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RANDON CHARLES JOHNSON M.D.
NPI 1861611816
Orthopaedic Surgery in Chicago, IL

Active since April 25, 2007PECOS EnrolledAccepts Medicare Assignment
1431 N WESTERN AVE, #310, CHICAGO, IL 60622(773) 235-1900(773) 235-2999 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 5, 2025, May 24, 2023 (2 updates tracked since 2023).

About Randon Charles Johnson M.d. NPPES

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

RANDON CHARLES JOHNSON M.D. (NPI 1861611816) is an individual orthopaedic surgery provider in Chicago, Illinois, licensed in Illinois (036.120944) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Sullivan County Community Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1861611816
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameRANDON CHARLES JOHNSONCredential: M.D.
Location Address1431 N WESTERN AVE, #310Chicago, IL 60622-1797
Mailing Address365 N Jefferson St Apt 3505Chicago, IL 60661-1600 · (312) 622-6086
Phone(773) 235-1900
Fax(773) 235-2999
Sole ProprietorYes
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2003
Enumeration DateApril 25, 2007
Last NPPES UpdateDecember 5, 20252 updates tracked since enumeration
NPPES CertifiedDecember 5, 2025
✔ NPI 1861611816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in IL · 036.120944✔ Licensed in NJ · 25IA12837800✔ Licensed in NE · 24126✔ Licensed in WI · 2935
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1431 N WESTERN AVE, Chicago, IL 60622
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11626 Tuttle StBaraboo, WI 53913-1501 · Phone (608) 355-6868 · Fax (608) 356-6787
Location 2200 Rowan BlvdGlassboro, NJ 08028-2260 · Phone (856) 595-9130 · Fax (856) 221-4296
Location 31206 W Sherman Ave Bldg 1Vineland, NJ 08360-6911 · Phone (856) 595-9130 · Fax (856) 221-4296

Other Identifiers 1

Medicaid1861611816WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.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

Randon Charles Johnson M.d. 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 ID9133282155
PECOS Enrollment IDI20221007002473, I20230623003022, I20250314001501, I20250822002837, I20251013000686, I20260123000079
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.

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.
28 services22 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Sullivan County Community Hospital

Critical Access Hospitals · Sullivan, IN
OwnershipGovernment - Local
CMS Certification Number151327
Location2200 N Section StSullivan, IN 47882 · Sullivan County
Emergency services Birthing friendly

Inspira Medical Center Vineland

Acute Care Hospitals · Vineland, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310032
Location1505 W Sherman AveVineland, NJ 08360 · Cumberland County
Emergency services Birthing friendly

Prairie Lakes Healthcare System, Inc

Acute Care Hospitals · Watertown, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430005
Location401 9th Avenue NW Post Office Box 1210Watertown, SD 57201 · Codington County
Emergency services Birthing friendly

Samaritan Hospital

Acute Care Hospitals · Moses Lake, WA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500033
Location801 East Wheeler RoadMoses Lake, WA 98837 · Grant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60622 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
88%169 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
45%180 patients2/55-star benchmark: 100%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
2%131 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. MICHAEL R TREISTER M.D.
Orthopaedic Surgery
1431 N WESTERN AVE
CHICAGO, IL 60622
Cook County (312) 633-5866
DR. SYEDA H ZAHEDI M.D.
Family Medicine
1431 N WESTERN AVE, SUITE 112
CHICAGO, IL 60622
Cook County (773) 289-3945
MANUEL ALBERTO FRANCO MD
Family Medicine
1431 N WESTERN AVE, 508
CHICAGO, IL 60622
Cook County (773) 489-7648
MARGUERITE J HENDERSON LCSW PC
Social Worker (Clinical)
1431 N WESTERN AVE, SUITE 504
CHICAGO, IL 60622
Cook County (773) 645-3457
DR. HUMBERTO VERGARA M.D.
Family Medicine (Addiction Medicine)
1431 N WESTERN AVE, SUITE 205
CHICAGO, IL 60622
Cook County (773) 278-4811
DR. YOUNG H MOK MD
Pediatrics
1431 N WESTERN AVE, #101
CHICAGO, IL 60622
Cook County (773) 276-2272
VINOD K SHAH R.PH.
Pharmacist
1431 N WESTERN AVE
CHICAGO, IL 60622
Cook County (312) 633-5855
MARSHALL I MATZ & DAVID M SHENKER MDSC
Psychiatry & Neurology (Neurology)
1431 N WESTERN AVE, SUITE 306
CHICAGO, IL 60622
Cook County (312) 332-2226

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 Randon Johnson's NPI number?

The NPI number for Randon Johnson is 1861611816. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Where is Randon Johnson located?

Randon Johnson practices at 1431 N Western Ave #310, Chicago, IL 60622. The listed phone number is (773) 235-1900.

What is Randon Johnson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Randon Johnson enrolled in Medicare?

Yes. Randon 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 Randon Johnson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Avera Health Plans and CareSource and 2 other insurers list Randon 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 Randon Johnson affiliated with any hospitals?

According to CMS data, Randon Johnson is affiliated with Sullivan County Community Hospital, Inspira Medical Center Vineland, Prairie Lakes Healthcare System, Inc and Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Randon Johnson was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.