1. Home
  2. Directory
  3. Ohio
  4. Fairfield
  5. Family Medicine
  6. NPI Profile

DR. SEAN MATTHEW JOHNSON DO
NPI 1770070831
Family Medicine in Fairfield, OH

Active since April 15, 2018PECOS EnrolledAccepts Medicare Assignment
2960 MACK RD STE 110, FAIRFIELD, OH 45014(513) 296-8090 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 14, 2025, Aug 3, 2021, Jun 7, 2021 and 1 more (4 updates tracked since 2018).

About Dr. Sean Matthew Johnson Do NPPES

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

DR. SEAN MATTHEW JOHNSON DO (NPI 1770070831) is an individual family medicine provider in Fairfield, Ohio, licensed in Ohio (34.014228) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Mercy Health - Fairfield Hospital, and is a graduate of Edward Via Col Of Osteo Medicine-virginia Campus (2018).

NPPES Registry Identity

NPI1770070831
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SEAN MATTHEW JOHNSONCredential: DO
Location Address2960 MACK RD STE 110Fairfield, OH 45014-5373
Mailing Address1 Prestige Pl Ste 550Miamisburg, OH 45342-6115 · (937) 762-1310 · Fax (937) 522-8068
Phone(513) 296-8090
Sole ProprietorNo
Medical School CMSEdward Via Col Of Osteo Medicine-virginia CampusGraduated 2018
Enumeration DateApril 15, 2018
Last NPPES UpdateMay 14, 20254 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
✔ NPI 1770070831 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 OH · 34.014228
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2960 MACK RD STE 110, Fairfield, OH 45014
Open in Google Maps ↗

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

Dr. Sean Matthew 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 ID8224387824
PECOS Enrollment IDI20210610002941
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

2

Medicare enrollment records show Sean Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alliance Physicians, Inc.
2.0 mi
Vascular Surgery
1251 NILLES RD, SUITE 17
Fairfield, OH 45014
  • Reassigned Medicare billing, Ohio enrollment
  • 364 clinicians in this Medicare group
NPI 1235554650 (937) 829-7133
Mercy Health Physicians Cincinnati, LLC
8.8 mi
Family Medicine
4600 MCAULEY PL STE 600
Blue Ash, OH 45242
  • Reassigned Medicare billing, Ohio enrollment
  • 204 clinicians in this Medicare group
NPI 1205887023 (513) 952-5210

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 6

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.
202 services111 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.
59 services59 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
31 services19 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.
30 services29 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Health - Fairfield Hospital

Acute Care Hospitals · Fairfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360056
Location3000 Mack RoadFairfield, OH 45014 · Butler County
Emergency services Birthing friendly

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360234
Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45014 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 5

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

ERIN C DAVLIN MD
Family Medicine
2960 MACK RD STE 110
FAIRFIELD, OH 45014
Butler County (513) 296-8090
MADISON OLIVIA ALEXANDER
Student in an Organized Health Care Education/Training Program
2960 MACK RD STE 110
FAIRFIELD, OH 45014
Butler County (513) 296-8090
DR. RICHARD A. BANKS JR. MD
Family Medicine
2960 MACK RD STE 110
FAIRFIELD, OH 45014
Butler County (513) 296-8090
DR. DOUGLAS LOWE HANCHER MD
Family Medicine
2960 MACK RD STE 110
FAIRFIELD, OH 45014
Butler County (513) 296-8090
EMANA SHEIKH-KAPADIA
Family Medicine
2960 MACK RD STE 110
FAIRFIELD, OH 45014
Butler County (513) 296-8090

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 Sean Johnson's NPI number?

The NPI number for Sean Johnson is 1770070831. It was assigned to this individual provider in the NPPES registry on April 15, 2018.

Where is Sean Johnson located?

Sean Johnson practices at 2960 Mack Rd Ste 110, Fairfield, OH 45014. The listed phone number is (513) 296-8090.

What is Sean Johnson's specialty?

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

Is Sean Johnson enrolled in Medicare?

Yes. Sean 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 Sean Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Johnson reassigns Medicare benefits to 2 organizations: Alliance Physicians, Inc. (Fairfield, OH) and Mercy Health Physicians Cincinnati, LLC (Blue Ash, OH). 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 Sean Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sean Johnson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Sean 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 Sean Johnson affiliated with any hospitals?

According to CMS data, Sean Johnson is affiliated with Mercy Health - Fairfield Hospital and Mercy Health - West Hospital.

When was this NPI record last updated?

The NPPES record for Sean Johnson was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.