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TONI LEE JOHNSTON NP
NPI 1902455231
Nurse Practitioner - Adult Health in Port Jefferson Station, NY

Active since September 09, 2019PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
1500 ROUTE 112 STE B, PORT JEFFERSON STATION, NY 11776(631) 978-7633(631) 621-4115 Get Directions Write a Review

NPPES record last updated: February 13, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 13, 2020, Sep 9, 2019 (2 updates tracked since 2019).

About Toni Lee Johnston Np NPPES

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

TONI LEE JOHNSTON NP (NPI 1902455231) is an individual adult health provider in Port Jefferson Station, New York, licensed in New York (F309260-01) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1902455231
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameTONI LEE JOHNSTONCredential: NP
Location Address1500 ROUTE 112 STE BPort Jefferson Station, NY 11776-8054
Mailing Address1500 Rt. 112, Building 2, Suite BPort Jefferson Station, NY 11776 · (631) 978-7633 · Fax (631) 621-4115
Phone(631) 978-7633
Fax(631) 621-4115
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 9, 2019
Last NPPES UpdateFebruary 13, 20202 updates tracked since enumeration
✔ NPI 1902455231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F309260-01
1500 ROUTE 112 STE B, Port Jefferson Station, NY 11776
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Toni Lee Johnston Np 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 ID4789011651
PECOS Enrollment IDI20200305002174
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Toni Johnston reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

John T. Mather Memorial Hospital
1.2 mi
Psychiatry
5505 NESCONSET HWY
Mount Sinai, NY 11766
  • Reassigned Medicare billing, New York enrollment
  • Also billed through NPI 1467249334 (New York)
  • 232 clinicians in this Medicare group
NPI 1568774453 (631) 686-7689
Stony Brook Internists, University Faculty Practice Corporation
4.8 mi
Pulmonary Disease
SUNY @ STONY BROOK, HSC, L16, RM 020
Stony Brook, NY 11794
  • Reassigned Medicare billing, New York enrollment
  • 177 clinicians in this Medicare group
NPI 1104865229 (631) 444-2448

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11776 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
6 suppliers17 claims1,232 services$0.80 avg. paid by Medicare
Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677
DME-Drugs Administered Through DME · category DG006N
3 suppliers14 claims73,500 services$0.15 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
6 suppliers21 claims21 services$25.97 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANISH DESAI MD
Internal Medicine (Pulmonary Disease)
1500 ROUTE 112 STE B
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 978-7633
PETER OTTAVIO D.O.
Internal Medicine (Pulmonary Disease)
1500 ROUTE 112 STE B
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 978-7633
DR. KEITH WEBB HARRIS II DO
Internal Medicine (Pulmonary Disease)
1500 ROUTE 112 STE B
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 978-7633
DR. FRANCIS T. D'ORAZI III D.O.
Internal Medicine (Pulmonary Disease)
1500 ROUTE 112 STE B
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 978-7633
ISLANDWIDE THORACIC SURGERY, PLLC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1500 ROUTE 112 STE B
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 353-0909
YUVAL HILTZIK D.O.
Internal Medicine (Pulmonary Disease)
1500 ROUTE 112 STE B
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 978-7633
NORTHEASTERN THORACIC SURGERY, PLLC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1500 ROUTE 112 STE B
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 353-0909
DR. ANTHONY C THEODORIS M.D.
Internal Medicine (Pulmonary Disease)
1500 ROUTE 112 STE B
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 978-7633

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 Toni Johnston's NPI number?

The NPI number for Toni Johnston is 1902455231. It was assigned to this individual provider in the NPPES registry on September 9, 2019.

Where is Toni Johnston located?

Toni Johnston practices at 1500 Route 112 Ste B, Port Jefferson Station, NY 11776. The listed phone number is (631) 978-7633.

What is Toni Johnston's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Toni Johnston enrolled in Medicare?

Yes. Toni Johnston 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.

Which organizations bill Medicare for Toni Johnston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Toni Johnston reassigns Medicare benefits to 2 organizations: John T. Mather Memorial Hospital (Mount Sinai, NY) and Stony Brook Internists, University Faculty Practice Corporation (Stony Brook, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Toni Johnston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Toni Johnston was last updated on February 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.