CYNTHIA L JOHNSTON M.D.
NPI 1831162239
Emergency Medicine in Marathon, FL

NPI Status: Active since February 08, 2006

Contact Information

3301 OVERSEAS HWY
MARATHON, FL
ZIP 33050
Phone: (305) 743-5533
Fax: (305) 289-0630

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  • Individual
  • Female
  • Emergency Medicine
  • PECOS Enrolled
  • Medicare Quality Reporting

About CYNTHIA JOHNSTON

This page provides the complete NPI Profile along with additional information for Cynthia Johnston, a provider established in Marathon, Florida with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1831162239 assigned on February 2006. The practitioner's primary taxonomy code is 207P00000X with license number ME94206 (FL). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1831162239
Provider Name
CYNTHIA L JOHNSTON M.D.
Gender
Female
Entity Type
Individual
Location Address
3301 OVERSEAS HWY MARATHON, FL 33050
Location Phone
(305) 743-5533
Location Fax
(305) 289-0630
Mailing Address
PO BOX 500369 MARATHON, FL 33050
Mailing Phone
(305) 304-0448
Is Sole Proprietor?
Yes
Enumeration Date
02-08-2006
Last Update Date
09-05-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
License No.
ME94206
License State
FL
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
31076AMEDICARE PIN (08)FL 
31076OTHER (01)FLBCBS
E10011MEDICARE UPIN (02) 

Medicare Participation & PECOS Enrollment Status

Cynthia Johnston is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE017N)

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

    1 DME suppliers used 369 Medicare Claims 1479 Services Paid

  • DME-Other DME (DE017N)

    Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system (HCPCS:K0554)

    1 DME suppliers used 36 Medicare Claims 36 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

This service was performed 29 times for 28 patients

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 18 times for 17 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 21 times for 21 patients

New patient office or other outpatient visit, 45-59 minutes

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.

This service was performed 22 times for 22 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 33050 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $96.13
  • Minimum New Patient Price $60.92
  • Maximum New Patient Price $187.05
  • Average New Patient Copayment $24.03
  • Minimum New Patient Copayment $15.23
  • Maximum New Patient Copayment $46.76

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $107.17
  • Minimum Established Patient Price $18.99
  • Maximum Established Patient Price $150.24
  • Average Established Patient Copayment $26.79
  • Minimum Established Patient Copayment $4.74
  • Maximum Established Patient Copayment $37.56

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients

Reviews for CYNTHIA L JOHNSTON M.D.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1831162239, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
3
Doubled → 6
Pos 4
1
Unchanged
Pos 5
1
Doubled → 2
Pos 6
6
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
3
Doubled → 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 1 → 2 2 → 4 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 6 + 1 + 2 + 6 + 4 + 2 + 6 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1831162239.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine
3301 OVERSEAS HWY
MARATHON, FL 33050
Emergency Medicine
3301 OVERSEAS HWY
MARATHON, FL 33050
Anesthesiology
3301 OVERSEAS HWY, FISHERMEN'S HOSPITAL ANESTHESIA DEPT
MARATHON, FL 33050
General Acute Care Hospital (Critical Access)
3301 OVERSEAS HWY
MARATHON, FL 33050
Radiology (Diagnostic Radiology)
3301 OVERSEAS HWY, FISHERMEN'S HOSPITAL RADIOLOGY
MARATHON, FL 33050
Emergency Medicine
3301 OVERSEAS HWY
MARATHON, FL 33050
Emergency Medicine
3301 OVERSEAS HWY
MARATHON, FL 33050
Radiology (Diagnostic Radiology)
3301 OVERSEAS HWY, FISHERMEN'S HOSPITAL
MARATHON, FL 33050
Physical Therapist
3301 OVERSEAS HWY
MARATHON, FL 33050
Medicare Defined Swing Bed Unit
3301 OVERSEAS HWY
MARATHON, FL 33050
Emergency Medicine
3301 OVERSEAS HWY
MARATHON, FL 33050
Anesthesiology
3301 OVERSEAS HWY, FISHERMEN'S HOSPITAL ANESTHESIA DEPT
MARATHON, FL 33050
Emergency Medicine
3301 OVERSEAS HWY
MARATHON, FL 33050
Emergency Medicine
3301 OVERSEAS HWY
MARATHON, FL 33050
General Acute Care Hospital (Critical Access)
3301 OVERSEAS HWY
MARATHON, FL 33050
Medicare Defined Swing Bed Unit
3301 OVERSEAS HWY
MARATHON, FL 33050
Nurse Practitioner (Family)
3301 OVERSEAS HWY
MARATHON, FL 33050
Anesthesiology
3301 OVERSEAS HWY
MARATHON, FL 33050
Psychiatry & Neurology (Psychiatry)
3301 OVERSEAS HWY
MARATHON, FL 33050
Nurse Practitioner (Critical Care Medicine)
3301 OVERSEAS HWY
MARATHON, FL 33050

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831162239, enumerated as an "individual" on February 08, 2006.

The provider is located at 3301 OVERSEAS HWY MARATHON, FL 33050 and the phone number is (305) 743-5533.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.