1. Home
  2. Directory
  3. Ohio
  4. New Albany
  5. Internal Medicine
  6. NPI Profile

DERRICK E. JOHNSON MD
NPI 1891983623
Internal Medicine in New Albany, OH

Active since October 05, 2007PECOS EnrolledAccepts Medicare Assignment
18.72/100
CMS Quality Rating
7277 SMITHS MILL RD, #250, NEW ALBANY, OH 43054(614) 464-0162(614) 464-0157 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2023, Jul 6, 2023 (2 updates tracked since 2023).

About Derrick E. Johnson Md NPPES

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

DERRICK E. JOHNSON MD (NPI 1891983623) is an individual internal medicine provider in New Albany, Ohio, licensed in Ohio (35-089645) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of University Of Cincinnati College Of Medicine (2004).

NPPES Registry Identity

NPI1891983623
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDERRICK E. JOHNSONCredential: MD
Location Address7277 SMITHS MILL RD, #250New Albany, OH 43054-8195
Mailing Address6480 Harrison Ave Ste 201Cincinnati, OH 45247-7961 · (614) 224-7697 · Fax (614) 221-5613
Phone(614) 464-0162
Fax(614) 464-0157
Sole ProprietorYes
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2004
Enumeration DateOctober 5, 2007
Last NPPES UpdateJuly 21, 20232 updates tracked since enumeration
NPPES CertifiedJuly 21, 2023
✔ NPI 1891983623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35-089645
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.
7277 SMITHS MILL RD, New Albany, OH 43054
Open in Google Maps ↗

Other Identifiers 3

Medicaid2855661OH
Other1891983623Npi
OtherJO7378991OH · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Derrick E. 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 ID4880774330
PECOS Enrollment IDI20080109000541
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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
249 services238 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
228 services226 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 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.
206 services206 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
175 services136 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 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.
170 services170 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
148 services148 patients

Hospital Affiliations CMS Care Compare 5

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · Franklin County
Emergency services Birthing friendly

Grady Memorial Hospital

Acute Care Hospitals · Delaware, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360210
Location561 West Central AvenueDelaware, OH 43015 · Delaware County
Emergency services Birthing friendly

Dublin Methodist Hospital

Acute Care Hospitals · Dublin, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360348
Location7500 Hospital AvenueDublin, OH 43016 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43054 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

18.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality38.19
Improvement Activities0
Cost11.47

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%572 patients5/55-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.

KRISTI VOSS JOHNSTON PT
Physical Therapist
7277 SMITHS MILL RD, SUITE 100
NEW ALBANY, OH 43054
Franklin County (614) 855-8030
MARK ALLEN WILLARD MD
Internal Medicine
7277 SMITHS MILL RD, SUITE#250
NEW ALBANY, OH 43054
Franklin County (614) 221-3725
MR. JOHN MATTHEW LANNING II PA-C
Physician Assistant
7277 SMITHS MILL RD, SUITE 200
NEW ALBANY, OH 43054
Franklin County (614) 221-6331
DR. ROBERT HINTON DPT
Physical Therapist
7277 SMITHS MILL RD, 100
NEW ALBANY, OH 43054
Franklin County (614) 855-8030
WHITE FENCE SURGICAL SUITES, LLC
Clinic/Center (Ambulatory Surgical)
7277 SMITHS MILL RD, SUITE 300
NEW ALBANY, OH 43054
Franklin County (786) 251-5741
EMILY EVANS
Physical Therapist
7277 SMITHS MILL RD, #100
NEW ALBANY, OH 43054
Franklin County (614) 855-8030
MR. BRADLEY M WOLF PA-C
Physician Assistant
7277 SMITHS MILL RD
NEW ALBANY, OH 43054
Franklin County (614) 221-6331
MR. DEREK MICHAEL EGGERS PROVIDER CODE 22
Specialist/Technologist (Athletic Trainer)
7277 SMITHS MILL RD
NEW ALBANY, OH 43054
Franklin County (614) 440-1577

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 Derrick Johnson's NPI number?

The NPI number for Derrick Johnson is 1891983623. It was assigned to this individual provider in the NPPES registry on October 5, 2007.

Where is Derrick Johnson located?

Derrick Johnson practices at 7277 Smiths Mill Rd #250, New Albany, OH 43054. The listed phone number is (614) 464-0162.

What is Derrick Johnson's specialty?

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

Is Derrick Johnson enrolled in Medicare?

Yes. Derrick 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 Derrick Johnson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 1 other insurer list Derrick 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 Derrick Johnson affiliated with any hospitals?

According to CMS data, Derrick Johnson is affiliated with Riverside Methodist Hospital, Grant Medical Center, Mount Carmel East & West, Grady Memorial Hospital and Dublin Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Derrick Johnson was last updated on July 21, 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.