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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LEO C JOHNSON PA-C
NPI 1700625357
Physician Assistant in Rockford, IL

Active since May 22, 2024PECOS Enrolled
5875 E RIVERSIDE BLVD, ROCKFORD, IL 61114(815) 398-9491(815) 381-7498 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Leo C Johnson Pa-c NPPES

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

LEO C JOHNSON PA-C (NPI 1700625357) is an individual physician assistant in Rockford, Illinois, licensed in Illinois (085012481) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700625357
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameLEO C JOHNSONCredential: PA-C
Location Address5875 E RIVERSIDE BLVDRockford, IL 61114-4937
Mailing AddressPo Box 735263Chicago, IL 60673-5263
Phone(815) 398-9491
Fax(815) 381-7498
Sole ProprietorNo
Enumeration DateMay 22, 2024
Last NPPES UpdateOctober 5, 2026
NPPES CertifiedOctober 5, 2026
✔ NPI 1700625357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085012481
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5875 E RIVERSIDE BLVD, Rockford, IL 61114
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Dean Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leo C Johnson Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61114 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

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.

DR. LIZA A DAFCHAHI SHIRANI MD
Anesthesiology
5875 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Winnebago County (815) 398-9491
MARIOLA U GRZESZCZYK APRN
Nurse Practitioner
5875 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Winnebago County (815) 398-9491
DR. WILLIAM B WEEMS MD
Anesthesiology
5875 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Winnebago County (815) 398-9491
DR. DOUGLAS JOSEPH PACACCIO DPM
Podiatrist (Foot & Ankle Surgery)
5875 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Winnebago County (815) 398-9491
AMANDA L FOIT NP
Nurse Practitioner
5875 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Winnebago County (815) 398-9491
RYAN C ENKE M.D.
Physical Medicine & Rehabilitation
5875 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Winnebago County (815) 398-9491
DR. VISHRUT P. NAIK MD
Anesthesiology (Pain Medicine)
5875 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Winnebago County (815) 398-9491
ADAM SOLIMAN DO
Anesthesiology
5875 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Winnebago County (815) 398-9491

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 Leo Johnson's NPI number?

The NPI number for Leo Johnson is 1700625357. It was assigned to this individual provider in the NPPES registry on May 22, 2024.

Where is Leo Johnson located?

Leo Johnson practices at 5875 E Riverside Blvd, Rockford, IL 61114. The listed phone number is (815) 398-9491.

What is Leo Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Leo Johnson enrolled in Medicare?

Yes. Leo Johnson is registered in the Medicare PECOS enrollment system.

What insurance does Leo Johnson accept?

Health plans from Dean Health Plan list Leo 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 Leo Johnson was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.