DR. ANDREW PAUL JOHNSON MD
NPI 1811330905
Otolaryngology in Boulder, CO

Active since April 09, 2013PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
5495 ARAPAHOE AVE, BOULDER, CO 80303(303) 544-3900 Get Directions Write a Review

NPPES record last updated: July 16, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Andrew Paul Johnson Md NPPES

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

DR. ANDREW PAUL JOHNSON MD (NPI 1811330905) is an individual otolaryngology provider in Boulder, Colorado, licensed in Colorado (DR.0060253) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (2013).

NPPES Registry Identity

NPI1811330905
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. ANDREW PAUL JOHNSONCredential: MD
Location Address5495 ARAPAHOE AVEBoulder, CO 80303
Mailing AddressPo Box 110429Aurora, CO 80042-0429 · (303) 493-7000
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2013
Enumeration DateApril 9, 2013
Last NPPES UpdateJuly 16, 2018
NPI 1811330905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in CO · DR.0060253
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

5495 ARAPAHOE AVE, Boulder, CO 80303

Accepted Insurance

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. Andrew Paul Johnson Md 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 ID749582393
PECOS Enrollment IDI20180907001235
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 10

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.

New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
91 services91 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
78 services58 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
35 services34 patients
New patient office or other outpatient visit, 45-59 minutes 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.
35 services35 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
27 services26 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
26 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80303 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Family Medicine
5495 ARAPAHOE AVE
BOULDER, CO 80303
Home Health
5495 ARAPAHOE AVE
BOULDER, CO 80303
Family Medicine
5495 ARAPAHOE AVE
BOULDER, CO 80303
Audiologist
5495 ARAPAHOE AVE
BOULDER, CO 80303
Physical Therapist
5495 ARAPAHOE AVE
BOULDER, CO 80303
Physical Therapist
5495 ARAPAHOE AVE
BOULDER, CO 80303
Physical Therapist (Orthopedic)
5495 ARAPAHOE AVE
BOULDER, CO 80303
Physical Therapist
5495 ARAPAHOE AVE
BOULDER, CO 80303

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 Andrew Johnson's NPI number?

The NPI number for Andrew Johnson is 1811330905. It was assigned to this individual provider in the NPPES registry on April 9, 2013.

Where is Andrew Johnson located?

Andrew Johnson practices at 5495 Arapahoe Ave, Boulder, CO 80303. The listed phone number is (303) 544-3900.

What is Andrew Johnson's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Andrew Johnson enrolled in Medicare?

Yes. Andrew 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.

What insurance does Andrew Johnson accept?

Health plans from Medica and UnitedHealthcare list Andrew 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.

When was this NPI record last updated?

The NPPES record for Andrew Johnson was last updated on July 16, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.