · (406) 731-8888 · Fax (406) 731-8876

Phone(406) 731-8888

Fax(406) 731-8318

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateApril 29, 2019

Last NPPES UpdateApril 4, 20243 updates tracked since enumeration

NPPES CertifiedApril 4, 2024

✔ NPI 1598329237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in MT · 128563

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

1101 26TH ST S, Great Falls, MT 59405

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana.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

Derek Dwayne Johanson 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 ID3577947738

PECOS Enrollment IDI20231017001368

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 5

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.

675 services207 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

129 services127 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.

48 services45 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.

27 services21 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.

26 services25 patients

Hospital Affiliations CMS Care Compare 5

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

Benefis Hospitals Inc

Acute Care Hospitals · Great Falls, MT

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number270012

Location1101 26th St SGreat Falls, MT 59405 · Cascade County

Emergency services Birthing friendly

Benefis Teton Medical Center

Critical Access Hospitals · Choteau, MT

OwnershipVoluntary non-profit - Private

CMS Certification Number271307

Location915 4th St NWChoteau, MT 59422 · Teton County

Emergency services

Logan Health - Shelby

Critical Access Hospitals · Shelby, MT

OwnershipVoluntary non-profit - Private

CMS Certification Number271328

Location640 Park AveShelby, MT 59474 · Toole County

Emergency services

Logan Health - Chester

Critical Access Hospitals · Chester, MT

OwnershipVoluntary non-profit - Private

CMS Certification Number271334

Location315 W Madison AveChester, MT 59522 · Liberty County

Emergency services

Northern Montana Hospital

Critical Access Hospitals · Havre, MT

OwnershipVoluntary non-profit - Private

CMS Certification Number271348

Location30 13th StHavre, MT 59501 · Hill County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59405 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

$130.52 typical visit price

range $56.81 – $172.26

Typical copayment $32.63 (range $14.20 – $43.06)

Most-billed visit code 99204

Established Patient

$100.16 typical visit price

range $18.24 – $140.32

Typical copayment $25.04 (range $4.56 – $35.08)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.46/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

93.1

Promoting Interoperability

Improvement Activities

Cost

62.61

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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.

OMER USMAN MD

Hospitalist