Active NPI 1669607800 Individual Practitioner Male Practitioner

Matthew J Johnson , PA

Physician Assistant • Bisbee, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Matthew Johnson, PA is a certified Physician Assistant practicing in Bisbee, AZ. With approximately 17 years of clinical experience since completing medical education in 2009, Matthew Johnson delivers high-quality medical care to the local community at 101 COLE AVE.

Matthew Johnson is affiliated with Bisbee Hospital Association and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

101 Cole Ave

Bisbee, AZ 856031327

Telephone 5204326481

Fax 5204325082

Associated Practice Facility / Clinic

🏢 Bisbee Hospital Association Facility NPI 1518968767

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Bisbee, AZ

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs Matches City Avg

City Avg: 17.0 Yrs

State Avg: 12.5 Yrs

Regional Practice Density

2 Specialists

Practicing in Bisbee, AZ (3711 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (17 Years) 17 Yrs

Bisbee Specialty Average (17.0 Years) 17.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	35	$300.00	$106.93
99213 Established patient office or other outpatient visit, typically 15 minutes	31	27	$207.00	$75.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	142	96	$300.00	$106.07
99213 Established patient office or other outpatient visit, typically 15 minutes	109	85	$207.00	$75.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$297.00	$91.14
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	28	28	$323.96	$107.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$454.00	$139.37
G0009 Administration of pneumococcal vaccine	23	23	$67.00	$23.22
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	19	19	$600.00	$278.05
G0008 Administration of influenza virus vaccine	18	18	$67.00	$24.23
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	18	18	$41.00	$21.09
99442 Telephone medical discussion with physician, 11-20 minutes	16	14	$207.00	$75.03
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	14	12	$64.00	$19.03
93000 Routine ekg using at least 12 leads including interpretation and report	14	14	$47.00	$11.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	22	$300.00	$108.45
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$207.00	$76.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$297.00	$93.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	82	56	$142.00	$41.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	35	$209.00	$64.90
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	34	34	$219.00	$97.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	96	50	$142.00	$42.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	33	$209.00	$61.54
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	45	45	$219.00	$96.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	58	41	$142.00	$42.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	20	$209.00	$65.41
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	24	24	$219.00	$95.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	125	69	$142.00	$42.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	39	$209.00	$63.14
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	32	32	$219.00	$93.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$85.00	$21.06

Medical Specialties & State Licenses

CMS Verified: 2024-02-12

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AZ 8117

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License NM PA2009-0007

Definition to come...

Hospital & Practice Group Affiliations

Bisbee Hospital Association

101 Cole Ave, Bisbee, AZ 856031327

Phone: 5204325383

Bisbee Hospital Association

7 Bisbee Rd, Bisbee, AZ 856031140

Phone: 5204322042

Secondary Practice Locations

2240 Winrow Rd

Fort Huachuca, AZ 856135080

Phone: 5205339200

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Jean Robidoux , PNP

Registered Nurse - Pediatrics

NPI 1295721306

Pediatric Nurse Practitioner

Dr. Scott Slagis , MD

Orthopaedic Surgery

NPI 1407857196

Doctor of Medicine (M.D.)

Nicole Chavez , NP

Nurse Practitioner - Family

NPI 1437395092

Nurse Practitioner

Kathy Griesemer , PA-C

Physician Assistant

NPI 1639165822

Physician Assistant (Certified)

Dr. Prido Polanco , MD

General Practice

NPI 1710973698

Doctor of Medicine (M.D.)

Marticiesol Lewis-Alcindor , NP

Nurse Practitioner

NPI 1992577134

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

21 Historical Events

📍

Updated Practice Location February 12, 2024

Registered at 101 COLE AVE, BISBEE, AZ 856031327 (Tel: 5204326481)

📍

Updated Business Mailing Address February 12, 2024

Registered at 101 COLE AVE, BISBEE, AZ 856031327 (Tel: 5204326481)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2024

Physician Assistant (License #PA2009-0007 in NM)

📍

Updated Practice Location March 19, 2023

Registered at 2240 WINROW RD, FORT HUACHUCA, AZ 856135080 (Tel: 5205339200)

📍

Updated Business Mailing Address March 19, 2023

Registered at 2240 WINROW RD, FORT HUACHUCA, AZ 856135080

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2023

Physician Assistant (License #8117 in AZ)

📍

Updated Practice Location October 11, 2021

Registered at 21300 N JOHN WAYNE PKWY STE 115, MARICOPA, AZ 851398978 (Tel: 5204263424)

📍

Updated Business Mailing Address October 11, 2021

Registered at PO BOX 33269, PHOENIX, AZ 850673269 (Tel: 6024064786)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2021

Physician Assistant (License #PA2009-0007 in NM)

📍

Updated Practice Location December 10, 2020

Registered at 401 BURRO ALY, MORENCI, AZ 855409647 (Tel: 9288659184)

📍

Updated Business Mailing Address December 10, 2020

Registered at 401 BURRO ALY, MORENCI, AZ 855409647 (Tel: 9288659184)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2020

Physician Assistant (License #8117 in AZ)

📍

Updated Practice Location September 17, 2020

Registered at 7556 HONEYSUCKLE, TEMPLE, TX 765025631 (Tel: 2547427400)

📍

Updated Business Mailing Address September 17, 2020

Registered at PO BOX 844658, DALLAS, TX 752844658 (Tel: 2547242111)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2020

Physician Assistant (License #PA2009-0007 in NM)

✅

NPI Profile Active April 19, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location April 19, 2016

Registered at 498 AVE. E, MOODY, TX 76557 (Tel: 2548532162)

📍

Updated Business Mailing Address April 19, 2016

Registered at 498 AVE. E, MOODY, TX 76557 (Tel: 2548532162)

👤

Provider Name / Credentials Updated April 19, 2016

Recorded as MATTHEW JOHNSON, P.A.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2016

Physician Assistant (License #PA07593 in TX)

🟢

Initial NPI Registration & Enumeration May 18, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669607800

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 18, 2009

Last Update: February 12, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

101 Cole Ave

Bisbee, AZ 856031327

Phone: 5204326481

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.