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MATTHEW SHANNON JOHNSON D.O.
NPI 1659711455
Family Medicine in Port Charlotte, FL

Active since June 26, 2013PECOS EnrolledAccepts Medicare Assignment
2450 TAMIAMI TRL STE A, PORT CHARLOTTE, FL 33952(941) 624-2704(941) 627-6066 Get Directions Write a Review

NPPES record last updated: December 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, May 30, 2017 (2 updates tracked since 2017).

About Matthew Shannon Johnson D.o. NPPES

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

MATTHEW SHANNON JOHNSON D.O. (NPI 1659711455) is an individual family medicine provider in Port Charlotte, Florida, licensed in Florida (OS15650) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Lake City Hospital, and is a graduate of Lincoln Memorial University Medical Department (2013).

NPPES Registry Identity

NPI1659711455
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMATTHEW SHANNON JOHNSONCredential: D.O.
Location Address2450 TAMIAMI TRL STE APort Charlotte, FL 33952-3922
Mailing Address2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342 · (877) 856-3774
Phone(941) 624-2704
Fax(941) 627-6066
Sole ProprietorNo
Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2013
Enumeration DateJune 26, 2013
Last NPPES UpdateDecember 28, 20232 updates tracked since enumeration
NPPES CertifiedDecember 28, 2023
✔ NPI 1659711455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in FL · OS15650✔ Licensed in VA · 0116026356
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 3011 (WV)
2450 TAMIAMI TRL STE A, Port Charlotte, FL 33952
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Matthew Shannon Johnson D.o. 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 ID3072817824
PECOS Enrollment IDI20180529000442
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.

Medicare Billing Reassignments

9

Medicare enrollment records show Matthew Johnson reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Millennium Physician Group LLC
35 mi
Family Medicine
6321 DANIELS PKWY
Fort Myers, FL 33912
  • Reassigned Medicare billing, Florida enrollment
  • 1,278 clinicians in this Medicare group
NPI 1811122880 (877) 856-3774
Emergency Medicine Services Of Fl, LLC
141 mi
Emergency Medicine
20900 BISCAYNE BLVD
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 1,912 clinicians in this Medicare group
NPI 1043917180 (305) 682-7000
Alteon Health Alabama, LLC
503 mi
Emergency Medicine
604 STONE AVENUE
Talladega, AL 35160
  • Reassigned Medicare billing, Alabama enrollment
  • 141 clinicians in this Medicare group
NPI 1477708857 (844) 474-4019
Alabama Physicians Group LLC
509 mi
Emergency Medicine
400 E 10TH ST
Anniston, AL 36207
  • Reassigned Medicare billing, Alabama enrollment
  • 73 clinicians in this Medicare group
NPI 1750062527 (256) 235-5121
App Of Alabama Ed PLLC
614 mi
Emergency Medicine
15155 HIGHWAY 43
Russellville, AL 35653
  • Reassigned Medicare billing, Alabama enrollment
  • 286 clinicians in this Medicare group
NPI 1659646040 (256) 332-1611
Summers Emergency Physicians LLC
738 mi
Emergency Medicine
SUMMERS COUNTY ARH HOSPITAL, 1500 TERRACE STREET
Hinton, WV 25951
  • Reassigned Medicare billing, West Virginia enrollment
  • 35 clinicians in this Medicare group
NPI 1225243702 (304) 466-1000
Charleston Area Medical Center Inc
745 mi
General Acute Care Hospital
102 BROOKSHIRE LN
Beckley, WV 25801
  • Reassigned Medicare billing, West Virginia enrollment
  • 1,511 clinicians in this Medicare group
NPI 1508712118 (304) 256-0770
Beckley Emergency Physicians LLC
746 mi
Emergency Medicine
306 STANAFORD RD, EMERGENCY ROOM
Beckley, WV 25801
  • Reassigned Medicare billing, West Virginia enrollment
  • 80 clinicians in this Medicare group
NPI 1376757674 (304) 255-3000
Davis Memorial Hospital
833 mi
General Acute Care Hospital
812 GORMAN AVE
Elkins, WV 26241
  • Reassigned Medicare billing, West Virginia enrollment
  • 246 clinicians in this Medicare group
NPI 1619964806 (304) 636-3300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
257 services243 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
118 services116 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
22 services20 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Florida Lake City Hospital

Acute Care Hospitals · Lake City, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100156
Location340 NW Commerce DrLake City, FL 32055 · Columbia County
Emergency services

Hca Florida South Shore Hospital

Acute Care Hospitals · Sun City Center, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100259
Location4016 Sun City Center BlvdSun City Center, FL 33573 · Hillsborough County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33952 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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.

RITA FELICIA DE PALMA ARNP
Nurse Practitioner (Family)
2450 TAMIAMI TRL STE A
PORT CHARLOTTE, FL 33952
Charlotte County (941) 624-2704
MARK P. RICHARD N.P.
Nurse Practitioner (Family)
2450 TAMIAMI TRL STE A
PORT CHARLOTTE, FL 33952
Charlotte County (941) 624-2704
EWA A BIALIKIEWICZ M.D.
Family Medicine
2450 TAMIAMI TRL STE A
PORT CHARLOTTE, FL 33952
Charlotte County (941) 624-2704
JENNIFER CASTLE ARNP
Nurse Practitioner (Family)
2450 TAMIAMI TRL STE A
PORT CHARLOTTE, FL 33952
Charlotte County (941) 624-2704
LISA MARIE FERRENTINO ARNP
Nurse Practitioner (Family)
2450 TAMIAMI TRL STE A
PORT CHARLOTTE, FL 33952
Charlotte County (941) 624-2704
MILLENNIUM PHYSICIAN GROUP LLC
Durable Medical Equipment & Medical Supplies
2450 TAMIAMI TRL STE A
PORT CHARLOTTE, FL 33952
Charlotte County (941) 624-2704
TODD MICHAEL CORDEN P.A.-C
Physician Assistant (Medical)
2450 TAMIAMI TRL STE A
PORT CHARLOTTE, FL 33952
Charlotte County (941) 624-2704
PAYTON EBERLING
Physician Assistant
2450 TAMIAMI TRL STE A
PORT CHARLOTTE, FL 33952
Charlotte County (941) 624-2704

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 Matthew Johnson's NPI number?

The NPI number for Matthew Johnson is 1659711455. It was assigned to this individual provider in the NPPES registry on June 26, 2013.

Where is Matthew Johnson located?

Matthew Johnson practices at 2450 Tamiami Trl Ste A, Port Charlotte, FL 33952. The listed phone number is (941) 624-2704.

What is Matthew Johnson's specialty?

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

Is Matthew Johnson enrolled in Medicare?

Yes. Matthew 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.

Which organizations bill Medicare for Matthew Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Johnson reassigns Medicare benefits to 9 organizations: Millennium Physician Group LLC (Fort Myers, FL), Emergency Medicine Services Of Fl, LLC (Aventura, FL), Alteon Health Alabama, LLC (Talladega, AL), Alabama Physicians Group LLC (Anniston, AL), App Of Alabama Ed PLLC (Russellville, AL) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Johnson accept?

Health plans from Oscar Health Maintenance Organization of Florida list Matthew 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 Matthew Johnson affiliated with any hospitals?

According to CMS data, Matthew Johnson is affiliated with Hca Florida Lake City Hospital and Hca Florida South Shore Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Johnson was last updated on December 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.