JOHN DEREK JOHNSON MD
NPI 1619234945
Family Medicine in Jena, LA

Active since April 11, 2012PECOS EnrolledAccepts Medicare Assignment
180 NINTH ST, LASALLE FAMILY MEDICINE CLINIC, JENA, LA 71342(318) 992-9200 Get Directions Write a Review

NPPES record last updated: July 7, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John Derek Johnson Md NPPES

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

JOHN DEREK JOHNSON MD (NPI 1619234945) is an individual family medicine provider in Jena, Louisiana, licensed in Louisiana (206647) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Christus St Frances Cabrini Hospital, and is a graduate of Louisiana State University School Of Medicine In New Orleans (2012).

NPPES Registry Identity

NPI1619234945
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN DEREK JOHNSONCredential: MD
Location Address180 NINTH ST, LASALLE FAMILY MEDICINE CLINICJena, LA 71342-3900
Mailing AddressPo Box 2780, Lasalle Family Medicine ClinicJena, LA 71342-2780 · (318) 992-9200
Sole ProprietorYes
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2012
Enumeration DateApril 11, 2012
Last NPPES UpdateJuly 7, 2015
NPI 1619234945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in LA · 206647
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.
180 NINTH ST, Jena, LA 71342

Other Identifiers 1

Medicaid2188658LA

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

John Derek 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 ID7517190259
PECOS Enrollment IDI20140502000537
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.

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.
37 services21 patients
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.
24 services23 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
12 services12 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Christus St Frances Cabrini Hospital

Acute Care Hospitals · Alexandria, LA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190019
Location3330 Masonic DriveAlexandria, LA 71301 · Rapides County
Emergency services Birthing friendly

Lasalle General Hospital

Acute Care Hospitals · Jena, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190145
Location187 Ninth St/Hwy 84 WestJena, LA 71342 · Lasalle County

Christus Central Louisiana Surgical Hospital

Acute Care Hospitals · Alexandria, LA
OwnershipProprietary
CMS Certification Number190298
Location651 North Bolton AveAlexandria, LA 71301 · Rapides County

Hardtner Medical Center

Critical Access Hospitals · Olla, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number191315
Location1102 N Pine RoadOlla, LA 71465 · Lasalle County
Emergency services

Riverland Medical Center

Critical Access Hospitals · Ferriday, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number191318
Location6569 Hwy 84Ferriday, LA 71334 · Concordia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71342 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
97%34 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 14

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
7 suppliers19 claims45 services$6.40 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers11 claims11 services$22.61 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers11 claims66 services$2.93 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
2 suppliers13 claims390 services$4.13 avg. paid by Medicare
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154
Other-Enteral and Parenteral · category OB006N
1 supplier20 claims8,758 services$0.85 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers57 claims63 services$18.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
180 NINTH ST
JENA, LA 71342
Family Medicine
180 NINTH ST
JENA, LA 71342
Physician Assistant
180 NINTH ST
JENA, LA 71342
Clinic/Center (Rural Health)
180 NINTH ST
JENA, LA 71342

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 John Johnson's NPI number?

The NPI number for John Johnson is 1619234945. It was assigned to this individual provider in the NPPES registry on April 11, 2012.

Where is John Johnson located?

John Johnson practices at 180 Ninth St Lasalle Family Medicine Clinic, Jena, LA 71342. The listed phone number is (318) 992-9200.

What is John Johnson's specialty?

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

Is John Johnson enrolled in Medicare?

Yes. John 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 John Johnson accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list John 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 John Johnson affiliated with any hospitals?

According to CMS data, John Johnson is affiliated with Christus St Frances Cabrini Hospital, Lasalle General Hospital, Christus Central Louisiana Surgical Hospital, Hardtner Medical Center and Riverland Medical Center.

When was this NPI record last updated?

The NPPES record for John Johnson was last updated on July 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.