Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. AVERY WILLIAM JOHNSON MD
NPI 1780277194
Internal Medicine in Twentynine Palms, CA

Q: What is Avery Johnson's NPI number?

The NPI number for Avery Johnson is 1780277194. It was assigned to this individual provider in the NPPES registry on February 17, 2021.

Q: What is Avery Johnson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Avery Johnson was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.

Active since February 17, 2021PECOS Enrolled

1145 STURGIS RD, TWENTYNINE PALMS, CA 92278(760) 830-2190 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2026, Aug 2, 2024, Feb 17, 2021 (3 updates tracked since 2021).

On this page

About Dr. Avery William Johnson Md NPPES

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

DR. AVERY WILLIAM JOHNSON MD (NPI 1780277194) is an individual internal medicine provider in Twentynine Palms, California, licensed in Virginia (0101275950) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1780277194

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. AVERY WILLIAM JOHNSONCredential: MD

Location Address1145 STURGIS RDTwentynine Palms, CA 92278

Mailing Address1145 Sturgis RdTwentynine Palms, CA 92278 · (760) 830-2190

Phone(760) 830-2190

Sole ProprietorNo

Enumeration DateFebruary 17, 2021

Last NPPES UpdateJuly 15, 20263 updates tracked since enumeration

NPPES CertifiedJuly 15, 2026

✔ NPI 1780277194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in VA · 0101275950

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.

1145 STURGIS RD, Twentynine Palms, CA 92278

Open in Google Maps ↗

Secondary Practice Location 1

Location 134800 Bob Wilson DrSan Diego, CA 92134-1098 · Phone (619) 881-9169

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Avery William Johnson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92278 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

$136.04 typical visit price

range $59.60 – $179.42

Typical copayment $34.01 (range $14.90 – $44.85)

Most-billed visit code 99204

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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 20

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

DIANA MENDOZA DE SAENZ PA-C

Physician Assistant (Medical)