STEPHEN CORNELIUS JOHNSON M.D.
NPI 1699828400
Urology in Chillicothe, OH

Q: What is Stephen Johnson's NPI number?

The NPI number for Stephen Johnson is 1699828400. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Q: What is Stephen Johnson's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Johnson was last updated on November 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since January 18, 2007PECOS EnrolledAccepts Medicare Assignment

83.28/100

CMS Quality Rating

4439 STATE ROUTE 159 STE 260, CHILLICOTHE, OH 45601(740) 779-4370(740) 779-4379 Get Directions Write a Review

NPPES record last updated: November 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 30, 2020, Dec 13, 2018 (2 updates tracked since 2018).

On this page

About Stephen Cornelius Johnson M.d. NPPES

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

STEPHEN CORNELIUS JOHNSON M.D. (NPI 1699828400) is an individual urology provider in Chillicothe, Ohio, licensed in Ohio (35.095471) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Holzer Medical Center, and is a graduate of Medical College Of Ohio (2005).

NPPES Registry Identity

NPI1699828400

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameSTEPHEN CORNELIUS JOHNSONCredential: M.D.

Location Address4439 STATE ROUTE 159 STE 260Chillicothe, OH 45601-7502

Mailing Address4439 State Route 159 Ste 260Chillicothe, OH 45601-7502 · (740) 779-4370 · Fax (740) 779-4379

Phone(740) 779-4370

Fax(740) 779-4379

Sole ProprietorNo

Medical School CMSMedical College Of OhioGraduated 2005

Enumeration DateJanuary 18, 2007

Last NPPES UpdateNovember 30, 20202 updates tracked since enumeration

NPPES CertifiedNovember 30, 2020

✔ NPI 1699828400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Licenses✔ Licensed in OH · 35.095471✔ Licensed in LA · 201215

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

4439 STATE ROUTE 159 STE 260, Chillicothe, OH 45601

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Other Identifiers 1

Medicaid3082775OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and more.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

Stephen Cornelius Johnson M.d. 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 ID2365546181

PECOS Enrollment IDI20100805000011

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 17

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.

229 services195 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.

198 services168 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

128 services128 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

102 services78 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

68 services39 patients

Simple insertion of temporary bladder tube 51702

This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.

36 services12 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.

36 services36 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

27 services27 patients

Imaging of urinary tract following injection of a contrast agent 74420

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

27 services27 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.

23 services23 patients

Simple bladder irrigation and/or instillation 51700

Bladder irrigation and/or instillation is a process where a sterile solution is introduced into the bladder to cleanse it or deliver medication. This procedure helps manage certain bladder conditions, ensuring optimal bladder health.

22 services20 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

18 services17 patients

Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope 52310

This is a procedure to remove an object, stone, or tube from your urinary tract. An endoscope, a thin, flexible tube with a light and camera, is used to locate and remove the object. It is a safe and effective way to address the issue.

17 services16 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

16 services16 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

15 services13 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

15 services12 patients

Complete laser vaporization of prostate including control of bleeding using an endoscope 52648

This procedure involves using a special light instrument to carefully remove tissue from a gland located in the lower body. This helps improve the flow of body fluids. The process is done through a tube-like device and also controls any bleeding.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Holzer Medical Center

Acute Care Hospitals · Gallipolis, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360054

Location100 Jackson PikeGallipolis, OH 45631 · Gallia County

Emergency services Birthing friendly

Adena Regional Medical Center

Acute Care Hospitals · Chillicothe, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360159

Location272 Hospital RoadChillicothe, OH 45601 · Ross County

Emergency services Birthing friendly

Greenfield Area Medical Center

Critical Access Hospitals · Greenfield, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number361304

Location550 Mirabeau StreetGreenfield, OH 45123 · Highland County

Emergency services

Adena Fayette Medical Center

Critical Access Hospitals · Washington Ch, OH

OwnershipGovernment - Local

CMS Certification Number361331

Location1430 Columbus AvenueWashington Ch, OH 43160 · Fayette County

Emergency services

Adena Pike Medical Center

Critical Access Hospitals · Waverly, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number361334

Location100 Dawn LaneWaverly, OH 45690 · Pike County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45601 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

83.28/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

58.73

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 3

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

Lubricant, individual sterile packet, each A4332

DME-Medical/Surgical Supplies · category DA000N

2 suppliers23 claims2,510 services$0.10 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

5 suppliers66 claims13,262 services$1.57 avg. paid by Medicare

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

2 suppliers13 claims3,390 services$5.25 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.

MATTHEW W CHRISTIAN M.D.

Urology

4439 STATE ROUTE 159 STE 260
CHILLICOTHE, OH 45601

Ross County (740) 779-4370

MARIYA LARSON APRN

Nurse Practitioner

4439 STATE ROUTE 159 STE 260
CHILLICOTHE, OH 45601

Ross County (740) 779-4370

DR. ADAM LESTER ESHAM MD

Urology

4439 STATE ROUTE 159 STE 260
CHILLICOTHE, OH 45601

Ross County (740) 779-4370

DR. LIJU JOHN M.D.

Physical Medicine & Rehabilitation

4439 STATE ROUTE 159 STE 260
CHILLICOTHE, OH 45601

Ross County (740) 779-7460

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 Stephen Johnson's NPI number?

The NPI number for Stephen Johnson is 1699828400. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Stephen Johnson located?

Stephen Johnson practices at 4439 State Route 159 Ste 260, Chillicothe, OH 45601. The listed phone number is (740) 779-4370.

What is Stephen Johnson's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Stephen Johnson enrolled in Medicare?

Yes. Stephen 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 Stephen Johnson accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare list Stephen 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 Stephen Johnson affiliated with any hospitals?

According to CMS data, Stephen Johnson is affiliated with Holzer Medical Center, Adena Regional Medical Center, Greenfield Area Medical Center, Adena Fayette Medical Center and Adena Pike Medical Center.

When was this NPI record last updated?

The NPPES record for Stephen Johnson was last updated on November 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.