TIMOTHY BRIAN JOHNSON D.O.
NPI 1982085247
Obstetrics & Gynecology in Evergreen Park, IL

Q: What is Timothy Johnson's NPI number?

The NPI number for Timothy Johnson is 1982085247. It was assigned to this individual provider in the NPPES registry on June 12, 2015.

Q: What is Timothy Johnson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Johnson was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since June 12, 2015PECOS EnrolledAccepts Medicare Assignment

9730 S WESTERN AVE STE 100, EVERGREEN PARK, IL 60805(708) 425-1907(708) 422-4253 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 8, 2025, May 29, 2019 (2 updates tracked since 2019).

On this page

About Timothy Brian Johnson D.o. NPPES

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

TIMOTHY BRIAN JOHNSON D.O. (NPI 1982085247) is an individual obstetrics & gynecology provider in Evergreen Park, Illinois, licensed in Illinois (036-148417) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medical Center Inc, and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2015).

NPPES Registry Identity

NPI1982085247

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameTIMOTHY BRIAN JOHNSONCredential: D.O.

Location Address9730 S WESTERN AVE STE 100Evergreen Park, IL 60805-2853

Mailing Address9730 S Western Ave Ste 100Evergreen Park, IL 60805-2853 · (708) 425-1907 · Fax (708) 422-4253

Phone(708) 425-1907

Fax(708) 422-4253

Sole ProprietorYes

Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2015

Enumeration DateJune 12, 2015

Last NPPES UpdateJanuary 8, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 8, 2025

✔ NPI 1982085247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in IL · 036-148417✔ Licensed in MI · EMC0006076✔ Licensed in MI · 5101021965

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

9730 S WESTERN AVE STE 100, Evergreen Park, IL 60805

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., Blue Care Network of Michigan 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

Timothy Brian Johnson D.o. 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 ID7012213697

PECOS Enrollment IDI20250521000232

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.

Hospital Affiliations CMS Care Compare

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

Northwestern Medical Center Inc

Acute Care Hospitals · Saint Albans, VT

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number470024

Location133 Fairfield StreetSaint Albans, VT 05478 · Franklin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60805 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

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.

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 Timothy Johnson's NPI number?

The NPI number for Timothy Johnson is 1982085247. It was assigned to this individual provider in the NPPES registry on June 12, 2015.

Where is Timothy Johnson located?

Timothy Johnson practices at 9730 S Western Ave Ste 100, Evergreen Park, IL 60805. The listed phone number is (708) 425-1907.

What is Timothy Johnson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Timothy Johnson enrolled in Medicare?

Yes. Timothy 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 Timothy Johnson accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and CareSource and 4 other insurers list Timothy 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 Timothy Johnson affiliated with any hospitals?

According to CMS data, Timothy Johnson is affiliated with Northwestern Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Timothy Johnson was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.