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DUANE P JOHNSON DO
NPI 1750392676
Family Medicine in Fort Wayne, IN

Active since August 10, 2006PECOS EnrolledAccepts Medicare Assignment
12404 LIMA CROSSING DR, FORT WAYNE, IN 46818(260) 478-4201(260) 458-3248 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 1, 2024, Sep 24, 2021 (2 updates tracked since 2021).

About Duane P Johnson Do NPPES

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

DUANE P JOHNSON DO (NPI 1750392676) is an individual family medicine provider in Fort Wayne, Indiana, licensed in Indiana (02003311A) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1750392676
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDUANE P JOHNSONCredential: DO
Location Address12404 LIMA CROSSING DRFort Wayne, IN 46818-0202
Mailing Address12404 Lima Crossing DrFort Wayne, IN 46818-0202 · (260) 478-4201 · Fax (260) 458-3248
Phone(260) 478-4201
Fax(260) 458-3248
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 10, 2006
Last NPPES UpdateApril 1, 20242 updates tracked since enumeration
NPPES CertifiedApril 1, 2024
✔ NPI 1750392676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IN · 02003311A✔ Licensed in OH · 34.009629✔ Licensed in FL · OS16751
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.
12404 LIMA CROSSING DR, Fort Wayne, IN 46818
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Secondary Practice Locations 2

Location 1208 Columbus StHicksville, OH 43526-1250 · Phone (419) 542-5484 · Fax (419) 542-6685
Location 21561 Lakefront Drive, Units 200-202Sarasota, FL 34240-1637 · Phone (941) 867-2424 · Fax (941) 260-2444

Other Identifiers 3

Medicaid111360400FL
Medicaid200942660IN
Medicaid2968963OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Duane P 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 ID7517042880
PECOS Enrollment IDI20080311000378, I20090818000427
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Duane Johnson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lutheran Medical Group LLC
12 mi
Cardiovascular Disease
7916 W JEFFERSON BLVD
Fort Wayne, IN 46804
  • Reassigned Medicare billing, Indiana enrollment
  • 301 clinicians in this Medicare group
NPI 1164662805 (260) 432-2297
Abode Care Partners Al Vb, LLC
137 mi
Nurse Practitioner
5467 CEDAR VILLAGE DR
Mason, OH 45040
  • Reassigned Medicare billing, Ohio enrollment
  • 53 clinicians in this Medicare group
NPI 1104695550 (800) 807-6555
Abode Care Partners Ltc Vb, LLC
137 mi
Nurse Practitioner
5467 CEDAR VILLAGE DR
Mason, OH 45040
  • Reassigned Medicare billing, Ohio enrollment
  • 35 clinicians in this Medicare group
NPI 1144099318 (800) 807-6555
Shc Medical Partners Of Ohio, LLC
137 mi
Nurse Practitioner
5467 CEDAR VILLAGE DR
Mason, OH 45040
  • Reassigned Medicare billing, Ohio enrollment
  • 5 clinicians in this Medicare group
NPI 1811360829 (800) 807-6555
Exceptional Care Services LLC
224 mi
Primary Care
1050 CHINOE RD STE 350
Lexington, KY 40502
  • Reassigned Medicare billing, Ohio enrollment
  • 21 clinicians in this Medicare group
NPI 1245900794 (859) 255-0075

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.
110 services63 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
94 services57 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
71 services32 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.
41 services31 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
26 services25 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150017
Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County
Emergency services Birthing friendly

Dupont Hospital LLC

Acute Care Hospitals · Fort Wayne, IN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number150150
Location2520 E Dupont RdFort Wayne, IN 46825 · Allen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46818 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 5

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

Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers11 claims11 services$22.26 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers15 claims62 services$2.60 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$907.03 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 suppliers15 claims15 services$102.64 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$35.00 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 4

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

LAUREN GRACE ARIAS FNP-C
Nurse Practitioner (Family)
12404 LIMA CROSSING DR
FORT WAYNE, IN 46818
Allen County (260) 478-4201
MELVIN SUSANTO MD
Family Medicine
12404 LIMA CROSSING DR
FORT WAYNE, IN 46818
Allen County (260) 458-3740
BRANDON BACCARI
Family Medicine
12404 LIMA CROSSING DR
FORT WAYNE, IN 46818
Allen County (260) 478-4201
EMILY METZINGER FNP
Nurse Practitioner (Family)
12404 LIMA CROSSING DR
FORT WAYNE, IN 46818
Allen County (260) 458-3740

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 Duane Johnson's NPI number?

The NPI number for Duane Johnson is 1750392676. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Duane Johnson located?

Duane Johnson practices at 12404 Lima Crossing Dr, Fort Wayne, IN 46818. The listed phone number is (260) 478-4201.

What is Duane Johnson's specialty?

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

Is Duane Johnson enrolled in Medicare?

Yes. Duane 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.

Which organizations bill Medicare for Duane Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Duane Johnson reassigns Medicare benefits to 5 organizations: Lutheran Medical Group LLC (Fort Wayne, IN), Abode Care Partners Al Vb, LLC (Mason, OH), Abode Care Partners Ltc Vb, LLC (Mason, OH), Shc Medical Partners Of Ohio, LLC (Mason, OH) and Exceptional Care Services LLC (Lexington, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Duane Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Duane Johnson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Duane 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 Duane Johnson affiliated with any hospitals?

According to CMS data, Duane Johnson is affiliated with Lutheran Hospital Of Indiana and Dupont Hospital LLC.

When was this NPI record last updated?

The NPPES record for Duane Johnson was last updated on April 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.