Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063528362 Individual Practitioner Male Practitioner

Dr. Richard Owen Johnson , MD

Pediatrics • Mammoth Lakes, CA

Professional Overview & Biography Verified Profile Summary

Dr. Richard Johnson, MD is a registered healthcare professional specializing in Pediatrics in Mammoth Lakes, CA. Practice services are available at 85 SIERRA PARK ROAD under active NPI credentials.

Frequently performed procedures and clinical services include vaccine for influenza for injection into muscle, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

85 Sierra Park Road
Suite A

Mammoth Lakes, CA 93546

Telephone 7609244000
Fax 7609244091
Associated Practice Facility / Clinic
🏢 Pact Out Patient Facility NPI 1801040951

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Mammoth Lakes, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
6 Specialists

Practicing in Mammoth Lakes, CA (9612 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
27.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90653 Vaccine for influenza for injection into muscle
34 34 $26.00 $25.48
G0008 Administration of influenza virus vaccine
34 34 $33.00 $17.33

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CA G29540

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00G295401 (CA)

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1013479997

Doctor of Medicine (M.D.), MPP

NPI 1063568293

Doctor of Medicine (M.D.)

Dr. James Tenney , MD

General Acute Care Hospital - Critical Access

NPI 1336295948

Doctor of Medicine (M.D.)

Dr. Nancy Akalin , PhD

Psychologist - Clinical

NPI 1861516494

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 16, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 16, 2013

Registered at 85 SIERRA PARK ROAD, SUITE A, MAMMOTH LAKES, CA 93546 (Tel: 7609244000)

📍
Updated Business Mailing Address April 16, 2013

Registered at PO BOX 660, MAMMOTH LAKES, CA 935460660 (Tel: 7609244000)

👤
Provider Name / Credentials Updated April 16, 2013

Recorded as RICHARD JOHNSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2013

Pediatrics (License #G29540 in CA)

🟢
Initial NPI Registration & Enumeration August 21, 2006

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: 1063528362
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2006
Last Update: April 16, 2013
Sole Proprietor: No

Mailing Address

Po Box 660

Mammoth Lakes, CA 935460660

Phone: 7609244000

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.