Active NPI 1285611053 Individual Practitioner Male Practitioner

Dr. Troy Edwin Johnson , MD

Emergency Medicine • Covington, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Troy Edwin Johnson, MD is a certified Emergency Medicine practicing in Covington, GA. With approximately 36 years of clinical experience since graduating from Boston University School Of Medicine in 1990, Dr. Johnson delivers high-quality medical care to the local community at 5126 HOSPITAL DR NE.

Dr. Johnson maintains professional affiliations with Athens Clarke Medical Enterprises Llc, Southland Union Emergency Medical Services, Llc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

5126 Hospital Dr Ne

Covington, GA 300142566

Telephone 8005326151

Associated Practice Facility / Clinic

🏢 Advanced Anesthesia Associates, Pc Facility NPI 1649260738

Medicare Profile & Education

Medical School

Boston University School Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Covington, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +14.8 yrs vs City Avg

City Avg: 21.2 Yrs

State Avg: 23.4 Yrs

Regional Practice Density

9 Specialists

Practicing in Covington, GA (1748 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

86.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (36 Years) 36 Yrs

Covington Specialty Average (21.2 Years) 21.2 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
99285 Emergency department visit for life threatening or functioning severity	175	164	$1172.64	$161.07
99284 Emergency department visit with moderate level of medical decision making	150	145	$886.85	$112.51
99291 Critical care, first 30-74 minutes	55	54	$1389.82	$202.62
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	29	29	$39.24	$7.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	165	156	$1063.52	$170.57
99284 Emergency department visit with moderate level of medical decision making	159	158	$843.45	$117.64
99291 Critical care, first 30-74 minutes	60	60	$1212.53	$207.99
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	38	38	$61.39	$7.88
99283 Emergency department visit with low level of medical decision making	23	23	$645.00	$70.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	152	149	$1278.55	$169.36
99284 Emergency department visit with moderate level of medical decision making	104	96	$799.74	$116.15
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	60	55	$68.70	$7.99
99283 Emergency department visit with low level of medical decision making	53	53	$596.66	$70.83
99291 Critical care, first 30-74 minutes	37	35	$1460.97	$205.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	172	163	$1437.87	$176.75
99284 Emergency department visit with moderate level of medical decision making	113	111	$956.58	$122.00
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	87	79	$73.34	$8.17
99283 Emergency department visit with low level of medical decision making	45	40	$665.62	$70.42
99291 Critical care, first 30-74 minutes	26	26	$1508.42	$215.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	191	181	$1548.14	$173.39
99284 Emergency department visit with moderate level of medical decision making	92	90	$996.39	$117.96
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	59	59	$72.73	$8.42
99291 Critical care, first 30-74 minutes	39	38	$1640.62	$216.64
99283 Emergency department visit with low level of medical decision making	33	31	$658.21	$65.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	237	230	$1165.03	$172.32
99284 Emergency department visit with moderate level of medical decision making	102	100	$755.12	$116.73
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	85	83	$55.02	$8.28
99283 Emergency department visit with low level of medical decision making	42	39	$518.05	$61.55
99291 Critical care, first 30-74 minutes	33	33	$1146.91	$215.06
99282 Emergency department visit with straightforward medical decision making	12	11	$341.33	$41.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	391	370	$1150.34	$167.02
99284 Emergency department visit with moderate level of medical decision making	124	124	$766.29	$113.51
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	111	108	$54.62	$8.04
99283 Emergency department visit with low level of medical decision making	46	45	$522.87	$59.92
99291 Critical care, first 30-74 minutes	15	15	$1159.13	$212.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	375	365	$1433.16	$171.60
99284 Emergency department visit with moderate level of medical decision making	128	127	$986.13	$116.53
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	127	127	$75.65	$8.29
99283 Emergency department visit with low level of medical decision making	51	51	$623.12	$61.37
99291 Critical care, first 30-74 minutes	30	30	$1929.47	$218.49

Medical Specialties & State Licenses

CMS Verified: 2022-07-20

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License GA 45256

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

000792514D (GA)

Hospital & Practice Group Affiliations

Southland Union Emergency Medical Services, Llc

35 Hospital Rd, Blairsville, GA 305123139

Phone: 7067452111

Athens Clarke Medical Enterprises Llc

1230 Baxter St, Athens, GA 306063712

Phone: 7063893000

Practice Associates & Co-Workers

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

29 Associated Practitioners

Dr. John Butler , MD

Emergency Medicine

NPI 1033191804

Doctor of Medicine (M.D.)

Dr. Timothy Garrett , MD

Emergency Medicine

NPI 1043292725

Doctor of Medicine (M.D.)

Dr. Kevin Toon , MD

Emergency Medicine - Emergency Medical Services

NPI 1053393637

Doctor of Medicine (M.D.)

Dr. Jeffrey Moore , MD

Emergency Medicine

NPI 1154304384

Doctor of Medicine (M.D.)

Dr. Carolann Eisenhart , MD

Emergency Medicine

NPI 1265414940

Doctor of Medicine (M.D.)

Dr. Christopher Bostdorff , MD

Emergency Medicine

NPI 1366425613

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

👤

Provider Name / Credentials Updated July 20, 2022

Recorded as TROY EDWIN JOHNSON, MD

✅

NPI Profile Active February 11, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location February 11, 2014

Registered at 5126 HOSPITAL DR NE, COVINGTON, GA 300142566 (Tel: 8005326151)

📍

Updated Business Mailing Address February 11, 2014

Registered at PO BOX 5779, ATHENS, GA 306045779 (Tel: 7063100381)

👤

Provider Name / Credentials Updated February 11, 2014

Recorded as TROY JOHNSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2014

Emergency Medicine (License #45256 in GA)

🟢

Initial NPI Registration & Enumeration December 22, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Troy Edwin Johnson. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1285611053

Entity Type:

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

Enumeration Date: December 22, 2005

Last Update: July 20, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 5779

Athens, GA 306045779

Phone: 7063100381

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.