RAY W. JOHNSON M.D.
NPI 1629099072
Dermatology in Prescott, AZ

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
83.31/100
CMS Quality Rating
830 AINSWORTH DR, PRESCOTT, AZ 86301(928) 777-5800(928) 776-0405 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2025, Oct 25, 2023, Jan 13, 2023 and 3 more (6 updates tracked since 2018).

About Ray W. Johnson M.d. NPPES

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

RAY W. JOHNSON M.D. (NPI 1629099072) is an individual dermatology provider in Prescott, Arizona, licensed in Arizona (29683) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains 6 additional practice locations, and is a graduate of Columbia University College Of Physicians And Surgeons (1995).

NPPES Registry Identity

NPI1629099072
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameRAY W. JOHNSONCredential: M.D.
Location Address830 AINSWORTH DRPrescott, AZ 86301-1630
Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9008 · Fax (920) 684-1439
Fax(928) 776-0405
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1995
Enumeration DateJuly 21, 2006
Last NPPES UpdateAugust 12, 20256 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
NPI 1629099072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in AZ · 29683
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License AZ29683 (AZ)
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License AZ29683 (AZ)
Also ListedDermatology · Clinical & Laboratory Dermatological ImmunologyTaxonomy 207NI0002X · License AZ29683 (AZ)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License AZ29683 (AZ)
830 AINSWORTH DR, Prescott, AZ 86301

Secondary Practice Locations 6

Location 12820 N Glassford Hill Rd Ste 103Prescott Valley, AZ 86314-2256 · Phone (928) 772-8553 · Fax (928) 776-0405
Location 21000 Ainsworth Dr Ste 330Prescott, AZ 86305-1682 · Phone (928) 777-5830 · Fax (928) 776-0405
Location 3820 Ainsworth Dr Ste BPrescott, AZ 86301-1613 · Phone (928) 777-5810 · Fax (928) 776-0405
Location 42820 N Glassford Hill Rd Ste 107Prescott Valley, AZ 86314-2256 · Phone (928) 772-8553 · Fax (928) 776-0405
Location 5203 S Candy Ln # 14Cottonwood, AZ 86326-4120 · Phone (928) 639-3387 · Fax (928) 776-0405
Location 6820 Ainsworth Dr Ste APrescott, AZ 86301-1613 · Phone (928) 777-5800 · Fax (928) 776-0405

Other Identifiers 1

Medicaid622284AZ

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

Ray W. Johnson M.d. 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 ID6901840065
PECOS Enrollment IDI20050621000397
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 27

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
6,038 services3,253 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311
This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.
665 services576 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
552 services298 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
384 services346 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
253 services175 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks 17312
This procedure involves the careful removal of abnormal growths from the head, neck, hands, or feet. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any irregularities. The process may be carried out in multiple stages for thorough examination.
200 services169 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86301 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

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.

83.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.38
Promoting Interoperability99
Improvement Activities40
Cost65.82

Reported Quality Measures

Biopsy Follow-Up
Percentage of new patients whose biopsy results have been reviewed and communicated to the primary care/referring physician and patient by the performing physician
100%197 patients5/55-star benchmark: 100%
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…
99%783 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%230 patients4/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
89%1,427 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
64%756 patients3/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
62%756 patients3/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
100%38 patients
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.

Other Providers at the Same Location NPPES 14

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

Nurse Practitioner
830 AINSWORTH DR
PRESCOTT, AZ 86301
Physician Assistant
830 AINSWORTH DR
PRESCOTT, AZ 86301
Physician Assistant
830 AINSWORTH DR
PRESCOTT, AZ 86301
Physician Assistant
830 AINSWORTH DR
PRESCOTT, AZ 86301
Dermatology
830 AINSWORTH DR
PRESCOTT, AZ 86301
Physician Assistant
830 AINSWORTH DR
PRESCOTT, AZ 86301
Dermatology
830 AINSWORTH DR
PRESCOTT, AZ 86301
Dermatology
830 AINSWORTH DR
PRESCOTT, AZ 86301

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 Ray Johnson's NPI number?

The NPI number for Ray Johnson is 1629099072. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Ray Johnson located?

Ray Johnson practices at 830 Ainsworth Dr, Prescott, AZ 86301. The listed phone number is (928) 777-5800.

What is Ray Johnson's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Ray Johnson enrolled in Medicare?

Yes. Ray 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 Ray Johnson accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and UnitedHealthcare list Ray 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 Ray Johnson was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.