BENNETT M JOHNSON MD
NPI 1629481379
Surgery - Trauma Surgery in Edmonds, WA

Q: What is Bennett Johnson's NPI number?

The NPI number for Bennett Johnson is 1629481379. It was assigned to this individual provider in the NPPES registry on June 10, 2014.

Q: What is Bennett Johnson's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Q: When was this NPI record last updated?

The NPPES record for Bennett Johnson was last updated on October 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 10, 2014PECOS EnrolledAccepts Medicare Assignment

21616 76TH AVE W STE 201A, EDMONDS, WA 98026(425) 673-3400(425) 673-3401 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 9, 2021, Aug 2, 2019 (2 updates tracked since 2019).

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About Bennett M Johnson Md NPPES

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

BENNETT M JOHNSON MD (NPI 1629481379) is an individual trauma surgery provider in Edmonds, Washington, licensed in Washington (MD60864242) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Swedish Edmonds Hospital, and maintains a secondary practice location in Everett.

NPPES Registry Identity

NPI1629481379

Entity TypeIndividualMale

Primary Taxonomy2086S0127X

Provider Legal NameBENNETT M JOHNSONCredential: MD

Location Address21616 76TH AVE W STE 201AEdmonds, WA 98026-7512

Mailing AddressPo Box 25608Salt Lake City, UT 84125-0608 · (206) 320-4476 · Fax (206) 568-7043

Phone(425) 673-3400

Fax(425) 673-3401

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJune 10, 2014

Last NPPES UpdateOctober 24, 20252 updates tracked since enumeration

NPPES CertifiedOctober 24, 2025

✔ NPI 1629481379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0127X

License✔ Licensed in WA · MD60864242

Definition

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

21616 76TH AVE W STE 201A, Edmonds, WA 98026

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Secondary Practice Location 1

Location 11321 Colby AveEverett, WA 98201-1665 · Phone (425) 261-2000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Bennett M 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 ID5890015689

PECOS Enrollment IDI20190822002035

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 6

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

53 services53 patients

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.

41 services26 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.

22 services18 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.

22 services22 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

22 services21 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

12 services11 patients

Hospital Affiliations CMS Care Compare

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

Swedish Edmonds Hospital

Acute Care Hospitals · Edmonds, WA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500026

Location21601 76th Avenue WestEdmonds, WA 98026 · Snohomish County

Emergency services Birthing friendly

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Other Providers at the Same Location NPPES 6

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

MR. ZACHARY CROFFORD WEAVER PA-C

Physician Assistant (Surgical)