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PAUL JOHNSON M.D.
NPI 1992062855
Colon & Rectal Surgery in Memphis, TN

Active since April 17, 2012PECOS EnrolledAccepts Medicare Assignment
81.46/100
CMS Quality Rating
1265 UNION AVENUE, 2 SHORB TOWER, MEMPHIS, TN 38104(901) 478-0900(901) 266-6415 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 6, 2025, Apr 8, 2021, Jan 26, 2021 (3 updates tracked since 2021).

About Paul Johnson M.d. NPPES

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

PAUL JOHNSON M.D. (NPI 1992062855) is an individual colon & rectal surgery provider in Memphis, Tennessee, licensed in Tennessee (64847) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospitals Of Memphis, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1992062855
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NamePAUL JOHNSONCredential: M.D.
Location Address1265 UNION AVENUE, 2 SHORB TOWERMemphis, TN 38104-2030
Mailing Address1211 Union Ave Ste 330Memphis, TN 38104-6655 · (901) 478-0954 · Fax (901) 478-0951
Phone(901) 478-0900
Fax(901) 266-6415
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 2012
Enumeration DateApril 17, 2012
Last NPPES UpdateFebruary 6, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2025
✔ NPI 1992062855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
Licenses✔ Licensed in TN · 64847✔ Licensed in FL · ME138979
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Also ListedSurgeryTaxonomy 208600000X · License ME138979 (FL), 64847 (TN)
1265 UNION AVENUE, 2 SHORB TOWER, Memphis, TN 38104
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11425 Malabar Rd NEPalm Bay, FL 32907-2506 · Phone (321) 434-8078
Location 27705 Poplar Ave Ste 220Germantown, TN 38138-3930 · Phone (901) 516-6792 · Fax (901) 266-6459

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

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

Paul 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 ID7012246408
PECOS Enrollment IDI20220301001844
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 Reassignment

Medicare enrollment records show Paul Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ut Methodist Physicians LLC
0.2 mi
Internal Medicine
1325 EASTMORELAND AVE STE 310
Memphis, TN 38104
  • Reassigned Medicare billing, Tennessee enrollment
  • 170 clinicians in this Medicare group
NPI 1427317908 (901) 758-7970

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

Hospital Affiliations CMS Care Compare

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

Methodist Hospitals Of Memphis

Acute Care Hospitals · Memphis, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440049
Location1265 Union Ave Suite 700Memphis, TN 38104 · Shelby County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38104 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

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.

81.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality49.58
Promoting Interoperability100
Improvement Activities40
Cost62.61

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 Paul Johnson's NPI number?

The NPI number for Paul Johnson is 1992062855. It was assigned to this individual provider in the NPPES registry on April 17, 2012.

Where is Paul Johnson located?

Paul Johnson practices at 1265 Union Avenue, 2 Shorb Tower, Memphis, TN 38104. The listed phone number is (901) 478-0900.

What is Paul Johnson's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Paul Johnson enrolled in Medicare?

Yes. Paul 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.

Which organization bills Medicare for Paul Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Johnson reassigns Medicare benefits to Ut Methodist Physicians LLC (Memphis, TN). The 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 Paul Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Johnson accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Paul 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 Paul Johnson affiliated with any hospitals?

According to CMS data, Paul Johnson is affiliated with Methodist Hospitals Of Memphis.

When was this NPI record last updated?

The NPPES record for Paul Johnson was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.