RICHARD S. JOHNSON DO
NPI 1740691765
Surgery - Surgical Critical Care in Memphis, TN

Medicare Participation & PECOS Enrollment Status

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

Richard Johnson is enrolled in PECOS and is eligible to order or refer health care 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.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

• Is the provider registered in PECOS? Yes

• PECOS PAC ID: 1355688391

  What is the PECOS Associate Control ID?
  A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

• PECOS Enrollment ID: I20231013002738

  What is the Provider Enrollment ID?
  The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

• 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 to Order or Refer Part B Clinical Laboratory and Imaging: Yes

• Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

• Eligible to Order or Refer a Home Health Agency (HHA): Yes

• Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Emergency department visit for life threatening or functioning severity

Emergency department visit for problem of moderate severity - This service/procedure involves specialized medical testing, treatment, or evaluation to ensure accurate diagnosis or care tailored to the condition indicated by the description.

This service was performed 19 times for 19 patients

Follow-up hospital inpatient care per day, typically 15 minutes

Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth - This service/procedure involves specialized medical testing, treatment, or evaluation to ensure accurate diagnosis or care tailored to the condition indicated by the description.

This service was performed 193 times for 96 patients

Follow-up hospital inpatient care per day, typically 25 minutes

Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth - This service/procedure involves specialized medical testing, treatment, or evaluation to ensure accurate diagnosis or care tailored to the condition indicated by the description.

This service was performed 33 times for 21 patients

Hospital discharge day management, 30 minutes or less

Hospital observation or inpatient care admitted and discharged on the same day for low severity problem, typically 40 minutes - This service/procedure involves specialized medical testing, treatment, or evaluation to ensure accurate diagnosis or care tailored to the condition indicated by the description.

This service was performed 23 times for 23 patients

Initial hospital inpatient care per day, typically 30 minutes

Initial hospital observation care per day, typically 30 minutes - This service/procedure involves specialized medical testing, treatment, or evaluation to ensure accurate diagnosis or care tailored to the condition indicated by the description.

This service was performed 38 times for 38 patients

Initial hospital inpatient care per day, typically 50 minutes

Initial hospital observation care per day, typically 50 minutes - This service/procedure involves specialized medical testing, treatment, or evaluation to ensure accurate diagnosis or care tailored to the condition indicated by the description.

This service was performed 38 times for 37 patients

Initial hospital inpatient care per day, typically 70 minutes

Initial hospital observation care per day, typically 70 minutes - This service/procedure involves specialized medical testing, treatment, or evaluation to ensure accurate diagnosis or care tailored to the condition indicated by the description.

This service was performed 43 times for 43 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Richard Johnson is affiliated with the following medical facilities:

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NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

The NPI number 1740691765 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

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

Frequently Asked Questions