DR. WILLIAM LEE JOHNSON MD
NPI 1669476495
Pediatrics - Pediatric Allergy/Immunology in Saint Louis, MO


Quality Rating: 62.28 out of 100 score

NPI Status: Active since June 09, 2005

Contact Information

1 CHILDRENS PL
SAINT LOUIS, MO
ZIP 63110
Phone: (314) 454-2694
Fax: (314) 454-2515

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  • Individual
  • Male
  • Pediatrics
  • Pediatric Allergy/Immunology

About WILLIAM JOHNSON

This page provides the complete NPI Profile along with additional information for William Johnson, a pediatrician established in Saint Louis, Missouri with a medical specialization in Pediatrics, focusing in pediatric allergy/immunology . The healthcare provider is registered in the NPI registry with number 1669476495 assigned on June 2005. The practitioner's primary taxonomy code is 2080P0201X with license number R1F19 (MO). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1669476495
Provider Name
DR. WILLIAM LEE JOHNSON MD
Gender
Male
Entity Type
Individual
Location Address
1 CHILDRENS PL SAINT LOUIS, MO 63110
Location Phone
(314) 454-2694
Location Fax
(314) 454-2515
Mailing Address
1 CHILDRENS PL CB 8116 SAINT LOUIS, MO 63110
Mailing Phone
(314) 454-2694
Mailing Fax
(314) 454-2515
Is Sole Proprietor?
No
Enumeration Date
06-09-2005
Last Update Date
01-24-2018
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A pediatrician like William Johnson is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Pediatric Allergy/Immunology

Taxonomy Code
2080P0201X
Type
Allopathic & Osteopathic Physicians
License No.
R1F19
License State
MO
Taxonomy Description
A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

R1F19 (MO)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
ENROLLEDMEDICAID (05)IL 
202878708MEDICAID (05)MO 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration and interpretation of patient-focused health risk assessment

This procedure involves a detailed evaluation of your health to identify potential risks. It includes analyzing your medical history, lifestyle habits, and family health history. The results are interpreted to provide a personalized plan to improve your health and prevent future issues.

This service was performed 74 times for 50 patients

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 31 times for 25 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 78 times for 53 patients

New patient office or other outpatient visit, 30-44 minutes

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.

This service was performed 16 times for 16 patients

Professional service for multiple injections of allergen

The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.

This service was performed 237 times for 23 patients

Professional service for preparation and provision of 1 or more antigens

This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.

This service was performed 327 times for 21 patients

Test for allergy using allergenic extract

An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.

This service was performed 1,035 times for 18 patients

Test to measure rate of airflow

This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.

This service was performed 55 times for 39 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 62.28, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 62.28 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 19.39

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 82

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: 69.88

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: 69.88

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1669476495, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
9
Unchanged
Pos 5
4
Doubled → 8
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 6 → 12 → 3 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 2 + 9 + 8 + 7 + 1 + 2 + 4 + 1 + 8 + 24 = 75

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 75 is 80. The difference is the calculated check digit.

80 - 75 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1669476495.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics
1 CHILDRENS PL
SAINT LOUIS, MO 63110
Pharmacist
1 CHILDRENS PL
SAINT LOUIS, MO 63110
Pharmacist
1 CHILDRENS PL, ST LOUIS CHILDREN OUT PATIENT PHARMACY
SAINT LOUIS, MO 63110
Pharmacist
1 CHILDRENS PL
SAINT LOUIS, MO 63110
Anesthesiology
1 CHILDRENS PL
SAINT LOUIS, MO 63110
Ophthalmology
1 CHILDRENS PL
SAINT LOUIS, MO 63110
Pediatrics (Pediatric Cardiology)
1 CHILDRENS PL, SUITE 5S30
SAINT LOUIS, MO 63110
Anesthesiology
1 CHILDRENS PL
SAINT LOUIS, MO 63110
Pediatrics (Pediatric Critical Care Medicine)
1 CHILDRENS PL, SUITE 5S20
SAINT LOUIS, MO 63110
Pediatrics (Pediatric Rheumatology)
1 CHILDRENS PL, SUITE 11W32
SAINT LOUIS, MO 63110
Anesthesiology (Pediatric Anesthesiology)
1 CHILDRENS PL
SAINT LOUIS, MO 63110
Pediatrics
1 CHILDRENS PL
SAINT LOUIS, MO 63110
Physical Therapist
1 CHILDRENS PL, STE 11E10
SAINT LOUIS, MO 63110
Clinical Neuropsychologist
1 CHILDRENS PL, #3S32
SAINT LOUIS, MO 63110
Pediatrics (Pediatric Hematology-Oncology)
1 CHILDRENS PL, SUITE 9S
SAINT LOUIS, MO 63110
Pediatrics (Pediatric Gastroenterology)
1 CHILDRENS PL
SAINT LOUIS, MO 63110
Medical Genetics (Clinical Genetics (M.D.))
1 CHILDRENS PL
SAINT LOUIS, MO 63110
Clinical Neuropsychologist
1 CHILDRENS PL, 3S32
SAINT LOUIS, MO 63110
Pediatrics (Adolescent Medicine)
1 CHILDRENS PL
SAINT LOUIS, MO 63110
Anesthesiology
1 CHILDRENS PL
SAINT LOUIS, MO 63110

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669476495, enumerated as an "individual" on June 09, 2005.

The provider is located at 1 CHILDRENS PL SAINT LOUIS, MO 63110 and the phone number is (314) 454-2694.

Pediatrics with taxonomy code 2080P0201X and a focus in Pediatric Allergy/Immunology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.