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Active NPI 1891714234 Individual Practitioner Male Practitioner

Michael James Johnson , PA

Physician Assistant • Pueblo, CO

Professional Overview & Biography Verified Profile Summary

Michael Johnson, PA is a registered healthcare professional specializing in Physician Assistant in Pueblo, CO. Practice services are available at 1008 MINNEQUA AVE under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with low level of medical decision making, emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1008 Minnequa Ave

Pueblo, CO 810043733

Telephone 7195605656
Fax 7195604715
Associated Practice Facility / Clinic
🏢 Pueblo Radiological Group Pc Facility NPI 1568444271

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Pueblo, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.3 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
61 Specialists

Practicing in Pueblo, CO (3810 Statewide)

Telehealth Adoption Rate
8.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
84.8% 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 (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99283 Emergency department visit with low level of medical decision making
50 47 $405.00 $52.08
99284 Emergency department visit with moderate level of medical decision making
40 39 $640.00 $100.69
99285 Emergency department visit for life threatening or functioning severity
35 35 $937.00 $148.28

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CO 595

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
07005952 (CO)
Commercial Insurance / Payer ID Railroad Medicare
970016858 (CO)

Practice Associates & Co-Workers

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

6 Associated Practitioners
NPI 1528087962

Doctor of Medicine (M.D.)

NPI 1619996055

Doctor of Medicine (M.D.)

NPI 1649204975

Doctor of Medicine (M.D.)

NPI 1699708834

Doctor of Medicine (M.D.)

NPI 1700805140

Doctor of Medicine (M.D.)

Yuri Rothbaum , PA

Physician Assistant

NPI 1831122068

Physician Assistant

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 15, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location January 15, 2008

Registered at 1008 MINNEQUA AVE, PUEBLO, CO 810043733 (Tel: 7195605656)

📍
Updated Business Mailing Address January 15, 2008

Registered at 445 E CHEYENNE MOUNTAIN BLVD STE C PMB 406, COLORADO SPRINGS, CO 809064570 (Tel: 7195388100)

👤
Provider Name / Credentials Updated January 15, 2008

Recorded as MICHAEL JOHNSON, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2008

Physician Assistant (License #595 in CO)

🟢
Initial NPI Registration & Enumeration July 18, 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: 1891714234
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2006
Last Update: March 07, 2023
Sole Proprietor: Yes

Mailing Address

445 E Cheyenne Mountain Blvd Ste C Pmb 406

Colorado Springs, CO 809064570

Phone: 7195388100

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.