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DR. TIMOTHY DAVID JOHNSTON M.D.
NPI 1760416242
Internal Medicine in Philadelphia, PA

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
4417 N 6TH ST, PHILADELPHIA, PA 19140(215) 302-3150(215) 329-2369 Get Directions Write a Review

NPPES record last updated: November 19, 2014. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Dr. Timothy David Johnston M.d. NPPES

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

DR. TIMOTHY DAVID JOHNSTON M.D. (NPI 1760416242) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD429536) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Temple University Hospital, and is a graduate of Indiana University School Of Medicine (1996).

NPPES Registry Identity

NPI1760416242
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. TIMOTHY DAVID JOHNSTONCredential: M.D.
Location Address4417 N 6TH STPhiladelphia, PA 19140-2319
Mailing Address4417 N 6th StPhiladelphia, PA 19140-2319 · (215) 302-3150 · Fax (215) 329-2369
Phone(215) 302-3150
Fax(215) 329-2369
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1996
Enumeration DateJuly 10, 2006
Last NPPES UpdateNovember 19, 2014
✔ NPI 1760416242 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 PA · MD429536
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 ListedPediatricsTaxonomy 208000000X · License MD429536 (PA)
4417 N 6TH ST, Philadelphia, PA 19140
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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

Dr. Timothy David Johnston 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 ID5496783433
PECOS Enrollment IDI20070515000601
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.

Hospital Affiliations CMS Care Compare

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

Temple University Hospital

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390027
Location3401 North Broad StreetPhiladelphia, PA 19140 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19140 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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

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
4 suppliers33 claims51 services$3.99 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.

DOMINIC DERENGE D.O.
Family Medicine
4417 N 6TH ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 302-6000
DHIVYA T PATTANIYIL MSN, CRNP
Nurse Practitioner (Family)
4417 N 6TH ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 302-3600
HELEN MUTOKO
Nurse Practitioner (Family)
4417 N 6TH ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 302-3600
MARY SIMMS LPC
Counselor (Mental Health)
4417 N 6TH ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 302-3600
OANH HOANG VO CRNP
Nurse Practitioner (Family)
4417 N 6TH ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 302-3600
KERITH DUGGAN CRNP
Nurse Practitioner (Pediatrics)
4417 N 6TH ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 302-3600
ESPERANZA HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
4417 N 6TH ST, ESPERANZA HEALTH CEN
PHILADELPHIA, PA 19140
Philadelphia County (215) 302-3150
CHRISTINA ELYSE DERENGE PSYD
Psychologist
4417 N 6TH ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 302-3600

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 Timothy Johnston's NPI number?

The NPI number for Timothy Johnston is 1760416242. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Timothy Johnston located?

Timothy Johnston practices at 4417 N 6th St, Philadelphia, PA 19140. The listed phone number is (215) 302-3150.

What is Timothy Johnston's specialty?

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

Is Timothy Johnston enrolled in Medicare?

Yes. Timothy Johnston 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 Timothy Johnston affiliated with any hospitals?

According to CMS data, Timothy Johnston is affiliated with Temple University Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Johnston was last updated on November 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.