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ANDREA JOHNSON DO
NPI 1740486455
Family Medicine in New Hartford, NY

Active since June 21, 2007PECOS EnrolledAccepts Medicare Assignment
78.7/100
CMS Quality Rating
4401 MIDDLE SETTLEMENT RD, NEW HARTFORD, NY 13413(157) 331-1483(315) 734-4988 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrea Johnson Do NPPES

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

ANDREA JOHNSON DO (NPI 1740486455) is an individual family medicine provider in New Hartford, New York, licensed in New York (249644) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2007).

NPPES Registry Identity

NPI1740486455
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameANDREA JOHNSONCredential: DO
Location Address4401 MIDDLE SETTLEMENT RDNew Hartford, NY 13413-5331
Mailing Address2215 Genesee StUtica, NY 13501-5930 · (315) 801-8534 · Fax (315) 801-8391
Phone(157) 331-1483
Fax(315) 734-4988
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2007
Enumeration DateJune 21, 2007
Last NPPES UpdateJuly 1, 2024
NPPES CertifiedJuly 1, 2024
✔ NPI 1740486455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 249644
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 249644 (NY)
4401 MIDDLE SETTLEMENT RD, New Hartford, NY 13413
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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

Andrea Johnson Do 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 ID244361848
PECOS Enrollment IDI20100625000561
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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
254 services99 patients
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.
71 services51 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
68 services68 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
62 services59 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
34 services18 patients
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 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Wynn Hospital

Acute Care Hospitals · Utica, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330044
Location111 Hospital DriveUtica, NY 13502 · Oneida County
Emergency services Birthing friendly

Little Falls Hospital

Critical Access Hospitals · Little Falls, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331311
Location140 Burwell StreetLittle Falls, NY 13365 · Herkimer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13413 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

78.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.73
Promoting Interoperability99
Improvement Activities40
Cost42.38

Referred Medical Equipment & Supplies CMS DME claims 2

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
2 suppliers14 claims14 services$16.24 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
3 suppliers17 claims17 services$81.49 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 20

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

MR. DONALD HICKS OPAC
Specialist/Technologist, Other (Orthopedic Assistant)
4401 MIDDLE SETTLEMENT RD, SUITE 102
NEW HARTFORD, NY 13413
Oneida County (315) 735-4496
SANDRA GAETANO FNP
Nurse Practitioner (Family)
4401 MIDDLE SETTLEMENT RD
NEW HARTFORD, NY 13413
Oneida County (315) 738-1835
CHARLES P STEFAN RPA-C
Physician Assistant (Surgical)
4401 MIDDLE SETTLEMENT RD
NEW HARTFORD, NY 13413
Oneida County (315) 735-4496
DR. JUSTIN-THEODORE HUNTER GONDECK PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4401 MIDDLE SETTLEMENT RD
NEW HARTFORD, NY 13413
Oneida County (470) 487-4159
DR. LORA LYNN PAPANDREA MD
Obstetrics & Gynecology
4401 MIDDLE SETTLEMENT RD
NEW HARTFORD, NY 13413
Oneida County (315) 624-6848
DR. GREG STEVEN ORLANDO MD
Plastic Surgery (Surgery of the Hand)
4401 MIDDLE SETTLEMENT RD, SUITE 102
NEW HARTFORD, NY 13413
Oneida County (315) 735-4496
ANNE MOORE PA
Physician Assistant
4401 MIDDLE SETTLEMENT RD
NEW HARTFORD, NY 13413
Oneida County (315) 735-4496
WILLIAM FRANK LINDSEY MD
Surgery
4401 MIDDLE SETTLEMENT RD, WOUND CLINIC
NEW HARTFORD, NY 13413
Oneida County (315) 798-8345

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 Andrea Johnson's NPI number?

The NPI number for Andrea Johnson is 1740486455. It was assigned to this individual provider in the NPPES registry on June 21, 2007.

Where is Andrea Johnson located?

Andrea Johnson practices at 4401 Middle Settlement Rd, New Hartford, NY 13413. The listed phone number is (157) 331-1483.

What is Andrea Johnson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Andrea Johnson enrolled in Medicare?

Yes. Andrea 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.

Is Andrea Johnson affiliated with any hospitals?

According to CMS data, Andrea Johnson is affiliated with Wynn Hospital and Little Falls Hospital.

When was this NPI record last updated?

The NPPES record for Andrea Johnson was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.