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MARY J JOHNSTON DO
NPI 1649618059
Neuromusculoskeletal Medicine & OMM in Fairbanks, AK

Active since June 07, 2013PECOS EnrolledAccepts Medicare Assignment
1919 LATHROP ST, FAIRBANKS, AK 99701(907) 458-2619(907) 374-1089 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 6, 2018, Apr 21, 2017, Oct 18, 2016 and 1 more (4 updates tracked since 2016).

About Mary J Johnston Do NPPES

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

MARY J JOHNSTON DO (NPI 1649618059) is an individual neuromusculoskeletal medicine & omm provider in Fairbanks, Alaska, licensed in Alaska (111064) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Osteopathic Medicine (2013).

NPPES Registry Identity

NPI1649618059
Entity TypeIndividualFemale
Primary Taxonomy204D00000X
Provider Legal NameMARY J JOHNSTONCredential: DO
Location Address1919 LATHROP STFairbanks, AK 99701-5937
Mailing AddressPo Box 73720Fairbanks, AK 99707-3720 · (907) 458-2619 · Fax (907) 374-1089
Phone(907) 458-2619
Fax(907) 374-1089
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2013
Enumeration DateJune 7, 2013
Last NPPES UpdateOctober 20, 20254 updates tracked since enumeration
NPPES CertifiedOctober 20, 2025
✔ NPI 1649618059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians
Taxonomy Code204D00000X
License✔ Licensed in AK · 111064
Definition

The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 111064 (AK)
1919 LATHROP ST, Fairbanks, AK 99701
Open in Google Maps ↗

Other Names 1

Former Name (1)Mary J Joy

Other Identifiers 1

Medicaid1652171AK

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.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

Mary J Johnston Do 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 ID9234417882
PECOS Enrollment IDI20161102000353
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 7

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.

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.
595 services142 patients
Osteopathic manipulative treatment, 3-4 body regions 98926
Osteopathic Manipulative Treatment (OMT) is a hands-on method where a doctor uses specific techniques to diagnose, treat, and prevent illness or injury. For 3-4 body regions, the doctor focuses on areas like your head, neck, back, or limbs to improve function and promote healing.
296 services117 patients
Osteopathic manipulative treatment, 1-2 body regions 98925
Osteopathic Manipulative Treatment (OMT) is a hands-on method where doctors use their hands to diagnose and treat illnesses. For 1-2 body regions, the doctor focuses on specific areas like your back or neck, using techniques to alleviate pain, restore function, and promote healing.
206 services86 patients
Osteopathic manipulative treatment, 5-6 body regions 98927
Osteopathic Manipulative Treatment (OMT) is a hands-on method where doctors use their hands to diagnose, treat, and prevent illness or injury. In a 5-6 body regions OMT, the doctor applies techniques on those areas to enhance your body's natural healing process.
120 services40 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
43 services43 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.
32 services11 patients

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.

KAREN SHIRA OP
Technician/Technologist (Optician)
1919 LATHROP ST, SUITE 103
FAIRBANKS, AK 99701
Fairbanks North Star Borough (800) 478-4091
RONALD A MARTINO MD
Psychiatry & Neurology (Neurology)
1919 LATHROP ST, STE 220
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-1739
MOREEN L FRIED LCSW
Social Worker (Clinical)
1919 LATHROP ST, STE 220
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-1739
WILLIAM HENRY MONTANO MD
Surgery
1919 LATHROP ST, SUITE 204
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-8151
GLORIA G BOURQUE ANP
Nurse Practitioner
1919 LATHROP ST, STE 220
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-1739
KRISTEN NICOLE BARTON LPC
Counselor (Professional)
1919 LATHROP ST, SUITE 220
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-1739
DALE A HARDY CNM
Obstetrics & Gynecology
1919 LATHROP ST, #217
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-8191
DR. WALTER LEE PAYNE DDS
Dentist (General Practice)
1919 LATHROP ST, SUITE 211
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-7007

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 Mary Johnston's NPI number?

The NPI number for Mary Johnston is 1649618059. It was assigned to this individual provider in the NPPES registry on June 7, 2013.

Where is Mary Johnston located?

Mary Johnston practices at 1919 Lathrop St, Fairbanks, AK 99701. The listed phone number is (907) 458-2619.

What is Mary Johnston's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Is Mary Johnston enrolled in Medicare?

Yes. Mary Johnston 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 Mary Johnston accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Mary Johnston 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 Mary Johnston was last updated on October 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.