Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720055148 Individual Practitioner Male Practitioner

Dr. Daniel Steven Johnson , MD

Surgery • Maryville, IL

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Johnson, MD is a registered healthcare professional specializing in Surgery in Maryville, IL. Practice services are available at 6810 STATE ROUTE 162 STE 100 under active NPI credentials.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6810 State Route 162 Ste 100

Maryville, IL 620628560

Telephone 6182883616
Fax 6182883647
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Maryville, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.2 Yrs
State Avg: 27.3 Yrs
Regional Practice Density
8 Specialists

Practicing in Maryville, IL (1624 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
63.2% 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 (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
77 27 $190.00 $71.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
24 22 $528.00 $200.16
99213 Established patient office or other outpatient visit, typically 15 minutes
24 18 $185.00 $91.15
76937 Ultrasonic guidance for blood vessel access
18 17 $79.00 $14.00
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device
18 16 $145.00 $19.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
14 14 $423.00 $169.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
11 11 $277.00 $105.88

Medical Specialties & State Licenses

CMS Verified: 2020-03-09
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 36077321

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1093962896

Doctor of Osteopathic Medicine (D.O.)

NPI 1164581468

Doctor of Medicine (M.D.)

NPI 1275604498

Doctor of Medicine (M.D.)

Kelsy Wasmuth , FNP

Nurse Practitioner - Family

NPI 1336659838

Family Nurse Practitioner

NPI 1669609988

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

15 Historical Events
📍
Updated Practice Location March 09, 2020

Registered at 6810 STATE ROUTE 162 STE 100, MARYVILLE, IL 620628560 (Tel: 6182883616)

📍
Updated Business Mailing Address March 09, 2020

Registered at 6810 STATE ROUTE 162 STE 100, MARYVILLE, IL 620628560 (Tel: 6182883616)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2020

Surgery (License #36077321 in IL)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Surgery (License #2017-00708 in NC)

NPI Profile Active October 04, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 04, 2017

Registered at 600 JOHN DEERE RD, SUITE 301, MOLINE, IL 612656869 (Tel: 3097794400)

📍
Updated Business Mailing Address October 04, 2017

Registered at 600 JOHN DEERE RD, SUITE 301, MOLINE, IL 612656869 (Tel: 3097794400)

👤
Provider Name / Credentials Updated October 04, 2017

Recorded as DANIEL JOHNSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2017

Surgery (License #2017-00708 in NC)

NPI Profile Active February 05, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 05, 2015

Registered at 600 JOHN DEERE RD, SUITE 301, MOLINE, IL 612656869 (Tel: 3097794400)

📍
Updated Business Mailing Address February 05, 2015

Registered at 600 JOHN DEERE RD, SUITE 301, MOLINE, IL 612656869 (Tel: 3097794400)

👤
Provider Name / Credentials Updated February 05, 2015

Recorded as DANIEL JOHNSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2015

Surgery (License #036077321 in IL)

🟢
Initial NPI Registration & Enumeration March 03, 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: 1720055148
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 03, 2006
Last Update: March 09, 2020
Sole Proprietor: No

Mailing Address

6810 State Route 162 Ste 100

Maryville, IL 620628560

Phone: 6182883616

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.