DR. WALTER KIP JOHNSON M.D.
NPI 1780919282
General Practice in Ione, CA

Q: What is Walter Johnson's NPI number?

The NPI number for Walter Johnson is 1780919282. It was assigned to this individual provider in the NPPES registry on October 16, 2009. The provider is also known as Dr. W. Kip Johnson M.D..

Q: What is Walter Johnson's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Walter Johnson was last updated on March 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 16, 2009PECOS Enrolled

305 PRESTON AVE, IONE, CA 95640(209) 742-6144 Get Directions Write a Review

NPPES record last updated: March 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 3, 2023, Oct 12, 2021 (2 updates tracked since 2021).

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About Dr. Walter Kip Johnson M.d. NPPES

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

DR. WALTER KIP JOHNSON M.D. (NPI 1780919282) is an individual general practice provider in Ione, California, licensed in California (G32232) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Jackson, and is a graduate of Other (1975).

NPPES Registry Identity

NPI1780919282

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. WALTER KIP JOHNSONCredential: M.D.

Location Address305 PRESTON AVEIone, CA 95640-9158

Mailing AddressPo Box 939Angels Camp, CA 95222-0939 · (209) 754-6262 · Fax (209) 754-6275

Phone(209) 742-6144

Sole ProprietorYes

Medical School CMSOtherGraduated 1975

Enumeration DateOctober 16, 2009

Last NPPES UpdateMarch 3, 20232 updates tracked since enumeration

NPPES CertifiedMarch 3, 2023

✔ NPI 1780919282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in CA · G32232

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

305 PRESTON AVE, Ione, CA 95640

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Other Names 1

Professional Name (2)Dr. W. Kip Johnson M.d.

Secondary Practice Location 1

Location 112140 New York Ranch RdJackson, CA 95642-9407 · Phone (209) 257-2400 · Fax (209) 257-2403

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. Walter Kip Johnson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557401593

PECOS Enrollment IDI20241127002649

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 2

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.

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.

75 services45 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

18 services17 patients

Referred Medical Equipment & Supplies CMS DME claims 7

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

6 suppliers41 claims88 services$5.04 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers28 claims28 services$18.97 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers16 claims16 services$40.47 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 suppliers38 claims38 services$109.26 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

4 suppliers20 claims4,383 services$0.03 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers18 claims18 services$202.05 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

KRISTEN MACRAE N.P.

Nurse Practitioner (Family)

305 PRESTON AVE
IONE, CA 95640

Amador County (209) 274-2183

M A C T HEALTH BOARD INCORPORATED

Clinic/Center (Multi-Specialty)

305 PRESTON AVE
IONE, CA 95640

Amador County (209) 754-6262

LODI MEMORIAL HOSPITAL ASSOCIATION INC

Clinic/Center

305 PRESTON AVE
IONE, CA 95640

Amador County (209) 274-2183

EMMA RAE VAHER FNP

Nurse Practitioner (Family)

305 PRESTON AVE
IONE, CA 95640

Amador County (209) 674-6182

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 Walter Johnson's NPI number?

The NPI number for Walter Johnson is 1780919282. It was assigned to this individual provider in the NPPES registry on October 16, 2009. The provider is also known as Dr. W. Kip Johnson M.D..

Where is Walter Johnson located?

Walter Johnson practices at 305 Preston Ave, Ione, CA 95640. The listed phone number is (209) 742-6144.

What is Walter Johnson's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Walter Johnson enrolled in Medicare?

Yes. Walter Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Walter Johnson was last updated on March 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.