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DR. RONALD W JOHNS M.D.
NPI 1750376703
Internal Medicine in Marble Falls, TX

Active since September 15, 2005PECOS EnrolledAccepts Medicare Assignment
608 GATEWAY CENTRAL, SUITE 100, MARBLE FALLS, TX 78654(830) 693-2005(830) 798-2006 Get Directions Write a Review

NPPES record last updated: October 12, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ronald W Johns M.d. NPPES

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

DR. RONALD W JOHNS M.D. (NPI 1750376703) is an individual internal medicine provider in Marble Falls, Texas, licensed in Texas (J6507) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Highland Lakes, and is a graduate of University Of Texas Medical School At San Antonio (1993).

NPPES Registry Identity

NPI1750376703
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RONALD W JOHNSCredential: M.D.
Location Address608 GATEWAY CENTRAL, SUITE 100Marble Falls, TX 78654-6354
Mailing Address608 Gateway Central, Suite 100Marble Falls, TX 78654-6354 · (830) 693-2005 · Fax (830) 798-2006
Phone(830) 693-2005
Fax(830) 798-2006
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1993
Enumeration DateSeptember 15, 2005
Last NPPES UpdateOctober 12, 2011
✔ NPI 1750376703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · J6507
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.
Also ListedGeneral PracticeTaxonomy 208D00000X · License J6507 (TX)
608 GATEWAY CENTRAL, Marble Falls, TX 78654
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Other Identifiers 2

Medicare UPING37877TX
Medicare PIN8L22716

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, UnitedHealthcare.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

Dr. Ronald W Johns 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 ID4385625714
PECOS Enrollment IDI20040601000198
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 14

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.
461 services230 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.
330 services215 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
219 services219 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
211 services211 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.
210 services210 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
68 services31 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Seton Highland Lakes

Critical Access Hospitals · Burnet, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451365
Location3201 S Water StBurnet, TX 78611 · Burnet County
Emergency services

Baylor Scott & White Medical Center - Marble Falls

Acute Care Hospitals · Marble Falls, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670108
Location810 W Highway 71Marble Falls, TX 78654 · Burnet County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78654 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Reported Quality Measures

Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Percentage of patients, aged 18 years and older, with a diagnosis of acute viral sinusitis who were prescribed an antibiotic within 10 days after onset of symptoms
Lower rates are better for this measure.
97%381 patients1/55-star benchmark: 100%
Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
Lower rates are better for this measure.
0%359 patients
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
92%727 patients4/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
75%855 patients4/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
20%150 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%10,288 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
87%938 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
96%338 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
84%1,484 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
94%1,432 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
17%1,299 patients1/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
90%1,484 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
37%1,484 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
45%1,484 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 13

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
7 suppliers25 claims51 services$6.19 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers11 claims13 services$1.08 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
8 suppliers21 claims21 services$43.04 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers16 claims16 services$119.78 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers17 claims40 services$40.75 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
8 suppliers20 claims20 services$21.00 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 9

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

HILL COUNTRY PELVIC HEALTH PLLC
Physical Therapist
608 GATEWAY CENTRAL
MARBLE FALLS, TX 78654
Burnet County (830) 428-3044
ANGIE NESRSTA PT
Physical Medicine & Rehabilitation
608 GATEWAY CENTRAL
MARBLE FALLS, TX 78654
Burnet County (830) 428-3044
MARBLE FALLS PEDIATRIC DENTISTRY PLLC
Dentist (Pediatric Dentistry)
608 GATEWAY CENTRAL, SUITE 201
MARBLE FALLS, TX 78654
Burnet County (830) 428-2255
DR. AMY E VAN DORFY MD
Family Medicine
608 GATEWAY CENTRAL, SUITE 100
MARBLE FALLS, TX 78654
Burnet County (830) 693-2005
DR. JOANNA RICHTER GUENTHER FNP-BC, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
608 GATEWAY CENTRAL
MARBLE FALLS, TX 78654
Burnet County (830) 693-2600
HILL COUNTRY PEDIATRIC DENISTRY PA
Dentist (Pediatric Dentistry)
608 GATEWAY CENTRAL, SUITE 201
MARBLE FALLS, TX 78654
Burnet County (830) 693-7044
DR. PETER GOSSELINK MD
Family Medicine
608 GATEWAY CENTRAL, SUITE 100
MARBLE FALLS, TX 78654
Burnet County (830) 693-2005
MRS. DEBRA LYNN SMITH PHYSICIAN ASSISTANT
Physician Assistant
608 GATEWAY CENTRAL, SUITE 100
MARBLE FALLS, TX 78654
Burnet County (830) 693-2005

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 Ronald Johns's NPI number?

The NPI number for Ronald Johns is 1750376703. It was assigned to this individual provider in the NPPES registry on September 15, 2005.

Where is Ronald Johns located?

Ronald Johns practices at 608 Gateway Central Suite 100, Marble Falls, TX 78654. The listed phone number is (830) 693-2005.

What is Ronald Johns's specialty?

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

Is Ronald Johns enrolled in Medicare?

Yes. Ronald Johns 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 Ronald Johns accept?

Health plans from Oscar Insurance Company and UnitedHealthcare list Ronald Johns 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 Ronald Johns affiliated with any hospitals?

According to CMS data, Ronald Johns is affiliated with Ascension Seton Highland Lakes and Baylor Scott & White Medical Center - Marble Falls.

When was this NPI record last updated?

The NPPES record for Ronald Johns was last updated on October 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.