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Deactivated NPI 1447234307 Deactivated / Inactive NPI Male Practitioner

Dr. Jonathan Hart Johnson , MD

Pathology - Anatomic Pathology & Clinical Pathology • Herrin, IL

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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. Jonathan Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 05, 2005
NPI Deactivation Date November 11, 2023
Total Practice Duration ~18 Years of Practice (2005 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Johnson, MD was a registered Pathology - Anatomic Pathology & Clinical Pathology practicing in Herrin, IL. Throughout an active medical career spanning 18 years, Dr. Johnson provided care at the practice location at 201 S 14TH ST until profile deactivation on 2023-11-11.

Historical Medicare Part B clinical services included pathology examination of tissue using a microscope, intermediate complexity, special stained specimen slides to examine tissue, initial procedure, special stained specimen slides to examine tissue. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

201 S 14th St
Pathology Department

Herrin, IL 629483631

Telephone 6189422171
Fax 6183514935
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pathology - Anatomic Pathology & Clinical Pathology in Herrin, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Herrin, IL (831 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.3% 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
88305 Pathology examination of tissue using a microscope, intermediate complexity
1,684 635 $110.00 $36.72
88342 Special stained specimen slides to examine tissue, initial procedure
385 349 $111.00 $34.33
88341 Special stained specimen slides to examine tissue
108 32 $44.00 $28.09
88304 Pathology examination of tissue using a microscope, moderately low complexity
94 84 $68.00 $11.10
88311 Preparation of tissue for examination by removing any calcium present
92 68 $36.00 $12.28
88307 Pathology examination of tissue using a microscope, moderately high complexity
47 39 $188.00 $81.84
88331 Pathology examination of specimen during surgery, first tissue block
39 18 $139.00 $61.20
85060 Blood smear interpretation by physician with written report
34 33 $57.00 $24.50
88312 Special stained specimen slides to identify organisms including interpretation and report
28 26 $60.00 $26.42
88108 Cell examination of specimen, concentration technique
25 25 $62.00 $22.27

Medical Specialties & State Licenses

Pathology - Anatomic Pathology & Clinical Pathology Primary Specialty

NUCC Taxonomy Code: 207ZP0102X

State License IL 036-094922

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003163148

Doctor of Medicine (M.D.)

Brian Wiggs , PT

Physical Therapist

NPI 1003880584

Physical Therapist

NPI 1043621733

Registered Pharmacist

Dr. Laura Haas , DPT

Physical Therapist

NPI 1063727667

Doctor of Physical Therapy

Sarah Kries , CRNA

Nurse Anesthetist, Certified Registered

NPI 1063897908

Certified Registered Nurse Anesthetist

NPI 1073826269

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 November 11, 2023

Record deactivated on November 11, 2023

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Updated Business Mailing Address December 02, 2021

Registered at PO BOX 3988, CARBONDALE, IL 629023988 (Tel: 6184575200)

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Updated Practice Location February 08, 2021

Registered at 201 S 14TH ST, HERRIN, IL 629483631 (Tel: 6189422171)

NPI Profile Active June 17, 2014

NPI status registered as active in NPPES database

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Updated Practice Location June 17, 2014

Registered at 201 S 14TH ST, PATHOLOGY DEPARTMENT, HERRIN, IL 629483631 (Tel: 6189422171)

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Updated Business Mailing Address June 17, 2014

Registered at PO BOX 1105, INDIANAPOLIS, IN 462061105 (Tel: 6184575200)

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Provider Name / Credentials Updated June 17, 2014

Recorded as JONATHAN JOHNSON, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2014

Pathology (License #036-094922 in IL)

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Initial NPI Registration & Enumeration December 05, 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: 1447234307
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 05, 2005
Last Update: June 17, 2014
Deactivation Date: November 11, 2023

Mailing Address

Po Box 1105

Indianapolis, IN 462061105

Phone: 6184575200

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.