MARC EDWARD JOHNSON M.D.
NPI 1730475815
Family Medicine - Adult Medicine in Fort Worth, TX

Active since June 27, 2011PECOS EnrolledAccepts Medicare Assignment
91.96/100
CMS Quality Rating
1350 S MAIN ST STE 1600, FORT WORTH, TX 76104(817) 702-3701 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marc Edward Johnson M.d. NPPES

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

MARC EDWARD JOHNSON M.D. (NPI 1730475815) is an individual adult medicine provider in Fort Worth, Texas, licensed in Texas (S-7461) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with King's Daughters Medical Center-brookhaven, and maintains a secondary practice location in Brookhaven.

NPPES Registry Identity

NPI1730475815
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameMARC EDWARD JOHNSONCredential: M.D.
Location Address1350 S MAIN ST STE 1600Fort Worth, TX 76104-7663
Mailing Address1350 S Main St Ste 1600Fort Worth, TX 76104-7663 · (601) 695-0397
Sole ProprietorYes
Medical School CMSMeharry Medical College School Of MedicineGraduated 2012
Enumeration DateJune 27, 2011
Last NPPES UpdateMay 23, 2025
NPPES CertifiedMay 23, 2025
NPI 1730475815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License Licensed in TX · S-7461
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 23972 (MS), E8843 (AR)
1350 S MAIN ST STE 1600, Fort Worth, TX 76104

Secondary Practice Location 1

Location 1545 Brookway BlvdBrookhaven, MS 39601-3266 · Phone (601) 748-8153

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

Marc Edward 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 ID5698098069
PECOS Enrollment IDI20201020002108
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 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.
41 services23 patients

Hospital Affiliations CMS Care Compare 2

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

King's Daughters Medical Center-Brookhaven

Acute Care Hospitals · Brookhaven, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number250057
Location427 Highway 51 NorthBrookhaven, MS 39601 · Lincoln County
Emergency services Birthing friendly

Jps Health Network

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450039
Location1500 S Main StFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

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.

91.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.78
Promoting Interoperability100
Improvement Activities40
Cost56.81

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier21 claims21 services$19.30 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$780.52 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier21 claims21 services$108.42 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 6

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

Pharmacist
1350 S MAIN ST STE 1600
FORT WORTH, TX 76104
Internal Medicine (Infectious Disease)
1350 S MAIN ST STE 1600
FORT WORTH, TX 76104
Internal Medicine
1350 S MAIN ST STE 1600
FORT WORTH, TX 76104
Nurse Practitioner (Acute Care)
1350 S MAIN ST STE 1600
FORT WORTH, TX 76104
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1350 S MAIN ST STE 1600
FORT WORTH, TX 76104
Internal Medicine (Infectious Disease)
1350 S MAIN ST STE 1600
FORT WORTH, TX 76104

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 Marc Johnson's NPI number?

The NPI number for Marc Johnson is 1730475815. It was assigned to this individual provider in the NPPES registry on June 27, 2011.

Where is Marc Johnson located?

Marc Johnson practices at 1350 S Main St Ste 1600, Fort Worth, TX 76104. The listed phone number is (817) 702-3701.

What is Marc Johnson's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Marc Johnson enrolled in Medicare?

Yes. Marc 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 Marc Johnson accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 7 other insurers list Marc 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 Marc Johnson affiliated with any hospitals?

According to CMS data, Marc Johnson is affiliated with King's Daughters Medical Center-Brookhaven and Jps Health Network.

When was this NPI record last updated?

The NPPES record for Marc Johnson was last updated on May 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.