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DR. VERNON N JOHNSON MD
NPI 1679568190
Family Medicine in Billings, MT

Active since September 12, 2005PECOS EnrolledAccepts Medicare Assignment
2750 GRAND AVE, BILLINGS, MT 59102(406) 237-4040 Get Directions Write a Review

NPPES record last updated: April 18, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Vernon N Johnson Md NPPES

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

DR. VERNON N JOHNSON MD (NPI 1679568190) is an individual family medicine provider in Billings, Montana, licensed in Montana (8431) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Florida College Of Medicine (1984).

NPPES Registry Identity

NPI1679568190
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. VERNON N JOHNSONCredential: MD
Location Address2750 GRAND AVEBillings, MT 59102-2629
Mailing Address910 S Main StBig Spring, TX 79720-2928 · (432) 714-4650 · Fax (432) 714-4653
Phone(406) 237-4040
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 1984
Enumeration DateSeptember 12, 2005
Last NPPES UpdateApril 18, 2016
✔ NPI 1679568190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MT · 8431
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.
2750 GRAND AVE, Billings, MT 59102
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Other Identifiers 3

Medicare UPIND71727
Medicaid1679568190MT
Medicare PIN010001725MT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross and Blue Shield of Texas and more.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

Dr. Vernon N 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 ID547454670
PECOS Enrollment IDI20230203001154
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

4

Medicare enrollment records show Vernon Johnson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Big Horn Hospital Association
47 mi
Critical Access
17 NORTH MILES AVENUE
Hardin, MT 59034
  • Reassigned Medicare billing, Montana enrollment
  • 53 clinicians in this Medicare group
NPI 1891713533 (406) 665-2310
Hospitalist Medicine Physicians Of Montana - Tcs PC
189 mi
Internal Medicine
2400 CONTINENTAL DR
Butte, MT 59701
  • Reassigned Medicare billing, Montana enrollment
  • 69 clinicians in this Medicare group
NPI 1902567183 (406) 723-6556
Cogent Healthcare Of Montana P C
271 mi
Internal Medicine
2827 FORT MISSOULA RD
Missoula, MT 59804
  • Reassigned Medicare billing, Montana enrollment
  • 155 clinicians in this Medicare group
NPI 1053569525 (406) 728-4100
John C. Lincoln, LLC
841 mi
Family Medicine
46641 N BLACK CANYON HWY, STE. 5
New River, AZ 85087
  • Reassigned Medicare billing, Arizona enrollment
  • Medicare enrollment name: Honorhealth Medical Group, LLC
  • 502 clinicians in this Medicare group
NPI 1003107921 (623) 465-8810

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 3

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 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.
46 services32 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 services29 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59102 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
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
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.

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.

Reported Quality Measures

Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
Lower rates are better for this measure.
0%85 patients
Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
35%241 patients2/55-star benchmark: 92%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
31%516 patients2/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
34%487 patients2/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
5%196 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%3,717 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%10,013 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
61%580 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%187 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
49%998 patients3/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
37%724 patients2/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
98%998 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
6%998 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
18%998 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers28 claims28 services$17.89 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers34 claims34 services$93.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

ALICIA BERVE FNP
Nurse Practitioner (Family)
2750 GRAND AVE
BILLINGS, MT 59102
Yellowstone County (406) 237-5353
KRISTEN BECK NP
Nurse Practitioner
2750 GRAND AVE
BILLINGS, MT 59102
Yellowstone County (406) 237-5353
DR. CHRISTOPHER J CANCRO MD
Family Medicine
2750 GRAND AVE
BILLINGS, MT 59102
Yellowstone County (406) 237-5353
ST. VINCENT HEALTHCARE
Clinic/Center (Primary Care)
2750 GRAND AVE
BILLINGS, MT 59102
Yellowstone County (406) 237-4040

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 Vernon Johnson's NPI number?

The NPI number for Vernon Johnson is 1679568190. It was assigned to this individual provider in the NPPES registry on September 12, 2005.

Where is Vernon Johnson located?

Vernon Johnson practices at 2750 Grand Ave, Billings, MT 59102. The listed phone number is (406) 237-4040.

What is Vernon Johnson's specialty?

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

Is Vernon Johnson enrolled in Medicare?

Yes. Vernon 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 Vernon Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vernon Johnson reassigns Medicare benefits to 4 organizations: Big Horn Hospital Association (Hardin, MT), Hospitalist Medicine Physicians Of Montana - Tcs PC (Butte, MT), Cogent Healthcare Of Montana P C (Missoula, MT) and John C. Lincoln, LLC (New River, AZ). 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 Vernon Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vernon Johnson accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Texas and Cigna HealthCare of Arizona, Inc and 1 other insurer list Vernon 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.

When was this NPI record last updated?

The NPPES record for Vernon Johnson was last updated on April 18, 2016. 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.