MR. BEN DOUGLAS JOHNSON PA-C
NPI 1720152465
Physician Assistant - Medical in Phoenix, OR

Active since November 17, 2006PECOS EnrolledAccepts Medicare Assignment
205 N PHOENIX RD STE 430, PHOENIX, OR 97535(541) 778-4517(541) 833-0995 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 9, 2024, May 17, 2023, Jan 24, 2020 (3 updates tracked since 2020).

About Mr. Ben Douglas Johnson Pa-c NPPES

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

MR. BEN DOUGLAS JOHNSON PA-C (NPI 1720152465) is an individual medical provider in Phoenix, Oregon, licensed in Oregon (PA00825) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1720152465
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. BEN DOUGLAS JOHNSONCredential: PA-C
Location Address205 N PHOENIX RD STE 430Phoenix, OR 97535-9108
Mailing Address205 N Phoenix Rd Ste 430Phoenix, OR 97535-9108 · (541) 778-4517
Fax(541) 833-0995
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateNovember 17, 2006
Last NPPES UpdateFebruary 9, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2024
NPI 1720152465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in OR · PA00825
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA00825 (OR)
205 N PHOENIX RD STE 430, Phoenix, OR 97535

Accepted 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

Mr. Ben Douglas Johnson Pa-c 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 ID2567358856
PECOS Enrollment IDI20040224000799
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

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 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.
24 services20 patients

Other Providers at the Same Location NPPES

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

Physician Assistant (Medical)
205 N PHOENIX RD STE 430
PHOENIX, OR 97535

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 Ben Johnson's NPI number?

The NPI number for Ben Johnson is 1720152465. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Where is Ben Johnson located?

Ben Johnson practices at 205 N Phoenix Rd Ste 430, Phoenix, OR 97535. The listed phone number is (541) 778-4517.

What is Ben Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Ben Johnson enrolled in Medicare?

Yes. Ben 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 Ben Johnson accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Ben 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 Ben Johnson was last updated on February 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.