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Active NPI 1780919282 Individual Practitioner Male Practitioner

Dr. Walter Kip Johnson , MD

General Practice • Ione, CA

Professional Overview & Biography Verified Profile Summary

Dr. Walter Johnson, MD is a certified General Practice practicing in Ione, CA. With approximately 51 years of clinical experience since completing medical education in 1975, Dr. Johnson delivers high-quality medical care to the local community at 305 PRESTON AVE.

Dr. Johnson is affiliated with M A C T Health Board Incorporated and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include hemoglobin a1c level, removal of fingernails or toenails, urinalysis, manual test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

305 Preston Ave

Ione, CA 956409158

Telephone 2097426144
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1975

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Ione, CA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
51 Yrs Matches City Avg
City Avg: 51.0 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
3 Specialists

Practicing in Ione, CA (2300 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
44.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (51 Years) 51 Yrs
Ione Specialty Average (51.0 Years) 51.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
83036 Hemoglobin A1C level
75 45 $26.00 $9.39
11721 Removal of fingernails or toenails, 6 or more nails
18 17 $70.00 $43.72

Medical Specialties & State Licenses

CMS Verified: 2023-03-03
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CA G32232

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Hospital & Practice Group Affiliations

M A C T Health Board Incorporated

305 Preston Ave, Ione, CA 956409158

Phone: 2096746182

Secondary Practice Locations

12140 New York Ranch Rd

Jackson, CA 956429407

Phone: 2092572400

Practice Associates & Co-Workers

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

4 Associated Practitioners
Georgi Cholakov

Physician Assistant

NPI 1023527652
NPI 1306873922

Doctor of Medicine (M.D.)

Gustavo Sanchez

Marriage & Family Therapist

NPI 1528193117
NPI 1902327240

Doctor of Optometry

Career & Practice History Timeline

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

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2023

General Practice (License #G32232 in CA)

📍
Updated Practice Location October 12, 2021

Registered at 305 PRESTON AVE, IONE, CA 956409158 (Tel: 2097426144)

📍
Updated Business Mailing Address October 12, 2021

Registered at PO BOX 939, ANGELS CAMP, CA 952220939 (Tel: 2097546262)

NPI Profile Active April 18, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 18, 2013

Registered at 23532 MOUNTAIN BREEZE DR, MURRIETA, CA 925625037 (Tel: 9492754658)

📍
Updated Business Mailing Address April 18, 2013

Registered at PO BOX 605, MURRIETA, CA 925640605 (Tel: 9492754658)

👤
Provider Name / Credentials Updated April 18, 2013

Recorded as WALTER JOHNSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2013

Family Medicine (License #G32232 in CA)

🟢
Initial NPI Registration & Enumeration October 16, 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: 1780919282
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 16, 2009
Last Update: March 03, 2023
Sole Proprietor: Yes

Mailing Address

Po Box 939

Angels Camp, CA 952220939

Phone: 2097546262

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.