GLEN EDWARD JOHNSON MD
NPI 1730173675
Internal Medicine in Baltimore, MD

Q: What is Glen Johnson's NPI number?

The NPI number for Glen Johnson is 1730173675. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Q: What is Glen Johnson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Glen Johnson was last updated on January 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 September 07, 2005PECOS Enrolled

716 MAIDEN CHOICE LN, SUITE 205, BALTIMORE, MD 21228(410) 788-7757(470) 744-3817 Get Directions Write a Review

NPPES record last updated: January 25, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Glen Edward Johnson Md NPPES

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

GLEN EDWARD JOHNSON MD (NPI 1730173675) is an individual internal medicine provider in Baltimore, Maryland, licensed in Maryland (D19558) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730173675

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameGLEN EDWARD JOHNSONCredential: MD

Location Address716 MAIDEN CHOICE LN, SUITE 205Baltimore, MD 21228-5943

Mailing Address716 Maiden Choice Lane, Suite 205Baltimore, MD 21228-5957 · (410) 788-7757 · Fax (470) 744-3817

Phone(410) 788-7757

Fax(470) 744-3817

Sole ProprietorYes

Enumeration DateSeptember 7, 2005

Last NPPES UpdateJanuary 25, 2017

✔ NPI 1730173675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MD · D19558

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

716 MAIDEN CHOICE LN, Baltimore, MD 21228

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Other Identifiers 2

Medicare UPINB74653MD

Medicare UPIND74653MD

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glen Edward Johnson Md 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.

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.

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

544 services87 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

376 services109 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

70 services60 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21228 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

$139.05 typical visit price

range $60.73 – $183.44

Typical copayment $34.76 (range $15.18 – $45.86)

Most-billed visit code 99204

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

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.

Referred Medical Equipment & Supplies CMS DME claims 9

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers18 claims55 services$6.13 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604