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THOMAS W JOHNSON MD
NPI 1659476182
Surgery in Southbridge, MA

Active since September 13, 2006PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
100 SOUTH ST, SUITE 108, SOUTHBRIDGE, MA 01550(508) 764-6966(508) 764-2457 Get Directions Write a Review

NPPES record last updated: September 30, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Thomas W Johnson Md NPPES

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

THOMAS W JOHNSON MD (NPI 1659476182) is an individual surgery provider in Southbridge, Massachusetts, licensed in Massachusetts (216119) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Health - Harrington Hospital, and is a graduate of Medical College Of Pennsylvania (1996).

NPPES Registry Identity

NPI1659476182
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameTHOMAS W JOHNSONCredential: MD
Location Address100 SOUTH ST, SUITE 108Southbridge, MA 01550-4051
Mailing AddressPo Box 40Southbridge, MA 01550-0040 · (508) 909-7799 · Fax (508) 764-2432
Phone(508) 764-6966
Fax(508) 764-2457
Sole ProprietorNo
Medical School CMSMedical College Of PennsylvaniaGraduated 1996
Enumeration DateSeptember 13, 2006
Last NPPES UpdateSeptember 30, 2015
✔ NPI 1659476182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MA · 216119
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
100 SOUTH ST, Southbridge, MA 01550
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Other Identifiers 1

Medicare UPINH70829

Accepted Insurance

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

Thomas W 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 ID9335334200
PECOS Enrollment IDI20101117001029
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 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.
45 services29 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
38 services25 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.
38 services33 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.
36 services36 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.
27 services27 patients

Hospital Affiliations CMS Care Compare

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

Umass Memorial Health - Harrington Hospital

Acute Care Hospitals · Southbridge, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220019
Location100 South StreetSouthbridge, MA 01550 · Worcester County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01550 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

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.

EDWARD YE PA-C
Physician Assistant (Medical)
100 SOUTH ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 765-9771
DR. KRISHNAVENI SIRIGADDI MD
Internal Medicine
100 SOUTH ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 765-9771
DR. CARL JOHN VANDERPUTTEN DO
Emergency Medicine
100 SOUTH ST, HARRINGTON MEMORIAL HOSPITAL
SOUTHBRIDGE, MA 01550
Worcester County (508) 765-9771
DR. MARSHA KAY FEARING MD, MPH, MMSC.
Pediatrics
100 SOUTH ST, STE 102
SOUTHBRIDGE, MA 01550
Worcester County (508) 765-7860
MR. DOMINIC IDOKO MA
Counselor (Mental Health)
100 SOUTH ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 765-9771
STEPHANIE RUIZ-GONZALEZ CRNA
Nurse Anesthetist, Certified Registered
100 SOUTH ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 909-7799
MARY E FRISELLA MD
Internal Medicine (Cardiovascular Disease)
100 SOUTH ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 764-6041
TAMMY JOHNSON
Counselor (Mental Health)
100 SOUTH ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 765-9771

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 Thomas Johnson's NPI number?

The NPI number for Thomas Johnson is 1659476182. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Thomas Johnson located?

Thomas Johnson practices at 100 South St Suite 108, Southbridge, MA 01550. The listed phone number is (508) 764-6966.

What is Thomas Johnson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Thomas Johnson enrolled in Medicare?

Yes. Thomas 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 Thomas Johnson accept?

Health plans from Anthem Blue Cross and Blue Shield list Thomas 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 Thomas Johnson affiliated with any hospitals?

According to CMS data, Thomas Johnson is affiliated with Umass Memorial Health - Harrington Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Johnson was last updated on September 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.