ANTHONY T JOHNSON MD
NPI 1912918772
Family Medicine in Mandan, ND

Active since August 10, 2006PECOS EnrolledAccepts Medicare Assignment
102 MANDAN AVE, MANDAN, ND 58554(701) 667-5000(701) 323-5709 Get Directions Write a Review

NPPES record last updated: September 11, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Anthony T Johnson Md NPPES

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

ANTHONY T JOHNSON MD (NPI 1912918772) is an individual family medicine provider in Mandan, North Dakota, licensed in North Dakota (7321) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Chi St Alexius Health, and is a graduate of University Of North Dakota School Of Medicine (1994).

NPPES Registry Identity

NPI1912918772
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANTHONY T JOHNSONCredential: MD
Location Address102 MANDAN AVEMandan, ND 58554-3771
Mailing AddressPo Box 5501Bismarck, ND 58506-5501 · (701) 323-6000 · Fax (701) 323-5709
Fax(701) 323-5709
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 1994
Enumeration DateAugust 10, 2006
Last NPPES UpdateSeptember 11, 2007
NPI 1912918772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in ND · 7321
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
102 MANDAN AVE, Mandan, ND 58554

Other Identifiers 3

Medicare UPING13088ND
Medicare PIN14761ND
Medicaid18610ND

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

Anthony T 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 ID1052217932
PECOS Enrollment IDI20031210001117
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 6

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 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.
357 services212 patients
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.
275 services208 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
145 services145 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
16 services14 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
16 services14 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Chi St Alexius Health

Acute Care Hospitals · Bismarck, ND
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number350002
Location900 E BroadwayBismarck, ND 58501 · Burleigh County
Emergency services Birthing friendly

Sanford Medical Center Bismarck

Acute Care Hospitals · Bismarck, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350015
Location300 N 7th StBismarck, ND 58506 · Burleigh County
Emergency services Birthing friendly

Jacobson Memorial Hospital Care Center

Critical Access Hospitals · Elgin, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351314
Location601 East St NElgin, ND 58533 · Grant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58554 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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.

Referred Medical Equipment & Supplies CMS DME claims 12

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers37 claims68 services$4.74 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers15 claims15 services$0.71 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers13 claims13 services$38.64 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers18 claims33 services$36.36 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
2 suppliers14 claims14 services$20.28 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers16 claims81 services$2.46 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 7

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

Nurse Practitioner (Family)
102 MANDAN AVE
MANDAN, ND 58554
Family Medicine
102 MANDAN AVE
MANDAN, ND 58554
Family Medicine
102 MANDAN AVE
MANDAN, ND 58554
Nurse Practitioner (Family)
102 MANDAN AVE
MANDAN, ND 58554
Counselor (Professional)
102 MANDAN AVE
MANDAN, ND 58554
Family Medicine
102 MANDAN AVE
MANDAN, ND 58554
Social Worker (Clinical)
102 MANDAN AVE
MANDAN, ND 58554

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 Anthony Johnson's NPI number?

The NPI number for Anthony Johnson is 1912918772. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Anthony Johnson located?

Anthony Johnson practices at 102 Mandan Ave, Mandan, ND 58554. The listed phone number is (701) 667-5000.

What is Anthony Johnson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Anthony Johnson enrolled in Medicare?

Yes. Anthony 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 Anthony Johnson accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan and Security Health Plan list Anthony 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 Anthony Johnson affiliated with any hospitals?

According to CMS data, Anthony Johnson is affiliated with Chi St Alexius Health, Sanford Medical Center Bismarck and Jacobson Memorial Hospital Care Center.

When was this NPI record last updated?

The NPPES record for Anthony Johnson was last updated on September 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.