DOUGLAS J JOHNSON M.D.
NPI 1982671855
Family Medicine in Bowling Green, KY

Active since March 01, 2006PECOS EnrolledAccepts Medicare Assignment
98.3/100
CMS Quality Rating
1777 ASHLEY CIR, BOWLING GREEN, KY 42104(270) 781-4090(270) 842-3133 Get Directions Write a Review

NPPES record last updated: June 30, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Douglas J Johnson M.d. NPPES

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

DOUGLAS J JOHNSON M.D. (NPI 1982671855) is an individual family medicine provider in Bowling Green, Kentucky, licensed in Kentucky (29380) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with The Medical Center (bowling Green), and is a graduate of Washington University School Of Medicine (1987).

NPPES Registry Identity

NPI1982671855
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDOUGLAS J JOHNSONCredential: M.D.
Location Address1777 ASHLEY CIRBowling Green, KY 42104-3339
Mailing Address1777 Ashley CirBowling Green, KY 42104-3339 · (270) 781-4090 · Fax (270) 842-3133
Fax(270) 842-3133
Sole ProprietorYes
Medical School CMSWashington University School Of MedicineGraduated 1987
Enumeration DateMarch 1, 2006
Last NPPES UpdateJune 30, 2016
NPI 1982671855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in KY · 29380
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 29380 (KY)
1777 ASHLEY CIR, Bowling Green, KY 42104

Other Identifiers 6

Other000000259189KY · Anthem Bc & Bs
Medicaid64293806KY
Medicare ID-Type Unspecified0744403KY
Medicare ID-Type Unspecified080191895Rr Medicare
Medicare UPINE57178
Medicaid50002852KY

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

Douglas J 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 ID9638205156
PECOS Enrollment IDI20100408000527
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 26

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,100 services114 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.
1,047 services528 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
412 services354 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
354 services303 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.
305 services230 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
275 services257 patients

Hospital Affiliations CMS Care Compare 4

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

The Medical Center (bowling Green)

Acute Care Hospitals · Bowling Green, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180013
Location250 Park StreetBowling Green, KY 42101 · Warren County
Emergency services Birthing friendly

Tristar Greenview Regional Hospital

Acute Care Hospitals · Bowling Green, KY
3/5 CMS rating
OwnershipProprietary
CMS Certification Number180124
Location1801 Ashley CircleBowling Green, KY 42104 · Warren County
Emergency services

The Medical Center At Franklin

Critical Access Hospitals · Franklin, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181318
Location1100 Brookhaven RoadFranklin, KY 42135 · Simpson County
Emergency services

The Medical Center At Scottsville

Critical Access Hospitals · Scottsville, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181324
Location456 Burnley RoadScottsville, KY 42164 · Allen County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42104 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

98.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality96.61
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
56%606 patients3/55-star benchmark: 93%
Colorectal Cancer Screening
60%1,682 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
82%1,631 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
17%493 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%6,450 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
60%2,761 patients3/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 2,094 patients
Patients screened: 100% · 2,094 patients
98%291 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 8

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
23 suppliers130 claims243 services$5.88 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
20 suppliers51 claims57 services$1.01 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers12 claims12 services$59.56 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers22 claims22 services$17.57 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
7 suppliers45 claims48 services$87.75 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
4 suppliers26 claims26 services$23.26 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 17

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

Nurse Practitioner (Family)
1777 ASHLEY CIR
BOWLING GREEN, KY 42104
Family Medicine
1777 ASHLEY CIR
BOWLING GREEN, KY 42104
Physical Therapist
1777 ASHLEY CIR
BOWLING GREEN, KY 42104
Physical Therapist
1777 ASHLEY CIR
BOWLING GREEN, KY 42104
Occupational Therapist
1777 ASHLEY CIR
BOWLING GREEN, KY 42104
Family Medicine
1777 ASHLEY CIR
BOWLING GREEN, KY 42104
Nurse Practitioner (Family)
1777 ASHLEY CIR
BOWLING GREEN, KY 42104
Internal Medicine
1777 ASHLEY CIR
BOWLING GREEN, KY 42104

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 Douglas Johnson's NPI number?

The NPI number for Douglas Johnson is 1982671855. It was assigned to this individual provider in the NPPES registry on March 1, 2006.

Where is Douglas Johnson located?

Douglas Johnson practices at 1777 Ashley Cir, Bowling Green, KY 42104. The listed phone number is (270) 781-4090.

What is Douglas Johnson's specialty?

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

Is Douglas Johnson enrolled in Medicare?

Yes. Douglas 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 Douglas Johnson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Douglas 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 Douglas Johnson affiliated with any hospitals?

According to CMS data, Douglas Johnson is affiliated with The Medical Center (bowling Green), Tristar Greenview Regional Hospital, The Medical Center At Franklin and The Medical Center At Scottsville.

When was this NPI record last updated?

The NPPES record for Douglas Johnson was last updated on June 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.