Active NPI 1477742047 Individual Practitioner Male Practitioner

David E Johnson , ANP

Nurse Practitioner • Maryville, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

David Johnson, ANP is a certified Nurse Practitioner practicing in Maryville, IL. With approximately 26 years of clinical experience since completing medical education in 2000, David Johnson delivers high-quality medical care to the local community at 6812 STATE ROUTE 162 STE 21.

David Johnson is affiliated with Anderson Medical Group Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, removal of impacted ear wax by washing. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6812 State Route 162 Ste 21

Maryville, IL 620628565

Telephone 6182885566

Fax 6182884005

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Maryville, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +14.3 yrs vs City Avg

City Avg: 11.7 Yrs

State Avg: 10.4 Yrs

Regional Practice Density

13 Specialists

Practicing in Maryville, IL (4929 Statewide)

Telehealth Adoption Rate

7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (26 Years) 26 Yrs

Maryville Specialty Average (11.7 Years) 11.7 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	275	199	$273.00	$106.26
99213 Established patient office or other outpatient visit, typically 15 minutes	180	132	$185.00	$75.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	34	34	$296.00	$106.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	251	196	$273.00	$107.68
99213 Established patient office or other outpatient visit, typically 15 minutes	218	163	$185.00	$76.11
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	36	36	$296.00	$108.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	19	$111.00	$47.52
69209 Removal of impacted ear wax by washing	15	14	$39.36	$16.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	150	132	$185.00	$76.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	108	$273.00	$108.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$111.00	$47.29
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	17	17	$296.00	$110.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	219	187	$185.00	$77.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	88	$273.00	$109.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	45	$111.00	$47.78
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	19	19	$296.00	$114.24
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	18	18	$437.00	$144.64
69209 Removal of impacted ear wax by washing	14	12	$32.49	$14.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	165	149	$273.00	$93.38
99213 Established patient office or other outpatient visit, typically 15 minutes	114	106	$185.00	$64.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	43	$111.00	$39.00
99441 Telephone medical discussion with physician, 5-10 minutes	36	36	$34.00	$33.40
99442 Telephone medical discussion with physician, 11-20 minutes	15	15	$69.00	$65.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	366	300	$184.34	$61.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	125	101	$110.10	$37.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	36	$273.00	$91.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	277	245	$147.40	$61.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	108	89	$89.52	$36.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	87	85	$95.00	$61.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$65.00	$36.60

Medical Specialties & State Licenses

CMS Verified: 2024-08-28

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209-004434

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Anderson Medical Group Llc

2090 Vadalabene Dr, Maryville, IL 620625841

Phone: 6182885430

Secondary Practice Locations

2090 Uadalabene Drive

Maryville, IL 62062

Phone: 6182885430

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Eddie Paulk , DO

Internal Medicine

NPI 1003813601

Doctor of Osteopathic Medicine (D.O.)

Dr. Rodney Greeling , DO

Internal Medicine

NPI 1700960572

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location August 28, 2024

Registered at 6812 STATE ROUTE 162 STE 21, MARYVILLE, IL 620628565 (Tel: 6182885566)

📍

Updated Practice Location April 17, 2020

Registered at 2090 UADALABENE DRIVE, MARYVILLE, IL 62062 (Tel: 6182885430)

📍

Updated Business Mailing Address April 17, 2020

Registered at 6810 STATE ROUTE 162 BOX 215, MARYVILLE, IL 620628501 (Tel: 6183916405)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2020

Nurse Practitioner (License #209-004434 in IL)

✅

NPI Profile Active February 19, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location February 19, 2008

Registered at 2118 VADALABENE DR, MARYVILLE, IL 620625632 (Tel: 6182885430)

📍

Updated Business Mailing Address February 19, 2008

Registered at 1836 LACKLAND HILL PKWY, ATTN CREDENTIALING, SAINT LOUIS, MO 631463572 (Tel: 3149890300)

👤

Provider Name / Credentials Updated February 19, 2008

Recorded as DAVID JOHNSON, ANP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2008

Nurse Practitioner

🟢

Initial NPI Registration & Enumeration October 19, 2007

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 David 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: 1477742047

Entity Type:

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

Enumeration Date: October 19, 2007

Last Update: August 28, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6810 State Route 162 Box 215

Maryville, IL 620628501

Phone: 6183916405

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.