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Deactivated NPI 1245226695 Deactivated / Inactive NPI Male Practitioner

Dr. William H Johnson , MD

Surgery - Vascular Surgery • Ormond Beach, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. William Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 21, 2005
NPI Deactivation Date October 09, 2025
Total Practice Duration ~20 Years of Practice (2005 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. William Johnson, MD was a registered Surgery - Vascular Surgery practicing in Ormond Beach, FL. Throughout an active medical career spanning 20 years, Dr. Johnson provided care at the practice location at 588 STERTHAUS DR until profile deactivation on 2025-10-09.

Historical Medicare Part B clinical services included complete ultrasound of aorta, vena cava, groin vessels or bypass grafts, established patient outpatient office visit, ultrasound of both sides of head and neck blood flow. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

588 Sterthaus Dr

Ormond Beach, FL 321745128

Telephone 3866729503
Fax 3866720386
Associated Practice Facility / Clinic
🏢 Evolves Vascular Lab, Llc Facility NPI 1548699606

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Ormond Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Ormond Beach, FL (412 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
66.4% 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 (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts
76 74 $515.04 $170.24
99213 Established patient office or other outpatient visit, typically 15 minutes
67 52 $271.07 $90.48
93880 Ultrasound of both sides of head and neck blood flow
31 29 $550.45 $183.31
93925 Ultrasound of leg arteries or artery grafts
22 20 $721.91 $240.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
19 17 $339.47 $129.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
16 16 $337.00 $112.81
99221 Initial hospital inpatient care per day, typically 30 minutes
12 12 $308.83 $102.57
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
11 11 $413.73 $136.97
99202 New patient office or other outpatient visit, typically 20 minutes
11 11 $228.00 $73.00

Medical Specialties & State Licenses

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License FL ME36700

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. James Sutton , MD

Surgery - Vascular Surgery

NPI 1043215635

Doctor of Medicine (M.D.)

Dr. John Holt , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1932195385

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
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NPI Profile Deactivated October 09, 2025

Record deactivated on October 09, 2025

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Updated Practice Location January 21, 2025

Registered at 1240 W GRANADA BLVD FL 2, ORMOND BEACH, FL 321745915 (Tel: 3862366854)

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Updated Business Mailing Address January 21, 2025

Registered at 1240 W GRANADA BLVD FL 2, ORMOND BEACH, FL 321745915 (Tel: 3862366854)

NPI Profile Active April 19, 2016

NPI status registered as active in NPPES database

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Updated Practice Location April 19, 2016

Registered at 588 STERTHAUS DR, ORMOND BEACH, FL 321745128 (Tel: 3866729503)

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Updated Business Mailing Address April 19, 2016

Registered at 588 STERTHAUS DR, ORMOND BEACH, FL 321745128 (Tel: 3866729503)

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Provider Name / Credentials Updated April 19, 2016

Recorded as WILLIAM JOHNSON, M.D.

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

Surgery (License #ME36700 in FL)

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Initial NPI Registration & Enumeration September 21, 2005

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: 1245226695
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2005
Last Update: April 19, 2016
Deactivation Date: October 09, 2025

Mailing Address

588 Sterthaus Dr

Ormond Beach, FL 321745128

Phone: 3866729503

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.