DR. DOUGLAS WAYNE JOHNSON M.D. NPI 1700869427

Specialist in Honolulu, HI

NPI 1700869427 Individual Male Years of Experience 46 Specialist PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 30 Medicare Quality Reporting CLIA Number 12D0720185 CLIA Certificate of Compliance

About DOUGLAS JOHNSON

Douglas Johnson is a provider established in Honolulu, Hawaii and his medical specialization is specialist with more than 46 years of experience. He graduated from University Of Nebraska College Of Medicine in 1976. The NPI number of Douglas Johnson is 1700869427 and was assigned on November 2005. The practitioner's primary taxonomy code is 174400000X with license number 3122 (HI). The provider is registered as an individual and his NPI record was last updated 15 years ago.

Douglas Johnson is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Douglas Johnson is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 30, 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 following quality measures were reported for this provider: documentation of current medications in the medical record, e-prescribing, preventive care and screening: influenza immunization, provide patient access, security risk analysis and use of qcdr for feedback reports that incorporate population health.

The CLIA number of Dr. Douglas Wayne Johnson M.d. is 12D0720185 registered as a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued to Dr. Douglas Wayne Johnson M.d. after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

NPI

1700869427

Provider NameDR. DOUGLAS WAYNE JOHNSON M.D.
Provider Location Address1380 LUSITANA ST SUITE 401 HONOLULU, HI 96813
Provider Mailing Address1380 LUSITANA ST SUITE 401 HONOLULU, HI 96813
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduation Year1976
Is Sole Proprietor?N/A
Is Organization Subpart?N/A
Enumeration Date11-28-2005
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code174400000X
ClassificationSpecialist
TypeOther Service Providers
License No.3122
License StateHI
Taxonomy DescriptionAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Business Address

DR. DOUGLAS WAYNE JOHNSON M.D.
1380 LUSITANA ST
SUITE 401
HONOLULU, HI
ZIP 96813
Phone: (808) 531-7541
Fax: (808) 531-7542

Get Directions


Mailing Address

DR. DOUGLAS WAYNE JOHNSON M.D.
1380 LUSITANA ST
SUITE 401
HONOLULU, HI
ZIP 96813
Phone: (808) 531-7541
Fax: (808) 531-7542



Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID7416972435
PECOS Enrollment IDI20051010000392
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's 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.

MIPS Measure Score Weight Score
Quality 40% N/A
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 (PI) 25% N/A
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 15% N/A
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 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 20% N/A
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.
MIPS Final Score - 30
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 Reporting

The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Documentation of Current Medications in the Medical Record 72% 3696
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. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
e-Prescribing 0% 6122
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Preventive Care and Screening: Influenza Immunization 7% 1533
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
Provide Patient Access 0% 2892
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 certain information.
Security Risk AnalysisYesN/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.
Use of QCDR for feedback reports that incorporate population healthYesN/A
Use of a QCDR to generate regular feedback reports that summarize local practice patterns and treatment outcomes, including for vulnerable populations.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 622Destruction of 2-14 skin growths (HCPCS:17003)
  • 165Destruction of skin growth (HCPCS:17000)
  • 158Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • 93Destruction of up to 14 skin growths (HCPCS:17110)
  • 30Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • 26Biopsy of single growth of skin and/or tissue (HCPCS:11100)

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1700869427 is:

CLIA Number12D0720185
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Compliance

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
C43801-6OTHER (01)HI
03988501MEDICAID (05)HI
H0000BDLKXMEDICARE ID-TYPE UNSPECIFIED (04)HI

Other Providers at the same location


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

NPI Name / Type Taxonomy Address
1023016383DR. DENNY L BALES M.D.
Individual
Specialist1380 LUSITANA ST SUITE 1002
HONOLULU, HI 96813
(808) 521-7402
1609861822DR. EDWARD N SHEN MD
Individual
Internal Medicine (Cardiovascular Disease)1380 LUSITANA ST STE 701
HONOLULU, HI 96813
(808) 587-8200
1508856329DR. THOMAS BRIGGS FRANCIS M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)1380 LUSITANA ST SUITE 710
HONOLULU, HI 96813
(808) 450-2370
1710964796DR. GALEN CHOCK M.D.
Individual
Pediatrics1380 LUSITANA ST 501
HONOLULU, HI 96813
(808) 521-6030
1639158181DR. JENNIFER EMMA FRANK MD
Individual
Family Medicine1380 LUSITANA ST SUITE 904
HONOLULU, HI 96813
(808) 599-8800
1871567008DR. JAMES E MUSGRAVE M.D.
Individual
Pediatrics (Pediatric Nephrology)1380 LUSITANA ST SUITE 808
HONOLULU, HI 96813
(808) 521-3473
1245207182 STEVEN J BERMAN M.D.
Individual
Internal Medicine (Infectious Disease)1380 LUSITANA ST SUITE 810
HONOLULU, HI 96813
(808) 524-0066
1811959414 KEVIN L DAWSON MD
Individual
Dermatology1380 LUSITANA ST STE 412
HONOLULU, HI 96813
(808) 599-3780
1275596744 LESLIE YASUO ITO M.D.
Individual
Specialist1380 LUSITANA ST SUITE 912
HONOLULU, HI 96813
(808) 524-5980
1194788265 CARLOS E MORENO-CABRAL M.D.
Individual
Specialist1380 LUSITANA ST SUITE 912
HONOLULU, HI 96813
(808) 524-5980
1487617353 HARVEY S TAKAKI M.D.
Individual
Specialist1380 LUSITANA ST SUITE 912
HONOLULU, HI 96813
(808) 524-5980
1265496202DR. RONALD ANTHONY MORTON M.D.
Individual
Internal Medicine1380 LUSITANA ST 202
HONOLULU, HI 96813
(808) 531-4445
1285699702 JAMES C. NG M.D.
Individual
Urology1380 LUSITANA ST SUITE #1004
HONOLULU, HI 96813
(808) 523-9400
1326006602DR. DANIEL I SINGER M.D.
Individual
Orthopaedic Surgery (Hand Surgery)1380 LUSITANA ST SUITE 608
HONOLULU, HI 96813
(808) 536-2261
1780632406DR. WERNER G. SCHROFFNER M.D.
Individual
Specialist1380 LUSITANA ST SUITE 902
HONOLULU, HI 96813
(808) 524-2472
1396798906DR. FRANCES M. INOUYE PH.D.
Individual
Psychologist1380 LUSITANA ST THIRD FLOOR
HONOLULU, HI 96813
(808) 538-9011
1124064621NEPHROLOGY CONSULTANTS
Organization
Specialist1380 LUSITANA ST SUITE 814
HONOLULU, HI 96813
(808) 521-3802
1700813805 CLARENCE S SAKAI M.D.
Individual
Specialist1380 LUSITANA ST SUITE 614
HONOLULU, HI 96813
(808) 524-1856
1881621985 GEORGE B LISEHORA M.D.
Individual
Specialist1380 LUSITANA ST SUITE 614
HONOLULU, HI 96813
(808) 524-1856
1760410955ORTHOPEDIC ASSOCIATES OF HAWAII, LLP
Organization
Orthopaedic Surgery1380 LUSITANA ST SUITE 608
HONOLULU, HI 96813
(808) 536-2261

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.